Mengingat
Menetapkan
-2Pasal 1
Dalam Peraturan Menteri ini yang dimaksud dengan :
1. Tarif Kapitasi adalah besaran pembayaran per-bulan yang dibayar dimuka oleh
BPJS Kesehatan kepada Fasilitas Kesehatan Tingkat Pertama berdasarkan
jumlah peserta yang terdaftar tanpa memperhitungkan jenis dan jumlah
pelayanan kesehatan yang diberikan.
2. Tarif Non Kapitasi adalah besaran pembayaran klaim oleh BPJS Kesehatan
kepada Fasilitas Kesehatan Tingkat Pertama berdasarkan jenis dan jumlah
pelayanan kesehatan yang diberikan.
3. Tarif Indonesian - Case Based Groups yang selanjutnya disebut Tarif INA-CBGs
adalah besaran pembayaran klaim oleh BPJS Kesehatan kepada Fasilitas
Kesehatan Tingkat Lanjutan atas paket layanan yang didasarkan kepada
pengelompokan diagnosis penyakit.
Pasal 2
(1) Tarif pelayanan kesehatan pada Fasilitas Kesehatan Tingkat Pertama meliputi:
a. Tarif Kapitasi
b. Tarif Non Kapitasi
(2) Tarif pelayanan kesehatan sebagaimana dimaksud pada ayat (1) tercantum
dalam Lampiran I yang merupakan bagian tidak terpisahkan dari Peraturan
Menteri ini.
Pasal 3
(1) Tarif Kapitasi sebagaimana dimaksud dalam Pasal 2 ayat (1) huruf a merupakan
rentang nilai yang besarannya untuk setiap Fasilitas Kesehatan Tingkat Pertama
ditetapkan berdasarkan seleksi dan kredensial yang dilakukan oleh BPJS
Kesehatan sesuai dengan ketentuan peraturan perundang-undangan.
(2) Tarif Kapitasi sebagaimana dimaksud pada ayat (1) diberlakukan bagi Fasilitas
Kesehatan Tingkat Pertama yang melaksanakan pelayanan kesehatan
komprehensif kepada Peserta Program Jaminan Kesehatan berupa Rawat Jalan
Tingkat Pertama.
(3) Tarif Non Kapitasi sebagaimana dimaksud Pasal 2 ayat (1) huruf b merupakan
nilai besaran yang sama bagi seluruh Fasilitas Kesehatan Tingkat Pertama yang
melaksanakan pelayanan kesehatan kepada Peserta Program Jaminan
Kesehatan berupa Rawat Inap Tingkat Pertama dan pelayanan Kebidanan dan
Neonatal.
-3(4) Pembiayaan untuk pelayanan ambulans, pelayanan obat rujuk balik, pelayanan
skrining kesehatan tertentu, dan/atau pelayanan kesehatan pada daerah
terpencil dan kepulauan dibayar oleh BPJS Kesehatan yang diatur lebih lanjut
dengan Peraturan BPJS Kesehatan.
Pasal 4
(1) Tarif INA-CBGs meliputi:
a. tarif pelayanan kesehatan yang dilakukan oleh rumah sakit kelas A, kelas B,
kelas C dan kelas D dalam regional 1;
b. tarif pelayanan kesehatan yang dilakukan oleh rumah sakit kelas A, kelas B,
kelas C dan kelas D dalam regional 2;
c. tarif pelayanan kesehatan yang dilakukan oleh rumah sakit kelas A, kelas B,
kelas C dan kelas D dalam regional 3;
d. tarif pelayanan kesehatan yang dilakukan oleh rumah sakit kelas A, kelas B,
kelas C dan kelas D dalam regional 4;
e. tarif pelayanan kesehatan yang dilakukan oleh rumah sakit kelas A, kelas B,
kelas C dan kelas D dalam regional 5;
f. tarif pelayanan kesehatan yang dilakukan oleh rumah sakit umum rujukan
nasional; dan
g. tarif pelayanan kesehatan yang dilakukan oleh rumah sakit khusus rujukan
nasional.
(2) Penetapan regional sebagaimana dimaksud pada ayat (1) huruf a sampai
dengan huruf e, bagi setiap Fasilitas Kesehatan Tingkat Lanjutan merupakan
hasil kesepakatan bersama antara BPJS Kesehatan dengan Asosiasi Fasilitas
Kesehatan Tingkat Lanjutan.
(3) Tarif rawat jalan di Fasilitas Kesehatan Tingkat Lanjutan berupa Klinik Utama
atau yang setara diberlakukan tarif sebesar 50% (lima puluh persen) dari standar
Tarif INA-CBGs untuk kelompok rumah sakit kelas D.
(4) Tarif rawat inap di Fasilitas Kesehatan Tingkat Lanjutan berupa Klinik Utama
atau yang setara diberlakukan tarif sebesar 35% (tiga puluh lima persen) dari
standar Tarif INA-CBGs untuk kelompok rumah sakit kelas D dengan perawatan
kelas III.
(5) Tarif INA-CBGs sebagaimana dimaksud pada ayat (1) tercantum dalam
Lampiran II yang merupakan bagian tidak terpisahkan dari Peraturan Menteri ini.
Pasal 5
Pedoman Teknis Pelaksanaan Peraturan Menteri ini ditetapkan oleh BPJS
Kesehatan setelah berkoordinasi dengan Menteri.
-4Pasal 6
Peraturan Menteri ini mulai berlaku pada tanggal 1 Januari 2014.
Agar setiap orang mengetahuinya, memerintahkan pengundangan Peraturan Menteri
ini dengan penempatannya dalam Berita Negara Republik Indonesia.
Ditetapkan di Jakarta
pada tanggal 1 November 2013
MENTERI KESEHATAN
REPUBLIK INDONESIA,
ttd
NAFSIAH MBOI
Diundangkan di Jakarta
pada tanggal
MENTERI HUKUM DAN HAK ASASI MANUSIA
REPUBLIK INDONESIA,
ttd
AMIR SYAMSUDIN
BERITA NEGARA REPUBLIK INDONESIA TAHUN 2013 NOMOR
-5LAMPIRAN I
PERATURAN MENTERI KESEHATAN
NOMOR 69 TAHUN 2013
TENTANG STANDAR TARIF PELAYANAN
KESEHATAN
PADA
FASILITAS
KESEHATAN TINGKAT PERTAMA DAN
FASILITAS
KESEHATAN
TINGKAT
LANJUTAN DALAM PENYELENGGARAAN
PROGRAM JAMINAN KESEHATAN
I.
PUSKESMAS
Puskesmas atau Fasilitas Kesehatan yang setara
TARIF (Rp)
3.000 - 6.000
II.
NO
TARIF (Rp)
8.000 - 10.000
2.000
JENIS PELAYANAN
Paket Rawat Inap per hari untuk Fasilitas Kesehatan
berupa Puskesmas dengan perawatan, Rumah Sakit
Kelas D Pratama, dan Klinik Pratama
TARIF (Rp)
100.000
JENIS PELAYANAN
Pemeriksaan ANC
Persalinan pervaginam normal
TARIF (Rp)
25.000
600.000
Pemeriksaan PNC/neonates
175.000
125.000
Pelayanan KB pemasangan:
25.000
- IUD/Implant
100.000
- Suntik
8
750.000
15.000
125.000
MENTERI KESEHATAN
REPUBLIK INDONESIA,
ttd
NAFSIAH MBOI
-7LAMPIRAN II
PERATURAN MENTERI KESEHATAN
NOMOR 69 TAHUN 2013
TENTANG
STANDAR
TARIF
PELAYANAN
KESEHATAN
PADA
FASILITAS KESEHATAN TINGKAT
PERTAMA
DAN
FASILITAS
KESEHATAN TINGKAT LANJUTAN
DALAM
PENYELENGGARAAN
PROGRAM JAMINAN KESEHATAN
Kode INACBG
A-4-10-I
A-4-10-II
A-4-10-III
A-4-11-I
A-4-11-II
A-4-11-III
A-4-12-I
A-4-12-II
A-4-12-III
A-4-13-I
A-4-13-II
A-4-13-III
A-4-14-I
A-4-14-II
A-4-14-III
A-4-15-I
A-4-15-II
A-4-15-III
B-1-01-I
B-1-01-II
B-1-01-III
B-1-10-I
B-1-10-II
B-1-10-III
B-1-11-I
B-1-11-II
B-1-11-III
B-1-12-I
B-1-12-II
B-1-12-III
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
3.255.749
5.562.095
7.855.880
7.088.577
12.485.416
20.422.950
3.568.515
4.443.939
4.742.946
4.546.533
5.369.563
6.750.986
3.783.365
4.866.364
5.575.708
5.682.628
8.506.218
10.674.537
58.061.438
64.057.111
112.369.422
7.527.158
19.183.723
32.727.261
5.050.813
12.624.649
15.858.679
8.770.435
18.796.970
22.877.106
3.906.899
6.674.514
9.427.056
8.506.292
14.982.500
24.507.540
4.282.218
5.332.727
5.691.536
5.455.839
6.443.476
8.101.183
4.540.038
5.839.637
6.690.850
6.819.154
10.207.462
12.809.444
69.673.726
76.868.533
134.843.306
9.032.589
23.020.467
39.272.713
6.060.975
15.149.579
19.030.415
10.524.522
22.556.365
27.452.527
4.558.049
7.786.933
10.998.232
9.924.007
17.479.583
28.592.130
4.995.921
6.221.514
6.640.125
6.365.146
7.517.389
9.451.380
5.296.710
6.812.910
7.805.992
7.955.679
11.908.705
14.944.352
81.286.013
89.679.955
157.317.191
10.538.021
26.857.212
45.818.165
7.071.138
17.674.509
22.202.151
12.278.608
26.315.759
32.027.948
31 B-1-13-I
7.056.673
8.468.007
9.879.342
32 B-1-13-II
11.494.221
13.793.065
16.091.909
33
34
35
36
37
38
39
40
41
42
43
44
45
16.945.678
9.598.716
10.675.509
16.700.671
2.969.822
4.740.768
6.539.988
6.261.607
9.385.998
10.620.246
5.661.174
8.061.242
17.323.768
20.334.814
11.518.460
12.810.611
20.040.805
3.563.787
5.688.921
7.847.985
7.513.928
11.263.198
12.744.295
6.793.409
9.673.490
20.788.522
23.723.950
13.438.203
14.945.712
23.380.939
4.157.751
6.637.075
9.155.983
8.766.250
13.140.398
14.868.344
7.925.644
11.285.738
24.253.276
5.684.451
6.821.341
7.958.232
6.622.215
7.946.658
9.271.102
9.812.573
11.775.088
13.737.603
5.678.410
6.624.572
8.873.791
4.990.840
10.422.665
18.079.332
5.687.324
7.610.507
11.843.707
3.786.769
9.453.587
19.155.589
6.814.092
7.949.487
10.648.550
5.989.008
12.507.198
21.695.199
6.824.789
9.132.609
14.212.449
4.544.123
11.344.305
22.986.707
7.949.773
9.274.401
12.423.308
6.987.176
14.591.730
25.311.065
7.962.253
10.654.710
16.581.190
5.301.477
13.235.022
26.817.825
B-1-13-III
B-1-14-I
B-1-14-II
B-1-14-III
B-4-10-I
B-4-10-II
B-4-10-III
B-4-11-I
B-4-11-II
B-4-11-III
B-4-12-I
B-4-12-II
B-4-12-III
46 B-4-13-I
47 B-4-13-II
48 B-4-13-III
49
50
51
52
53
54
55
56
57
58
59
60
B-4-14-I
B-4-14-II
B-4-14-III
C-4-10-I
C-4-10-II
C-4-10-III
C-4-11-I
C-4-11-II
C-4-11-III
C-4-12-I
C-4-12-II
C-4-12-III
Kode INACBG
C-4-13-I
C-4-13-II
C-4-13-III
C-4-14-I
C-4-14-II
C-4-14-III
D-1-10-I
D-1-10-II
D-1-10-III
D-1-11-I
D-1-11-II
D-1-11-III
73 D-1-20-I
74 D-1-20-II
75 D-1-20-III
76
77
78
79
80
81
82
83
84
D-4-10-I
D-4-10-II
D-4-10-III
D-4-11-I
D-4-11-II
D-4-11-III
D-4-12-I
D-4-12-II
D-4-12-III
85 D-4-13-I
86 D-4-13-II
87 D-4-13-III
88 D-4-14-I
89 D-4-14-II
90 D-4-14-III
91
92
93
94
95
96
E-1-01-I
E-1-01-II
E-1-01-III
E-1-10-I
E-1-10-II
E-1-10-III
97 E-1-20-I
98 E-1-20-II
99 E-1-20-III
100 E-4-10-I
101 E-4-10-II
102 E-4-10-III
103
104
105
106
107
108
109
110
E-4-11-I
E-4-11-II
E-4-11-III
E-4-12-I
E-4-12-II
E-4-12-III
E-4-13-I
E-4-13-II
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
KEMOTERAPI RINGAN
KEMOTERAPI SEDANG
KEMOTERAPI BERAT
TUMOR MYELOPROLIFERATIF LAIN-LAIN RINGAN
TUMOR MYELOPROLIFERATIF LAIN-LAIN SEDANG
TUMOR MYELOPROLIFERATIF LAIN-LAIN BERAT
PROSEDUR PENCANGKOKAN SUMSUM TULANG RINGAN
PROSEDUR PENCANGKOKAN SUMSUM TULANG SEDANG
PROSEDUR PENCANGKOKAN SUMSUM TULANG BERAT
PROSEDUR LIMPA RINGAN
PROSEDUR LIMPA SEDANG
PROSEDUR LIMPA BERAT
PROSEDUR PADA DARAH DAN ORGAN PEMBENTUK DARAH LAINLAIN (RINGAN)
PROSEDUR PADA DARAH DAN ORGAN PEMBENTUK DARAH LAINLAIN (SEDANG)
PROSEDUR PADA DARAH DAN ORGAN PEMBENTUK DARAH LAINLAIN (BERAT)
AGRANULOSITOSIS RINGAN
AGRANULOSITOSIS SEDANG
AGRANULOSITOSIS BERAT
GANGGUAN PEMBEKUAN DARAH RINGAN
GANGGUAN PEMBEKUAN DARAH SEDANG
GANGGUAN PEMBEKUAN DARAH BERAT
KRISIS ANEMIA SEL SICKLE RINGAN
KRISIS ANEMIA SEL SICKLE SEDANG
KRISIS ANEMIA SEL SICKLE BERAT
GANGGUAN SEL DARAH MERAH SELAIN KRISIS ANEMIA SEL SICKLE
RINGAN
GANGGUAN SEL DARAH MERAH SELAIN KRISIS ANEMIA SEL SICKLE
SEDANG
GANGGUAN SEL DARAH MERAH SELAIN KRISIS ANEMIA SEL SICKLE
BERAT
GANGGUAN PADA DARAH & ORGAN PEMBENTUK DARAH LAINLAIN (RINGAN)
GANGGUAN PADA DARAH & ORGAN PEMBENTUK DARAH LAINLAIN (SEDANG)
GANGGUAN PADA DARAH & ORGAN PEMBENTUK DARAH LAINLAIN (BERAT)
PROSEDUR KELENJAR PITUITARI DAN PINEAL RINGAN
PROSEDUR KELENJAR PITUITARI DAN PINEAL SEDANG
PROSEDUR KELENJAR PITUITARI DAN PINEAL BERAT
PROSEDUR KELENJAR ADRENAL RINGAN
PROSEDUR KELENJAR ADRENAL SEDANG
PROSEDUR KELENJAR ADRENAL BERAT
PROSEDUR PADA TIROID, PARATIROID DAN SALURAN TIROGLOSAL
RINGAN
PROSEDUR PADA TIROID, PARATIROID DAN SALURAN TIROGLOSAL
SEDANG
PROSEDUR PADA TIROID, PARATIROID DAN SALURAN TIROGLOSAL
BERAT
PENYAKIT KENCING MANIS & GANGGUAN NUTRISI/ METABOLIK
RINGAN
PENYAKIT KENCING MANIS & GANGGUAN NUTRISI/ METABOLIK
SEDANG
PENYAKIT KENCING MANIS & GANGGUAN NUTRISI/ METABOLIK
BERAT
HIPOVOLEMIA & GANGGUAN ELEKROLIT RINGAN
HIPOVOLEMIA & GANGGUAN ELEKROLIT SEDANG
HIPOVOLEMIA & GANGGUAN ELEKROLIT BERAT
GANGGUAN METABOLIK BAWAAN RINGAN
GANGGUAN METABOLIK BAWAAN SEDANG
GANGGUAN METABOLIK BAWAAN BERAT
GANGGUAN KELENJAR ENDOKRIN LAIN-LAIN RINGAN
GANGGUAN KELENJAR ENDOKRIN LAIN-LAIN SEDANG
3.687.683
6.940.277
9.582.621
4.730.302
6.635.581
9.886.903
37.152.517
56.585.975
76.689.669
7.651.752
19.538.385
30.617.128
4.425.220
8.328.332
11.499.145
5.676.363
7.962.697
11.864.284
44.583.020
67.903.170
92.027.602
9.182.102
23.446.062
36.740.554
5.162.756
9.716.388
13.415.670
6.622.423
9.289.813
13.841.665
52.013.524
79.220.365
107.365.536
10.712.453
27.353.739
42.863.980
8.334.933
10.001.920
11.668.907
22.969.906
27.563.887
32.157.868
36.437.059
43.724.471
51.011.882
3.633.342
5.962.600
9.380.599
6.605.385
13.478.590
18.516.307
4.477.012
6.209.635
9.535.165
4.360.010
7.155.120
11.256.719
7.926.462
16.174.308
22.219.569
5.372.414
7.451.562
11.442.198
5.086.679
8.347.639
13.132.838
9.247.538
18.870.026
25.922.830
6.267.817
8.693.489
13.349.231
3.663.961
4.396.754
5.129.546
5.185.827
6.222.992
7.260.158
6.632.822
7.959.387
9.285.951
4.114.952
4.937.943
5.760.933
8.680.331
10.416.397
12.152.463
11.217.841
13.461.409
15.704.977
8.202.680
11.416.725
26.999.387
8.528.124
10.350.517
21.816.068
9.843.216
13.700.070
32.399.264
10.233.749
12.420.620
26.179.282
11.483.751
15.983.414
37.799.142
11.939.373
14.490.723
30.542.495
9.654.576
11.585.491
13.516.406
12.994.791
15.593.750
18.192.708
25.869.205
31.043.046
36.216.887
4.735.965
5.683.157
6.630.350
6.617.569
7.941.083
9.264.597
11.864.316
14.237.179
16.610.042
3.795.353
5.786.435
11.325.819
4.360.859
7.551.897
11.337.984
4.748.818
7.880.031
4.554.423
6.943.722
13.590.983
5.233.030
9.062.276
13.605.581
5.698.582
9.456.037
5.313.494
8.101.009
15.856.147
6.105.202
10.572.656
15.873.177
6.648.346
11.032.043
Kode INACBG
E-4-13-III
F-4-10-I
F-4-10-II
F-4-10-III
F-4-11-I
F-4-11-II
F-4-11-III
F-4-12-I
F-4-12-II
F-4-12-III
F-4-13-I
F-4-13-II
F-4-13-III
F-4-14-I
F-4-14-II
F-4-14-III
F-4-15-I
F-4-15-II
F-4-15-III
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
11.119.624
5.635.386
6.236.892
9.233.857
5.201.744
6.060.604
7.771.942
2.851.427
4.053.868
8.806.706
4.190.128
5.528.988
7.157.995
2.390.710
3.066.345
4.126.033
3.807.295
5.673.403
7.490.725
13.343.549
6.762.463
7.484.270
11.080.629
6.242.093
7.272.725
9.326.331
3.421.712
4.864.642
10.568.047
5.028.154
6.634.786
8.589.594
2.868.851
3.679.614
4.951.239
4.568.754
6.808.084
8.988.870
15.567.474
7.889.540
8.731.649
12.927.400
7.282.441
8.484.845
10.880.719
3.991.997
5.675.416
12.329.388
5.866.180
7.740.584
10.021.193
3.346.993
4.292.883
5.776.446
5.330.213
7.942.765
10.487.015
130 F-4-16-I
7.491.055
8.989.266
10.487.478
131 F-4-16-II
8.709.650
10.451.580
12.193.511
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
11.625.895
1.769.071
5.185.045
5.531.975
6.509.188
7.161.945
11.040.731
4.974.576
6.370.123
7.930.815
16.192.299
24.253.344
53.057.680
18.240.128
21.597.674
23.021.720
9.155.994
18.767.440
39.214.996
6.338.553
13.260.946
23.389.401
1.912.163
5.135.098
11.587.044
13.955.069
18.120.413
36.007.009
11.422.467
29.837.071
38.427.115
5.440.985
6.650.692
9.125.908
13.951.074
2.122.885
6.222.054
6.638.370
7.811.025
8.594.334
13.248.877
5.969.492
7.644.148
9.516.978
19.430.758
29.104.013
63.669.216
21.888.154
25.917.209
27.626.064
10.987.192
22.520.927
47.057.995
7.606.263
15.913.135
28.067.281
2.294.595
6.162.118
13.904.453
16.746.083
21.744.496
43.208.411
13.706.961
35.804.486
46.112.538
6.529.182
7.980.830
10.951.089
16.276.253
2.476.699
7.259.063
7.744.765
9.112.863
10.026.723
15.457.024
6.964.407
8.918.173
11.103.141
22.669.218
33.954.682
74.280.752
25.536.179
30.236.743
32.230.408
12.818.391
26.274.415
54.900.994
8.873.974
18.565.324
32.745.161
2.677.028
7.189.138
16.221.862
19.537.097
25.368.579
50.409.812
15.991.454
41.771.900
53.797.960
7.617.379
9.310.969
12.776.271
7.377.991
8.853.590
10.329.188
9.800.699
11.760.839
13.720.979
168 G-4-11-III
14.400.618
17.280.741
20.160.865
169 G-4-12-I
170 G-4-12-II
6.318.844
7.981.120
7.582.612
9.577.344
8.846.381
11.173.568
F-4-16-III
F-4-17-I
F-4-17-II
F-4-17-III
F-4-18-I
F-4-18-II
F-4-18-III
F-4-19-I
F-4-19-II
F-4-19-III
G-1-01-I
G-1-01-II
G-1-01-III
G-1-10-I
G-1-10-II
G-1-10-III
G-1-11-I
G-1-11-II
G-1-11-III
G-1-12-I
G-1-12-II
G-1-12-III
G-1-13-I
G-1-13-II
G-1-13-III
G-1-20-I
G-1-20-II
G-1-20-III
G-1-30-I
G-1-30-II
G-1-30-III
G-4-10-I
G-4-10-II
G-4-10-III
166 G-4-11-I
167 G-4-11-II
Kode INACBG
G-4-12-III
G-4-13-I
G-4-13-II
G-4-13-III
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
11.591.650
3.795.862
6.619.132
7.850.426
13.909.980
4.555.035
7.942.959
9.420.511
16.228.310
5.314.207
9.266.785
10.990.596
175 G-4-14-I
6.439.122
7.726.946
9.014.770
176 G-4-14-II
8.608.741
10.330.489
12.052.238
177 G-4-14-III
10.804.951
12.965.941
15.126.931
5.261.316
6.313.579
7.365.842
6.279.156
7.534.987
8.790.818
8.862.478
10.634.973
12.407.469
4.337.295
5.758.286
11.844.914
5.776.986
7.574.845
12.695.951
5.204.754
6.909.943
14.213.897
6.932.383
9.089.814
15.235.142
6.072.213
8.061.600
16.582.879
8.087.780
10.604.783
17.774.332
178 G-4-15-I
179 G-4-15-II
180 G-4-15-III
181
182
183
184
185
186
G-4-16-I
G-4-16-II
G-4-16-III
G-4-17-I
G-4-17-II
G-4-17-III
187 G-4-18-I
5.689.372
6.827.247
7.965.121
188 G-4-18-II
7.605.064
9.126.077
10.647.090
189 G-4-18-III
8.509.440
10.211.328
11.913.215
4.746.844
5.696.212
6.645.581
8.023.254
9.627.904
11.232.555
11.649.252
13.979.102
16.308.953
3.320.610
4.694.349
7.753.944
3.457.901
5.852.537
6.878.085
3.590.852
4.588.096
5.360.973
3.782.154
4.745.390
6.756.206
3.791.557
4.736.971
9.170.986
3.239.838
4.097.070
5.429.432
5.688.612
6.617.628
10.351.232
12.114.759
13.388.711
18.207.810
4.670.726
8.217.817
9.141.020
5.681.479
7.708.511
15.151.510
3.785.205
4.317.852
3.984.733
5.633.219
9.304.733
4.149.482
7.023.045
8.253.702
4.309.023
5.505.715
6.433.168
4.538.585
5.694.468
8.107.447
4.549.868
5.684.365
11.005.183
3.887.806
4.916.484
6.515.318
6.826.335
7.941.154
12.421.479
14.537.711
16.066.453
21.849.372
5.604.871
9.861.380
10.969.223
6.817.774
9.250.214
18.181.812
4.542.245
5.181.422
4.648.855
6.572.089
10.855.522
4.841.062
8.193.552
9.629.319
5.027.193
6.423.334
7.505.362
5.295.015
6.643.546
9.458.688
5.308.179
6.631.759
12.839.380
4.535.773
5.735.898
7.601.204
7.964.057
9.264.680
14.491.725
16.960.663
18.744.195
25.490.934
6.539.016
11.504.943
12.797.427
7.954.070
10.791.916
21.212.114
5.299.286
6.044.992
190 G-4-19-I
191 G-4-19-II
192 G-4-19-III
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224
G-4-20-I
G-4-20-II
G-4-20-III
G-4-21-I
G-4-21-II
G-4-21-III
G-4-22-I
G-4-22-II
G-4-22-III
G-4-23-I
G-4-23-II
G-4-23-III
G-4-24-I
G-4-24-II
G-4-24-III
G-4-25-I
G-4-25-II
G-4-25-III
G-4-26-I
G-4-26-II
G-4-26-III
H-1-20-I
H-1-20-II
H-1-20-III
H-1-30-I
H-1-30-II
H-1-30-III
H-4-10-I
H-4-10-II
H-4-10-III
H-4-11-I
H-4-11-II
Kode INACBG
H-4-11-III
H-4-12-I
H-4-12-II
H-4-12-III
I-1-01-I
I-1-01-II
I-1-01-III
I-1-02-I
I-1-02-II
I-1-02-III
235 I-1-03-I
236 I-1-03-II
237 I-1-03-III
238 I-1-04-I
239 I-1-04-II
240 I-1-04-III
241 I-1-05-I
242 I-1-05-II
243 I-1-05-III
244 I-1-06-I
245 I-1-06-II
246 I-1-06-III
247 I-1-07-I
248 I-1-07-II
249 I-1-07-III
250 I-1-11-I
251 I-1-11-II
252 I-1-11-III
253
254
255
256
257
258
I-1-12-I
I-1-12-II
I-1-12-III
I-1-13-I
I-1-13-II
I-1-13-III
259 I-1-14-I
260 I-1-14-II
261 I-1-14-III
262 I-1-15-I
263 I-1-15-II
264 I-1-15-III
265 I-1-16-I
266 I-1-16-II
267 I-1-16-III
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
6.182.809
4.462.786
5.332.281
8.935.915
75.322.874
76.979.901
121.511.760
41.788.819
53.907.057
66.443.771
7.419.371
5.355.343
6.398.737
10.723.098
90.387.449
92.375.882
145.814.112
50.146.583
64.688.469
79.732.525
8.655.933
6.247.901
7.465.194
12.510.281
105.452.023
107.771.862
170.116.464
58.504.347
75.469.880
93.021.279
25.695.740
30.834.888
35.974.036
31.204.530
37.445.436
43.686.342
48.469.577
58.163.492
67.857.408
43.105.487
51.726.584
60.347.682
68.032.035
81.638.442
95.244.849
108.680.778
130.416.934
152.153.089
55.308.275
66.369.930
77.431.585
66.370.200
79.644.240
92.918.280
91.324.834
109.589.800
127.854.767
40.776.323
59.067.813
70.478.800
48.931.588
70.881.375
84.574.560
57.086.853
82.694.938
98.670.319
33.604.061
40.324.874
47.045.686
41.457.511
49.749.013
58.040.515
45.229.989
54.275.986
63.321.984
5.211.369
6.253.643
7.295.916
5.794.534
6.953.441
8.112.348
7.710.747
9.252.896
10.795.046
21.667.976
24.499.434
40.895.847
15.969.257
19.377.143
24.441.621
26.001.572
29.399.320
49.075.016
19.163.108
23.252.572
29.329.945
30.335.167
34.299.207
57.254.186
22.356.959
27.128.000
34.218.269
43.017.922
51.621.507
60.225.091
53.464.958
64.157.950
74.850.942
70.057.508
84.069.010
98.080.512
10.016.906
13.305.503
28.465.727
12.020.288
15.966.603
34.158.873
14.023.669
18.627.704
39.852.018
18.435.867
22.123.040
25.810.213
47.933.658
57.520.390
67.107.122
55.290.726
66.348.871
77.407.016
Kode INACBG
268 I-1-17-I
269 I-1-17-II
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
31.775.235
38.130.282
44.485.329
39.785.575
47.742.690
55.699.805
270 I-1-17-III
49.214.152
59.056.982
68.899.812
271 I-1-20-I
272 I-1-20-II
273 I-1-20-III
27.650.073
34.542.464
36.311.356
33.180.088
41.450.957
43.573.627
38.710.102
48.359.450
50.835.898
20.915.671
25.098.805
29.281.939
43.509.293
52.211.152
60.913.011
67.423.813
80.908.576
94.393.338
19.302.954
47.720.195
63.737.961
6.524.956
11.651.158
16.807.813
7.749.895
9.590.511
17.741.332
6.757.511
10.935.701
13.509.186
7.492.893
10.853.034
24.298.572
4.281.133
4.428.435
7.763.149
7.575.542
9.777.162
11.143.428
5.289.664
7.515.904
10.692.772
4.341.345
5.885.294
7.142.857
6.751.266
10.278.971
13.955.503
5.028.455
7.849.732
9.371.141
5.236.170
6.047.744
9.042.597
7.864.768
9.810.788
13.383.996
5.688.566
7.081.511
10.350.892
23.163.545
57.264.234
76.485.554
7.829.948
13.981.390
20.169.375
9.299.874
11.508.614
21.289.599
8.109.013
13.122.842
16.211.023
8.991.471
13.023.641
29.158.287
5.137.359
5.314.122
9.315.778
9.090.650
11.732.595
13.372.114
6.347.597
9.019.085
12.831.326
5.209.614
7.062.352
8.571.428
8.101.520
12.334.765
16.746.603
6.034.145
9.419.678
11.245.369
6.283.403
7.257.293
10.851.116
9.437.722
11.772.946
16.060.795
6.826.279
8.497.813
12.421.070
27.024.136
66.808.273
89.233.146
9.134.939
16.311.622
23.530.938
10.849.852
13.426.716
24.837.865
9.460.516
15.309.982
18.912.860
10.490.050
15.194.248
34.018.001
5.993.586
6.199.809
10.868.408
10.605.758
13.688.027
15.600.800
7.405.530
10.522.266
14.969.880
6.077.883
8.239.411
10.000.000
9.451.773
14.390.559
19.537.704
7.039.836
10.989.625
13.119.598
7.330.637
8.466.841
12.659.636
11.010.676
13.735.104
18.737.594
7.963.992
9.914.116
14.491.249
4.298.147
5.157.777
6.017.406
5.276.840
6.332.208
7.387.576
10.310.694
12.372.833
14.434.972
5.013.503
11.544.932
6.016.203
13.853.918
7.018.904
16.162.904
274 I-1-30-I
275 I-1-30-II
276 I-1-30-III
277
278
279
280
281
282
283
284
285
286
287
288
289
290
291
292
293
294
295
296
297
298
299
300
301
302
303
304
305
306
307
308
309
310
311
312
313
314
315
316
317
318
I-1-40-I
I-1-40-II
I-1-40-III
I-4-10-I
I-4-10-II
I-4-10-III
I-4-11-I
I-4-11-II
I-4-11-III
I-4-12-I
I-4-12-II
I-4-12-III
I-4-13-I
I-4-13-II
I-4-13-III
I-4-14-I
I-4-14-II
I-4-14-III
I-4-15-I
I-4-15-II
I-4-15-III
I-4-16-I
I-4-16-II
I-4-16-III
I-4-17-I
I-4-17-II
I-4-17-III
I-4-18-I
I-4-18-II
I-4-18-III
I-4-19-I
I-4-19-II
I-4-19-III
I-4-20-I
I-4-20-II
I-4-20-III
I-4-21-I
I-4-21-II
I-4-21-III
I-4-22-I
I-4-22-II
I-4-22-III
319 I-4-23-I
320 I-4-23-II
321 I-4-23-III
322 I-4-24-I
323 I-4-24-II
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
14.596.481
17.515.777
20.435.073
73.124.051
87.748.861
102.373.671
81.248.945
97.498.734
113.748.524
90.276.606
108.331.927
126.387.248
38.804.333
46.565.200
54.326.067
53.048.614
63.658.336
74.268.059
86.037.044
103.244.452
120.451.861
12.125.411
19.874.207
28.151.246
15.618.731
19.672.242
30.377.180
9.390.426
21.221.428
70.923.428
5.542.099
7.924.034
11.987.971
3.424.671
4.769.993
6.835.566
5.816.860
6.923.743
9.245.607
7.428.913
9.662.071
19.292.591
5.670.400
9.227.322
10.916.856
5.687.331
6.794.768
10.502.835
4.738.728
6.659.159
11.021.691
4.738.116
5.674.019
8.537.819
3.781.373
5.201.028
5.474.668
6.623.577
7.568.533
10.518.582
6.622.782
9.485.484
14.962.052
14.550.493
23.849.049
33.781.495
18.742.478
23.606.690
36.452.616
11.268.511
25.465.714
85.108.114
6.650.519
9.508.841
14.385.565
4.109.605
5.723.992
8.202.680
6.980.232
8.308.492
11.094.728
8.914.695
11.594.485
23.151.109
6.804.480
11.072.786
13.100.228
6.824.797
8.153.721
12.603.401
5.686.473
7.990.990
13.226.029
5.685.740
6.808.823
10.245.383
4.537.647
6.241.234
6.569.602
7.948.293
9.082.239
12.622.298
7.947.338
11.382.581
17.954.463
16.975.575
27.823.890
39.411.744
21.866.224
27.541.138
42.528.052
13.146.597
29.709.999
99.292.799
7.758.939
11.093.648
16.783.159
4.794.540
6.677.991
9.569.793
8.143.604
9.693.240
12.943.849
10.400.478
13.526.899
27.009.628
7.938.560
12.918.251
15.283.599
7.962.264
9.512.675
14.703.968
6.634.219
9.322.822
15.430.367
6.633.363
7.943.627
11.952.947
5.293.922
7.281.440
7.664.535
9.273.008
10.595.946
14.726.015
9.271.894
13.279.678
20.946.873
3.783.780
4.540.536
5.297.293
8.613.908
10.336.690
12.059.472
12.286.251
14.743.501
17.200.752
376 K-1-10-I
10.201.072
12.241.287
14.281.501
377 K-1-10-II
12.819.835
15.383.802
17.947.769
325 J-1-01-I
326 J-1-01-II
327 J-1-01-III
328 J-1-02-I
329 J-1-02-II
330 J-1-02-III
331
332
333
334
335
336
337
338
339
340
341
342
343
344
345
346
347
348
349
350
351
352
353
354
355
356
357
358
359
360
361
362
363
364
365
366
367
368
369
370
371
372
J-1-10-I
J-1-10-II
J-1-10-III
J-1-20-I
J-1-20-II
J-1-20-III
J-1-30-I
J-1-30-II
J-1-30-III
J-4-10-I
J-4-10-II
J-4-10-III
J-4-11-I
J-4-11-II
J-4-11-III
J-4-12-I
J-4-12-II
J-4-12-III
J-4-13-I
J-4-13-II
J-4-13-III
J-4-14-I
J-4-14-II
J-4-14-III
J-4-15-I
J-4-15-II
J-4-15-III
J-4-16-I
J-4-16-II
J-4-16-III
J-4-17-I
J-4-17-II
J-4-17-III
J-4-18-I
J-4-18-II
J-4-18-III
J-4-19-I
J-4-19-II
J-4-19-III
J-4-20-I
J-4-20-II
J-4-20-III
373 J-4-21-I
374 J-4-21-II
375 J-4-21-III
Kode INACBG
K-1-10-III
K-1-11-I
K-1-11-II
K-1-11-III
382 K-1-12-I
383 K-1-12-II
384 K-1-12-III
385
386
387
388
389
390
391
392
393
K-1-13-I
K-1-13-II
K-1-13-III
K-1-14-I
K-1-14-II
K-1-14-III
K-1-20-I
K-1-20-II
K-1-20-III
394 K-1-30-I
395 K-1-30-II
396 K-1-30-III
397
398
399
400
401
402
403
404
405
406
407
408
409
410
411
K-1-40-I
K-1-40-II
K-1-40-III
K-1-50-I
K-1-50-II
K-1-50-III
K-4-10-I
K-4-10-II
K-4-10-III
K-4-11-I
K-4-11-II
K-4-11-III
K-4-12-I
K-4-12-II
K-4-12-III
412 K-4-13-I
413 K-4-13-II
414 K-4-13-III
415
416
417
418
419
420
421
422
423
424
425
426
427
428
429
430
431
432
433
K-4-14-I
K-4-14-II
K-4-14-III
K-4-15-I
K-4-15-II
K-4-15-III
K-4-16-I
K-4-16-II
K-4-16-III
K-4-17-I
K-4-17-II
K-4-17-III
K-4-18-I
K-4-18-II
K-4-18-III
L-1-20-I
L-1-20-II
L-1-20-III
L-1-30-I
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
15.025.283
7.924.415
10.403.793
26.403.128
18.030.340
9.509.298
12.484.551
31.683.754
21.035.397
11.094.181
14.565.310
36.964.379
4.280.244
5.136.293
5.992.342
5.566.961
6.680.353
7.793.745
11.028.892
13.234.671
15.440.449
4.827.235
8.430.201
9.022.799
7.833.764
9.180.967
20.835.388
15.168.576
21.187.089
37.048.273
5.792.682
10.116.241
10.827.359
9.400.517
11.017.161
25.002.465
18.202.291
25.424.507
44.457.927
6.758.129
11.802.281
12.631.918
10.967.269
12.853.354
29.169.543
21.236.006
29.661.925
51.867.582
9.967.325
11.960.790
13.954.255
19.516.277
23.419.532
27.322.788
28.684.983
34.421.979
40.158.976
10.009.159
11.035.440
22.902.116
7.647.959
9.931.830
14.035.465
9.807.488
15.590.223
25.876.036
3.802.870
5.676.314
9.517.684
3.795.403
5.107.408
11.561.396
12.010.991
13.242.527
27.482.539
9.177.551
11.918.196
16.842.558
11.768.985
18.708.268
31.051.243
4.563.444
6.811.577
11.421.220
4.554.483
6.128.890
13.873.675
14.012.823
15.449.615
32.062.963
10.707.143
13.904.562
19.649.651
13.730.483
21.826.313
36.226.451
5.324.018
7.946.839
13.324.757
5.313.564
7.150.371
16.185.954
5.684.938
6.821.926
7.958.914
7.353.793
8.824.551
10.295.310
11.327.184
13.592.621
15.858.058
4.505.360
6.047.645
9.704.053
4.706.498
7.248.431
10.317.275
4.735.885
5.679.645
6.627.290
3.435.440
4.861.739
5.484.053
3.790.358
5.685.429
6.974.371
34.933.074
36.505.787
55.693.494
15.392.471
5.406.432
7.257.174
11.644.864
5.647.798
8.698.118
12.380.730
5.683.062
6.815.574
7.952.748
4.122.528
5.834.087
6.580.863
4.548.429
6.822.514
8.369.245
41.919.689
43.806.944
66.832.192
18.470.965
6.307.504
8.466.702
13.585.675
6.589.098
10.147.804
14.444.185
6.630.239
7.951.503
9.278.206
4.809.616
6.806.435
7.677.674
5.306.501
7.959.600
9.764.119
48.906.304
51.108.101
77.970.891
21.549.459
436 L-1-40-I
437 L-1-40-II
438 L-1-40-III
439
440
441
442
443
444
445
446
447
448
449
450
L-1-50-I
L-1-50-II
L-1-50-III
L-4-10-I
L-4-10-II
L-4-10-III
L-4-11-I
L-4-11-II
L-4-11-III
L-4-12-I
L-4-12-II
L-4-12-III
451 L-4-13-I
452 L-4-13-II
453 L-4-13-III
454 L-4-14-I
455 L-4-14-II
456 L-4-14-III
457 M-1-01-I
458 M-1-01-II
459 M-1-01-III
460 M-1-02-I
461 M-1-02-II
462 M-1-02-III
463 M-1-03-I
464 M-1-03-II
465 M-1-03-III
466 M-1-04-I
467 M-1-04-II
468 M-1-04-III
469 M-1-05-I
470 M-1-05-II
471 M-1-05-III
472 M-1-07-I
473 M-1-07-II
474 M-1-07-III
475 M-1-10-I
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
22.991.394
24.308.398
27.589.673
29.170.078
32.187.952
34.031.758
6.394.682
7.673.619
8.952.555
12.826.271
15.391.526
17.956.780
31.184.803
37.421.763
43.658.724
11.758.034
18.099.372
22.472.291
5.708.914
6.626.478
12.095.283
4.840.255
6.652.504
15.116.412
5.677.691
7.509.494
13.956.457
14.109.641
21.719.246
26.966.750
6.850.697
7.951.774
14.514.339
5.808.306
7.983.004
18.139.694
6.813.230
9.011.393
16.747.749
16.461.248
25.339.121
31.461.208
7.992.480
9.277.070
16.933.396
6.776.357
9.313.505
21.162.976
7.948.768
10.513.292
19.539.040
3.223.063
3.867.675
4.512.288
3.787.919
4.545.502
5.303.086
5.574.044
6.688.853
7.803.661
3.781.465
5.679.844
8.006.455
4.537.758
6.815.813
9.607.746
5.294.051
7.951.781
11.209.037
17.021.825
20.426.190
23.830.555
18.999.459
22.799.350
26.599.242
26.688.607
32.026.328
37.364.049
11.847.425
19.435.272
34.263.687
14.216.910
23.322.327
41.116.424
16.586.395
27.209.381
47.969.161
31.673.387
38.008.065
44.342.742
38.025.828
45.630.993
53.236.159
39.550.146
47.460.175
55.370.204
7.807.062
9.368.475
10.929.887
9.981.510
11.977.812
13.974.114
12.489.785
14.987.742
17.485.699
11.175.243
13.410.292
15.645.340
11.440.578
13.728.693
16.016.809
19.486.780
23.384.136
27.281.492
13.676.046
16.411.256
19.146.465
18.321.123
21.985.348
25.649.573
37.321.932
44.786.318
52.250.705
23.038.911
27.646.694
32.254.476
Kode INACBG
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
476 M-1-10-II
55.085.140
66.102.168
77.119.195
477 M-1-10-III
118.813.461
142.576.153
166.338.845
8.264.291
9.917.149
11.570.007
11.791.298
14.149.557
16.507.817
29.252.922
35.103.507
40.954.091
11.069.671
22.961.068
34.253.072
13.283.605
27.553.282
41.103.687
15.497.539
32.145.495
47.954.301
5.543.295
6.651.954
7.760.613
10.246.066
12.295.279
14.344.492
17.839.800
21.407.760
24.975.721
6.642.692
13.326.279
20.415.164
7.971.231
15.991.535
24.498.196
9.299.769
18.656.791
28.581.229
4.988.382
5.986.059
6.983.735
10.013.093
12.015.712
14.018.331
17.433.460
20.920.152
24.406.844
27.454.428
30.199.871
33.219.858
15.606.695
18.232.339
41.717.007
3.806.107
5.676.076
10.739.294
4.742.764
10.398.180
15.034.067
3.785.777
6.296.705
10.115.344
32.945.314
36.239.845
39.863.830
18.728.034
21.878.807
50.060.409
4.567.328
6.811.292
12.887.153
5.691.317
12.477.816
18.040.880
4.542.932
7.556.046
12.138.412
38.436.199
42.279.819
46.507.801
21.849.373
25.525.275
58.403.810
5.328.549
7.946.507
15.035.012
6.639.870
14.557.452
21.047.693
5.300.088
8.815.387
14.161.481
6.303.625
7.564.350
8.825.075
9.470.968
11.365.161
13.259.355
18.741.398
22.489.678
26.237.958
7.189.162
8.866.711
13.324.125
4.262.919
5.682.171
16.118.193
4.727.675
7.570.779
12.718.326
4.736.904
6.625.037
9.251.372
4.637.652
6.989.214
8.415.405
8.626.994
10.640.053
15.988.950
5.115.502
6.818.605
19.341.832
5.673.210
9.084.935
15.261.991
5.684.285
7.950.044
11.101.646
5.565.183
8.387.057
10.098.487
10.064.827
12.413.395
18.653.775
5.968.086
7.955.040
22.565.471
6.618.744
10.599.091
17.805.657
6.631.666
9.275.051
12.951.920
6.492.713
9.784.900
11.781.568
478 M-1-20-I
479 M-1-20-II
480 M-1-20-III
481 M-1-30-I
482 M-1-30-II
483 M-1-30-III
484 M-1-40-I
485 M-1-40-II
486 M-1-40-III
487 M-1-50-I
488 M-1-50-II
489 M-1-50-III
490 M-1-60-I
491 M-1-60-II
492 M-1-60-III
493
494
495
496
497
498
499
500
501
502
503
504
505
506
507
M-1-70-I
M-1-70-II
M-1-70-III
M-1-80-I
M-1-80-II
M-1-80-III
M-4-10-I
M-4-10-II
M-4-10-III
M-4-11-I
M-4-11-II
M-4-11-III
M-4-12-I
M-4-12-II
M-4-12-III
508 M-4-13-I
509 M-4-13-II
510 M-4-13-III
511
512
513
514
515
516
517
518
519
520
521
522
523
524
525
M-4-14-I
M-4-14-II
M-4-14-III
M-4-15-I
M-4-15-II
M-4-15-III
M-4-16-I
M-4-16-II
M-4-16-III
M-4-17-I
M-4-17-II
M-4-17-III
M-4-18-I
M-4-18-II
M-4-18-III
Kode INACBG
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
3.733.689
4.480.427
5.227.164
6.289.025
7.546.830
8.804.635
12.282.827
14.739.392
17.195.958
3.766.279
4.519.534
5.272.790
5.515.101
6.618.121
7.721.141
6.163.738
7.396.485
8.629.233
3.792.350
4.550.820
5.309.290
4.743.170
5.691.804
6.640.439
10.634.000
12.760.800
14.887.600
250.000.000
250.000.000
250.000.000
12.776.158
17.297.190
30.639.825
250.000.000
250.000.000
250.000.000
15.331.390
20.756.628
36.767.789
250.000.000
250.000.000
250.000.000
17.886.621
24.216.066
42.895.754
6.838.023
8.205.628
9.573.232
16.032.862
19.239.434
22.446.007
29.216.085
35.059.302
40.902.519
14.014.650
18.572.377
23.871.486
16.817.580
22.286.853
28.645.783
19.620.510
26.001.328
33.420.080
544 N-1-20-I
545 N-1-20-II
546 N-1-20-III
547 N-1-30-I
11.155.604
13.386.725
15.617.846
548 N-1-30-II
16.876.249
20.251.499
23.626.749
549 N-1-30-III
19.422.912
23.307.495
27.192.077
550
551
552
553
554
555
556
557
558
559
560
561
562
563
564
10.018.484
13.604.933
15.834.354
4.729.439
5.720.300
11.367.193
3.267.532
5.708.828
7.102.959
3.794.276
5.686.784
7.727.969
4.711.223
5.677.441
12.336.479
12.022.180
16.325.919
19.001.224
5.675.327
6.864.360
13.640.631
3.921.039
6.850.594
8.523.550
4.553.131
6.824.141
9.273.562
5.653.468
6.812.929
14.803.774
14.025.877
19.046.906
22.168.095
6.621.215
8.008.420
15.914.070
4.574.545
7.992.359
9.944.142
5.311.986
7.961.497
10.819.156
6.595.712
7.948.417
17.271.070
526 M-4-19-I
527 M-4-19-II
528 M-4-19-III
529 M-4-20-I
530 M-4-20-II
531 M-4-20-III
532 M-4-21-I
533 M-4-21-II
534 M-4-21-III
535
536
537
538
539
540
N-1-01-I
N-1-01-II
N-1-01-III
N-1-11-I
N-1-11-II
N-1-11-III
541 N-1-12-I
542 N-1-12-II
543 N-1-12-III
N-1-40-I
N-1-40-II
N-1-40-III
N-4-10-I
N-4-10-II
N-4-10-III
N-4-11-I
N-4-11-II
N-4-11-III
N-4-12-I
N-4-12-II
N-4-12-III
N-4-13-I
N-4-13-II
N-4-13-III
565 N-4-14-I
3.281.718
3.938.061
4.594.405
566 N-4-14-II
4.656.551
5.587.862
6.519.172
567 N-4-14-III
7.552.131
9.062.557
10.572.984
568 N-4-15-I
4.307.597
5.169.116
6.030.636
Kode INACBG
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
569 N-4-15-II
5.345.011
6.414.013
7.483.015
570 N-4-15-III
6.099.617
7.319.540
8.539.463
571
572
573
574
575
576
4.747.204
7.296.321
12.945.907
5.484.728
6.052.369
8.288.235
5.696.645
8.755.586
15.535.088
6.581.673
7.262.843
9.945.882
6.646.086
10.214.850
18.124.269
7.678.619
8.473.317
11.603.529
4.412.788
5.295.346
6.177.903
4.904.262
5.885.114
6.865.967
8.812.518
10.575.021
12.337.525
3.126.416
3.751.700
4.376.983
3.754.804
4.505.765
5.256.726
4.717.973
5.661.567
6.605.162
2.745.861
3.249.906
4.074.061
3.295.034
3.899.887
4.888.873
3.844.206
4.549.868
5.703.685
87.723.920
105.268.704
122.813.488
108.545.097
130.254.116
151.963.135
127.401.464
152.881.756
178.362.049
104.172.839
125.007.406
145.841.974
119.496.728
143.396.073
167.295.419
136.533.483
163.840.179
191.146.876
5.879.017
7.054.820
8.230.624
8.230.624
9.876.749
11.522.873
11.454.617
13.745.540
16.036.464
47.359.669
56.831.603
66.303.537
61.462.640
73.755.168
86.047.696
88.121.955
105.746.346
123.370.737
25.752.653
30.903.183
36.053.714
36.500.913
43.801.096
51.101.278
53.779.196
64.535.035
75.290.874
5.098.457
6.118.149
7.137.840
9.460.156
11.352.188
13.244.219
18.421.018
22.105.221
25.789.425
8.230.624
9.876.749
11.522.873
23.076.688
27.692.025
32.307.363
N-4-16-I
N-4-16-II
N-4-16-III
O-6-10-I
O-6-10-II
O-6-10-III
577 O-6-11-I
578 O-6-11-II
579 O-6-11-III
580 O-6-12-I
581 O-6-12-II
582 O-6-12-III
583 O-6-13-I
584 O-6-13-II
585 O-6-13-III
586 P-8-01-I
587 P-8-01-II
588 P-8-01-III
589 P-8-02-I
590 P-8-02-II
591 P-8-02-III
592 P-8-03-I
593 P-8-03-II
594 P-8-03-III
595 P-8-04-I
596 P-8-04-II
597 P-8-04-III
598 P-8-05-I
599 P-8-05-II
600 P-8-05-III
601 P-8-06-I
602 P-8-06-II
603 P-8-06-III
604 P-8-07-I
605 P-8-07-II
Kode INACBG
606 P-8-07-III
607 P-8-08-I
608 P-8-08-II
609 P-8-08-III
610 P-8-10-I
611 P-8-10-II
612 P-8-10-III
613
614
615
616
617
618
619
620
621
P-8-11-I
P-8-11-II
P-8-11-III
P-8-12-I
P-8-12-II
P-8-12-III
P-8-13-I
P-8-13-II
P-8-13-III
622 P-8-14-I
623 P-8-14-II
624 P-8-14-III
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
30.570.888
36.685.066
42.799.244
4.762.273
5.714.728
6.667.183
6.757.440
8.108.928
9.460.416
12.359.200
14.831.039
17.302.879
3.337.870
4.005.444
4.673.018
5.253.848
6.304.618
7.355.387
10.315.446
12.378.535
14.441.624
8.353.942
17.800.490
21.334.953
10.628.806
13.445.210
14.230.055
2.672.185
6.620.492
16.128.031
10.024.731
21.360.588
25.601.943
12.754.568
16.134.252
17.076.066
3.206.622
7.944.590
19.353.637
11.695.519
24.920.686
29.868.934
14.880.329
18.823.294
19.922.077
3.741.059
9.268.688
22.579.243
4.553.488
5.464.185
6.374.883
9.269.139
11.122.966
12.976.794
10.169.924
12.203.909
14.237.894
625 P-8-15-I
3.415.166
4.098.199
4.781.232
626 P-8-15-II
6.839.036
8.206.843
9.574.650
627 P-8-15-III
8.024.433
9.629.320
11.234.207
3.090.809
3.708.971
4.327.132
6.390.351
7.668.421
8.946.491
16.784.506
20.141.407
23.498.308
2.267.942
5.896.454
13.975.446
2.721.531
7.075.744
16.770.535
3.175.119
8.255.035
19.565.625
3.484.820
4.181.784
4.878.748
4.293.807
5.152.569
6.011.330
5.877.827
7.053.392
8.228.957
2.219.804
3.255.130
5.563.397
2.846.679
3.788.878
6.572.089
3.783.469
6.712.124
13.496.507
2.663.765
3.906.156
6.676.076
3.416.015
4.546.654
7.886.507
4.540.162
8.054.549
16.195.808
3.107.726
4.557.182
7.788.756
3.985.351
5.304.430
9.200.924
5.296.856
9.396.974
18.895.110
2.127.475
2.552.970
2.978.465
4.518.859
5.422.631
6.326.403
8.569.296
10.283.156
11.997.015
628 P-8-16-I
629 P-8-16-II
630 P-8-16-III
631 P-8-17-I
632 P-8-17-II
633 P-8-17-III
634 S-4-10-I
635 S-4-10-II
636 S-4-10-III
637
638
639
640
641
642
643
644
645
S-4-11-I
S-4-11-II
S-4-11-III
S-4-12-I
S-4-12-II
S-4-12-III
S-4-13-I
S-4-13-II
S-4-13-III
646 S-4-14-I
647 S-4-14-II
648 S-4-14-III
Kode INACBG
649 S-4-15-I
650 S-4-15-II
651 S-4-15-III
652 S-4-16-I
653 S-4-16-II
654 S-4-16-III
655 S-4-17-I
656 S-4-17-II
657 S-4-17-III
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
1.609.105
1.930.927
2.252.748
3.036.647
3.643.976
4.251.305
3.932.994
4.719.593
5.506.191
6.630.955
8.433.141
14.071.573
7.957.146
10.119.769
16.885.888
9.283.337
11.806.397
19.700.202
3.196.054
3.835.265
4.474.476
4.743.200
5.691.840
6.640.480
7.290.247
8.748.296
10.206.345
658 T-1-10-I
2.687.017
3.224.421
3.761.824
659 T-1-10-II
3.609.013
4.330.816
5.052.618
660 T-1-10-III
6.565.339
7.878.407
9.191.475
1.471.414
1.765.696
2.059.979
2.803.785
3.364.542
3.925.299
4.075.411
4.890.493
5.705.575
1.421.045
1.705.254
1.989.463
2.236.324
2.683.589
3.130.854
3.602.064
4.322.476
5.042.889
3.329.585
3.995.502
4.661.419
5.026.415
6.031.698
7.036.981
669 T-4-12-III
7.780.156
9.336.188
10.892.219
670
671
672
673
674
675
676
677
678
679
680
681
3.251.736
6.635.368
28.652.858
12.472.755
18.812.854
28.481.976
8.447.484
18.710.873
27.482.453
9.493.317
10.367.753
17.186.515
3.902.084
7.962.441
34.383.430
14.967.306
22.575.425
34.178.372
10.136.980
22.453.047
32.978.944
11.391.981
12.441.304
20.623.818
4.552.431
9.289.515
40.114.001
17.461.857
26.337.996
39.874.767
11.826.477
26.195.222
38.475.435
13.290.644
14.514.855
24.061.121
5.079.812
6.095.775
7.111.737
6.234.148
7.480.978
8.727.808
7.387.484
8.864.981
10.342.478
2.987.331
4.247.147
7.782.968
3.584.798
5.096.577
9.339.561
4.182.264
5.946.006
10.896.155
7.711.886
9.254.263
10.796.640
13.772.412
16.526.894
19.281.377
32.927.153
39.512.583
46.098.014
661 T-4-10-I
662 T-4-10-II
663 T-4-10-III
664 T-4-11-I
665 T-4-11-II
666 T-4-11-III
667 T-4-12-I
668 T-4-12-II
U-1-10-I
U-1-10-II
U-1-10-III
U-1-11-I
U-1-11-II
U-1-11-III
U-1-12-I
U-1-12-II
U-1-12-III
U-1-13-I
U-1-13-II
U-1-13-III
682 U-1-14-I
683 U-1-14-II
684 U-1-14-III
685 U-1-15-I
686 U-1-15-II
687 U-1-15-III
688 U-1-20-I
689 U-1-20-II
690 U-1-20-III
694 U-4-10-I
No
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
6.613.774
8.968.052
17.537.361
7.936.528
10.761.663
21.044.834
9.259.283
12.555.273
24.552.306
6.165.293
7.398.351
8.631.410
695 U-4-10-II
14.114.096
16.936.915
19.759.734
696 U-4-10-III
21.669.602
26.003.522
30.337.442
697
698
699
700
701
702
DYSEQUILIBRIUM RINGAN
DYSEQUILIBRIUM SEDANG
DYSEQUILIBRIUM BERAT
EPISTAKSIS/PERDARAHAN HIDUNG RINGAN
EPISTAKSIS/PERDARAHAN HIDUNG SEDANG
EPISTAKSIS/PERDARAHAN HIDUNG BERAT
PERADANGAN EPIGLOTIS, TELINGA TENGAH, ISPA DAN
LARINGOTRAKEITIS RINGAN
PERADANGAN EPIGLOTIS, TELINGA TENGAH, ISPA DAN
LARINGOTRAKEITIS SEDANG
PERADANGAN EPIGLOTIS, TELINGA TENGAH, ISPA DAN
LARINGOTRAKEITIS BERAT
PENYAKIT MULUT DAN GIGI RINGAN
PENYAKIT MULUT DAN GIGI SEDANG
PENYAKIT MULUT DAN GIGI BERAT
DIAGNOSIS TENGGOROKAN, MULUT, HIDUNG & TELINGA LAIN-LAIN
(RINGAN)
DIAGNOSIS TENGGOROKAN, MULUT, HIDUNG & TELINGA LAIN-LAIN
(SEDANG)
DIAGNOSIS TENGGOROKAN, MULUT, HIDUNG & TELINGA LAIN-LAIN
(BERAT)
PROSEDUR PENGANGKATAN PROSTAT KOMPLEK RINGAN
PROSEDUR PENGANGKATAN PROSTAT KOMPLEK SEDANG
PROSEDUR PENGANGKATAN PROSTAT KOMPLEK BERAT
PROSEDUR PADA PENIS RINGAN
PROSEDUR PADA PENIS SEDANG
PROSEDUR PADA PENIS BERAT
PROSEDUR PADA SKROTUM DAN PROSTAT KOMPLEK-MODERAT
(RINGAN)
PROSEDUR PADA SKROTUM DAN PROSTAT KOMPLEK-MODERAT
(SEDANG)
PROSEDUR PADA SKROTUM DAN PROSTAT KOMPLEK-MODERAT
(BERAT)
PROSEDUR PADA SKROTUM DAN PROSTAT NON KOMPLEK
(RINGAN)
PROSEDUR PADA SKROTUM DAN PROSTAT NON KOMPLEK
(SEDANG)
3.781.492
5.499.577
5.785.520
3.426.733
3.986.015
5.170.871
4.537.790
6.599.492
6.942.624
4.112.080
4.783.218
6.205.045
5.294.088
7.699.408
8.099.729
4.797.426
5.580.421
7.239.220
3.363.955
4.036.746
4.709.537
3.965.724
4.758.869
5.552.014
4.743.241
5.691.889
6.640.537
4.737.390
5.672.845
9.526.528
5.684.868
6.807.413
11.431.833
6.632.346
7.941.982
13.337.139
3.803.991
4.564.790
5.325.588
4.739.248
5.687.097
6.634.947
6.632.660
7.959.192
9.285.724
11.097.981
12.781.242
19.209.409
11.804.020
13.478.758
21.108.224
13.317.577
15.337.490
23.051.291
14.164.823
16.174.510
25.329.869
15.537.173
17.893.739
26.893.172
16.525.627
18.870.261
29.551.514
6.204.570
7.445.483
8.686.397
21.890.939
26.269.127
30.647.314
22.640.870
27.169.043
31.697.217
9.406.899
11.288.278
13.169.658
17.973.478
21.568.174
25.162.870
U-4-11-I
U-4-11-II
U-4-11-III
U-4-12-I
U-4-12-II
U-4-12-III
703 U-4-13-I
704 U-4-13-II
705 U-4-13-III
706 U-4-14-I
707 U-4-14-II
708 U-4-14-III
709 U-4-15-I
710 U-4-15-II
711 U-4-15-III
712
713
714
715
716
717
V-1-10-I
V-1-10-II
V-1-10-III
V-1-11-I
V-1-11-II
V-1-11-III
718 V-1-12-I
719 V-1-12-II
720 V-1-12-III
721 V-1-13-I
722 V-1-13-II
723 V-1-13-III
28.198.198
33.837.838
39.477.478
724 V-1-14-I
11.351.886
13.622.263
15.892.640
725 V-1-14-II
16.494.065
19.792.878
23.091.691
726
727
728
729
730
731
732
20.586.290
5.345.437
9.491.292
15.633.431
7.929.434
9.707.280
20.574.816
24.703.548
6.414.525
11.389.551
18.760.118
9.515.321
11.648.735
24.689.779
28.820.806
7.483.612
13.287.809
21.886.804
11.101.208
13.590.191
28.804.742
4.743.319
5.691.983
6.640.646
6.624.568
7.949.482
9.274.396
8.603.106
10.323.728
12.044.349
V-1-14-III
V-1-15-I
V-1-15-II
V-1-15-III
V-4-10-I
V-4-10-II
V-4-10-III
733 V-4-11-I
734 V-4-11-II
735 V-4-11-III
Kode INACBG
736 W-1-01-I
737 W-1-01-II
738 W-1-01-III
739
740
741
742
743
744
W-1-10-I
W-1-10-II
W-1-10-III
W-1-11-I
W-1-11-II
W-1-11-III
745 W-1-12-I
746 W-1-12-II
747 W-1-12-III
748
749
750
751
752
753
754
755
756
757
758
759
760
761
762
W-1-13-I
W-1-13-II
W-1-13-III
W-1-20-I
W-1-20-II
W-1-20-III
W-1-30-I
W-1-30-II
W-1-30-III
W-4-10-I
W-4-10-II
W-4-10-III
W-4-11-I
W-4-11-II
W-4-11-III
763 W-4-12-I
764 W-4-12-II
765 W-4-12-III
766
767
768
769
770
771
772
773
774
775
776
777
778
779
780
781
782
783
784
785
786
W-4-13-I
W-4-13-II
W-4-13-III
W-4-14-I
W-4-14-II
W-4-14-III
W-4-15-I
W-4-15-II
W-4-15-III
W-4-16-I
W-4-16-II
W-4-16-III
W-4-17-I
W-4-17-II
W-4-17-III
Z-4-10-I
Z-4-10-II
Z-4-10-III
Z-4-11-I
Z-4-11-II
Z-4-11-III
787 Z-4-12-I
788 Z-4-12-II
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
12.928.693
15.514.432
18.100.170
15.495.941
18.595.129
21.694.317
27.998.705
33.598.446
39.198.187
3.593.038
5.544.124
8.967.589
3.726.247
6.551.165
13.794.909
4.311.646
6.652.949
10.761.107
4.471.496
7.861.398
16.553.890
5.030.253
7.761.774
12.554.625
5.216.746
9.171.631
19.312.872
3.394.673
4.073.607
4.752.542
3.848.894
4.618.673
5.388.451
5.912.685
7.095.222
8.277.759
4.120.633
4.473.637
6.009.172
10.615.101
13.202.899
22.209.763
5.992.360
9.557.808
23.450.563
4.464.919
6.619.093
15.195.636
4.060.561
6.164.458
7.503.371
4.944.759
5.368.365
7.211.006
12.738.121
15.843.479
26.651.716
7.190.832
11.469.370
28.140.676
5.357.903
7.942.912
18.234.763
4.872.674
7.397.349
9.004.045
5.768.886
6.263.092
8.412.841
14.861.142
18.484.059
31.093.668
8.389.304
13.380.932
32.830.789
6.250.887
9.266.730
21.273.890
5.684.786
8.630.241
10.504.719
3.798.474
4.558.169
5.317.864
5.215.008
6.258.010
7.301.011
5.684.567
6.821.480
7.958.393
2.076.868
2.837.058
3.528.102
2.775.541
3.303.583
4.226.460
2.137.263
2.373.650
3.286.413
2.843.640
3.802.731
5.153.958
2.098.301
3.788.565
7.189.144
5.990.948
7.951.708
11.296.811
4.187.356
5.029.177
9.959.736
2.492.241
3.404.470
4.233.722
3.330.649
3.964.299
5.071.752
2.564.716
2.848.380
3.943.696
3.412.368
4.563.277
6.184.750
2.517.961
4.546.277
8.626.973
7.189.138
9.542.049
13.556.173
5.024.827
6.035.012
11.951.683
2.907.615
3.971.881
4.939.343
3.885.757
4.625.016
5.917.044
2.992.169
3.323.110
4.600.978
3.981.095
5.323.823
7.215.541
2.937.622
5.303.990
10.064.802
8.387.327
11.132.391
15.815.536
5.862.298
7.040.847
13.943.630
2.838.262
3.405.914
3.973.566
5.698.833
6.838.600
7.978.367
Kode INACBG
789 Z-4-12-III
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
12.023.061
14.427.673
16.832.285
129 L-2-53-0
130
131
132
133
134
135
136
137
138
139
140
L-3-10-0
L-3-11-0
L-3-12-0
M-2-10-0
M-2-21-0
M-2-22-0
M-2-31-0
M-2-32-0
M-2-41-0
M-2-42-0
M-2-51-0
187 P-9-16-0
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
229
230
P-9-17-0
Q-5-10-0
Q-5-11-0
Q-5-12-0
Q-5-13-0
Q-5-14-0
Q-5-15-0
Q-5-16-0
Q-5-17-0
Q-5-18-0
Q-5-19-0
Q-5-20-0
Q-5-21-0
Q-5-22-0
Q-5-23-0
Q-5-24-0
Q-5-25-0
Q-5-26-0
Q-5-27-0
Q-5-28-0
Q-5-29-0
Q-5-30-0
Q-5-31-0
Q-5-32-0
Q-5-33-0
Q-5-34-0
Q-5-35-0
Q-5-36-0
Q-5-37-0
Q-5-38-0
Q-5-39-0
Q-5-40-0
Q-5-41-0
Q-5-42-0
Q-5-43-0
Q-5-44-0
T-2-10-0
U-2-10-0
U-2-11-0
U-2-12-0
U-2-13-0
U-2-14-0
U-2-15-0
Kode INACBG
A-4-10-I
A-4-10-II
A-4-10-III
A-4-11-I
A-4-11-II
A-4-11-III
A-4-12-I
A-4-12-II
A-4-12-III
A-4-13-I
A-4-13-II
A-4-13-III
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
SEPTIKEMIA RINGAN
SEPTIKEMIA SEDANG
SEPTIKEMIA BERAT
INFEKSI SESUDAH OPERASI & TRAUMA RINGAN
INFEKSI SESUDAH OPERASI & TRAUMA SEDANG
INFEKSI SESUDAH OPERASI & TRAUMA BERAT
DEMAM RINGAN
DEMAM SEDANG
DEMAM BERAT
INFEKSI NON BAKTERI RINGAN
INFEKSI NON BAKTERI SEDANG
INFEKSI NON BAKTERI BERAT
PENYAKIT INFEKSI BAKTERI DAN PARASIT LAIN-LAIN
RINGAN
PENYAKIT INFEKSI BAKTERI DAN PARASIT LAIN-LAIN
SEDANG
PENYAKIT INFEKSI BAKTERI DAN PARASIT LAIN-LAIN
BERAT
INFEKSI HIV RINGAN
INFEKSI HIV SEDANG
INFEKSI HIV BERAT
PROSEDUR PENCANGKOKAN HATI RINGAN
PROSEDUR PENCANGKOKAN HATI SEDANG
PROSEDUR PENCANGKOKAN HATI BERAT
PROSEDUR HATI DAN PANKREAS RINGAN
PROSEDUR HATI DAN PANKREAS SEDANG
PROSEDUR HATI DAN PANKREAS BERAT
2.287.601
3.454.433
3.989.552
5.475.296
8.451.979
13.825.590
1.948.069
3.081.176
3.521.744
2.449.730
2.940.402
3.568.668
2.745.121
4.145.319
4.787.462
6.570.355
10.142.374
16.590.708
2.337.682
3.697.411
4.226.093
2.939.676
3.528.482
4.282.401
3.202.642
4.836.206
5.585.372
7.665.414
11.832.770
19.355.827
2.727.296
4.313.646
4.930.442
3.429.622
4.116.562
4.996.135
3.051.914
3.662.297
4.272.680
3.925.534
4.710.640
5.495.747
4.497.738
5.397.286
6.296.833
3.079.644
4.407.436
7.500.331
31.697.793
34.971.140
61.346.576
4.109.511
10.473.014
24.275.965
3.695.573
5.288.923
9.000.397
38.037.351
41.965.368
73.615.891
4.931.414
12.567.617
29.131.158
4.311.502
6.170.410
10.500.463
44.376.910
48.959.596
85.885.206
5.753.316
14.662.220
33.986.351
25 B-1-11-I
3.875.189
4.650.226
5.425.264
26 B-1-11-II
9.743.068
11.691.682
13.640.295
27 B-1-11-III
12.187.736
14.625.284
17.062.831
6.751.263
8.101.515
9.451.768
14.469.608
17.363.529
20.257.451
17.110.482
20.532.578
23.954.674
5.428.994
6.514.793
7.600.592
8.843.044
10.611.653
12.380.261
13.037.128
15.644.553
18.251.979
7.343.392
8.812.070
10.280.749
8.167.334
9.800.800
11.434.267
12.776.823
15.332.187
17.887.552
2.062.958
2.982.270
4.850.980
2.475.549
3.578.724
5.821.177
2.888.141
4.175.178
6.791.373
1
2
3
4
5
6
7
8
9
10
11
12
13 A-4-14-I
14 A-4-14-II
15 A-4-14-III
16
17
18
19
20
21
22
23
24
A-4-15-I
A-4-15-II
A-4-15-III
B-1-01-I
B-1-01-II
B-1-01-III
B-1-10-I
B-1-10-II
B-1-10-III
28 B-1-12-I
29 B-1-12-II
30 B-1-12-III
31 B-1-13-I
32 B-1-13-II
33 B-1-13-III
34 B-1-14-I
35 B-1-14-II
36 B-1-14-III
37 B-4-10-I
38 B-4-10-II
39 B-4-10-III
Kode INACBG
40 B-4-11-I
41 B-4-11-II
42 B-4-11-III
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
4.033.956
4.840.747
5.647.539
6.149.104
7.378.925
8.608.745
6.633.765
7.960.518
9.287.270
43 B-4-12-I
3.516.103
4.219.324
4.922.544
44 B-4-12-II
6.186.627
7.423.953
8.661.278
45 B-4-12-III
11.340.253
13.608.304
15.876.354
2.941.039
3.529.247
4.117.455
4.278.816
5.134.579
5.990.342
5.357.092
6.428.511
7.499.929
46 B-4-13-I
47 B-4-13-II
48 B-4-13-III
49 B-4-14-I
3.471.595
4.165.915
4.860.234
50 B-4-14-II
4.249.149
5.098.979
5.948.809
51 B-4-14-III
5.410.559
6.492.671
7.574.782
52
53
54
55
56
57
58
59
60
61
62
63
3.833.803
7.484.017
11.028.480
3.875.646
4.439.278
8.927.540
1.954.338
7.234.515
14.654.890
1.953.412
3.919.829
5.093.944
4.600.564
8.980.820
13.234.176
4.650.776
5.327.134
10.713.048
2.345.206
8.681.418
17.585.869
2.344.095
4.703.795
6.112.733
5.367.324
10.477.623
15.439.872
5.425.905
6.214.990
12.498.555
2.736.073
10.128.321
20.516.847
2.734.777
5.487.760
7.131.522
C-4-10-I
C-4-10-II
C-4-10-III
C-4-11-I
C-4-11-II
C-4-11-III
C-4-12-I
C-4-12-II
C-4-12-III
C-4-13-I
C-4-13-II
C-4-13-III
64 C-4-14-I
2.937.860
3.525.431
4.113.003
65 C-4-14-II
4.978.570
5.974.283
6.969.997
66 C-4-14-III
7.599.982
9.119.978
10.639.975
20.282.946
24.339.535
28.396.124
30.892.482
37.070.978
43.249.475
41.867.754
50.241.305
58.614.856
5.739.372
13.129.804
19.922.451
6.887.246
15.755.765
23.906.941
8.035.121
18.381.726
27.891.431
4.313.098
5.175.717
6.038.337
12.679.606
15.215.528
17.751.449
67 D-1-10-I
68 D-1-10-II
69 D-1-10-III
70 D-1-11-I
71 D-1-11-II
72 D-1-11-III
73 D-1-20-I
74 D-1-20-II
Kode INACBG
75 D-1-20-III
76
77
78
79
80
81
82
83
84
D-4-10-I
D-4-10-II
D-4-10-III
D-4-11-I
D-4-11-II
D-4-11-III
D-4-12-I
D-4-12-II
D-4-12-III
85 D-4-13-I
86 D-4-13-II
87 D-4-13-III
88 D-4-14-I
89 D-4-14-II
90 D-4-14-III
91 E-1-01-I
92 E-1-01-II
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
19.892.387
23.870.864
27.849.342
2.186.874
3.255.128
5.121.166
2.435.149
4.917.109
11.850.437
2.444.092
3.390.196
5.205.648
2.624.249
3.906.154
6.145.399
2.922.179
5.900.531
14.220.524
2.932.911
4.068.235
6.246.778
3.061.623
4.557.179
7.169.632
3.409.209
6.883.952
16.590.611
3.421.729
4.746.275
7.287.907
1.960.306
2.352.367
2.744.428
2.939.953
3.527.944
4.115.934
4.057.471
4.868.965
5.680.460
2.436.190
2.923.429
3.410.667
4.367.655
5.241.185
6.114.716
6.124.405
7.349.286
8.574.167
6.084.613
7.301.535
8.518.458
7.970.264
9.564.316
11.158.369
93 E-1-01-III
15.798.389
18.958.067
22.117.744
94 E-1-10-I
95 E-1-10-II
96 E-1-10-III
4.655.642
5.650.856
11.910.341
5.586.770
6.781.027
14.292.409
6.517.898
7.911.199
16.674.478
5.843.413
7.012.095
8.180.778
9.561.003
11.473.203
13.385.404
17.936.193
21.523.432
25.110.671
3.059.460
3.671.353
4.283.245
4.235.205
5.082.246
5.929.287
6.461.474
7.753.768
9.046.063
97 E-1-20-I
98 E-1-20-II
99 E-1-20-III
100 E-4-10-I
101 E-4-10-II
102 E-4-10-III
103 E-4-11-I
2.240.204
2.688.245
3.136.286
104 E-4-11-II
4.327.889
5.193.467
6.059.044
105
106
107
108
7.147.827
2.685.437
4.299.270
6.189.716
8.577.392
3.222.525
5.159.124
7.427.660
10.006.958
3.759.612
6.018.978
8.665.603
2.966.249
3.559.499
4.152.749
E-4-11-III
E-4-12-I
E-4-12-II
E-4-12-III
109 E-4-13-I
Kode INACBG
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
110 E-4-13-II
5.013.858
6.016.630
7.019.402
111 E-4-13-III
8.549.884
10.259.861
11.969.838
112
113
114
115
116
117
SCHIZOFRENIA RINGAN
SCHIZOFRENIA SEDANG
SCHIZOFRENIA BERAT
DEPRESI MAYOR RINGAN
DEPRESI MAYOR SEDANG
DEPRESI MAYOR BERAT
GANGGUAN PERSONALITI & KONTROL IMPULSE
RINGAN
GANGGUAN PERSONALITI & KONTROL IMPULSE
SEDANG
GANGGUAN PERSONALITI & KONTROL IMPULSE
BERAT
GANGGUAN BIPOLAR RINGAN
GANGGUAN BIPOLAR SEDANG
GANGGUAN BIPOLAR BERAT
DEPRESI RINGAN
DEPRESI SEDANG
DEPRESI BERAT
NEUROSA SELAIN DEPRESI RINGAN
NEUROSA SELAIN DEPRESI SEDANG
NEUROSA SELAIN DEPRESI BERAT
GANGGUAN ORGANIK DAN KETERBELAKANGAN
MENTAL RINGAN
GANGGUAN ORGANIK DAN KETERBELAKANGAN
MENTAL SEDANG
GANGGUAN ORGANIK DAN KETERBELAKANGAN
MENTAL BERAT
4.327.265
4.795.953
7.100.514
3.985.086
4.643.004
5.954.028
5.192.718
5.755.143
8.520.616
4.782.103
5.571.605
7.144.833
6.058.171
6.714.334
9.940.719
5.579.121
6.500.205
8.335.639
1.877.806
2.253.368
2.628.929
2.489.455
2.987.346
3.485.237
4.876.306
5.851.567
6.826.828
3.212.190
4.250.501
5.480.478
1.840.325
2.360.590
3.176.279
2.672.400
3.775.476
4.715.522
3.854.628
5.100.601
6.576.574
2.208.390
2.832.708
3.811.535
3.206.881
4.530.571
5.658.627
4.497.066
5.950.701
7.672.669
2.576.455
3.304.826
4.446.791
3.741.361
5.285.666
6.601.731
5.767.718
6.921.262
8.074.805
6.702.373
8.042.847
9.383.322
8.946.548
10.735.858
12.525.168
F-4-10-I
F-4-10-II
F-4-10-III
F-4-11-I
F-4-11-II
F-4-11-III
118 F-4-12-I
119 F-4-12-II
120 F-4-12-III
121
122
123
124
125
126
127
128
129
F-4-13-I
F-4-13-II
F-4-13-III
F-4-14-I
F-4-14-II
F-4-14-III
F-4-15-I
F-4-15-II
F-4-15-III
130 F-4-16-I
131 F-4-16-II
132 F-4-16-III
133 F-4-17-I
965.803
1.158.963
1.352.124
134 F-4-17-II
2.830.676
3.396.811
3.962.946
135 F-4-17-III
3.020.123
3.624.147
4.228.172
136
137
138
139
140
141
4.828.292
5.312.485
8.189.658
3.831.084
4.905.801
6.107.788
5.793.950
6.374.982
9.827.590
4.597.300
5.886.961
7.329.346
6.759.609
7.437.479
11.465.522
5.363.517
6.868.122
8.550.903
8.839.961
10.607.954
12.375.946
12.640.865
15.169.038
17.697.212
24.516.105
29.419.327
34.322.548
6.104.121
8.613.437
10.169.935
7.011.991
14.443.708
7.324.945
10.336.124
12.203.922
8.414.389
17.332.450
8.545.769
12.058.811
14.237.909
9.816.787
20.221.192
F-4-18-I
F-4-18-II
F-4-18-III
F-4-19-I
F-4-19-II
F-4-19-III
142 G-1-01-I
143 G-1-01-II
144 G-1-01-III
145
146
147
148
149
G-1-10-I
G-1-10-II
G-1-10-III
G-1-11-I
G-1-11-II
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
26.402.348
31.682.817
36.963.287
4.463.864
5.356.637
6.249.410
9.628.711
11.554.453
13.480.196
14.301.419
17.161.703
20.021.987
154 G-1-13-I
155 G-1-13-II
156 G-1-13-III
1.043.759
2.803.422
6.325.701
1.252.511
3.364.106
7.590.841
1.461.263
3.924.791
8.855.981
157 G-1-20-I
11.164.056
13.396.867
15.629.678
158 G-1-20-II
14.496.331
17.395.597
20.294.863
159 G-1-20-III
28.805.607
34.566.728
40.327.850
160 G-1-30-I
161 G-1-30-II
162 G-1-30-III
8.747.687
22.529.909
25.306.227
10.497.224
27.035.891
30.367.472
12.246.762
31.541.873
35.428.718
2.927.168
3.512.602
4.098.035
4.007.482
4.808.978
5.610.474
6.939.080
8.326.896
9.714.712
5.316.990
6.380.388
7.443.786
6.704.874
8.045.849
9.386.823
8.601.400
10.321.680
12.041.959
151 G-1-12-I
152 G-1-12-II
153 G-1-12-III
163 G-4-10-I
164 G-4-10-II
165 G-4-10-III
166 G-4-11-I
167 G-4-11-II
168 G-4-11-III
169 G-4-12-I
4.855.938
5.827.126
6.798.314
170 G-4-12-II
5.920.019
7.104.023
8.288.027
171 G-4-12-III
8.598.123
10.317.748
12.037.373
2.705.048
3.246.057
3.787.067
3.752.059
4.502.470
5.252.882
4.398.569
5.278.283
6.157.997
3.684.854
4.421.824
5.158.795
6.663.579
7.996.295
9.329.011
8.332.363
9.998.836
11.665.308
2.872.210
3.446.652
4.021.094
172 G-4-13-I
173 G-4-13-II
174 G-4-13-III
175 G-4-14-I
176 G-4-14-II
177 G-4-14-III
178 G-4-15-I
Kode INACBG
179 G-4-15-II
180 G-4-15-III
181 G-4-16-I
182 G-4-16-II
183 G-4-16-III
184 G-4-17-I
185 G-4-17-II
186 G-4-17-III
187 G-4-18-I
188 G-4-18-II
189 G-4-18-III
190 G-4-19-I
191 G-4-19-II
192 G-4-19-III
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
G-4-20-I
G-4-20-II
G-4-20-III
G-4-21-I
G-4-21-II
G-4-21-III
G-4-22-I
G-4-22-II
G-4-22-III
G-4-23-I
G-4-23-II
G-4-23-III
G-4-24-I
G-4-24-II
G-4-24-III
G-4-25-I
G-4-25-II
G-4-25-III
211 G-4-26-I
212 G-4-26-II
213 G-4-26-III
214 H-1-20-I
215 H-1-20-II
216 H-1-20-III
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
3.427.996
4.113.595
4.799.194
4.893.903
5.872.684
6.851.464
2.367.896
3.238.240
5.695.602
2.841.475
3.885.888
6.834.723
3.315.054
4.533.536
7.973.843
3.815.992
4.579.190
5.342.389
4.739.533
5.687.440
6.635.346
7.943.497
9.532.196
11.120.895
2.962.410
3.554.892
4.147.374
5.665.649
6.798.778
7.931.908
5.997.435
7.196.922
8.396.409
3.247.507
3.897.009
4.546.510
4.380.269
5.256.323
6.132.377
6.717.790
8.061.348
9.404.906
1.926.122
2.562.779
4.232.989
2.200.385
2.850.394
5.288.463
1.956.348
2.448.093
2.806.729
2.299.324
2.495.430
3.552.880
3.058.522
3.821.157
7.397.928
1.959.831
2.441.198
3.050.118
2.311.346
3.075.335
5.079.587
2.640.462
3.420.473
6.346.156
2.347.618
2.937.712
3.368.075
2.759.189
2.994.516
4.263.456
3.670.227
4.585.388
8.877.514
2.351.798
2.929.438
3.660.142
2.696.571
3.587.890
5.926.185
3.080.539
3.990.551
7.403.848
2.738.888
3.427.331
3.929.421
3.219.054
3.493.602
4.974.031
4.281.931
5.349.619
10.357.100
2.743.764
3.417.677
4.270.165
3.272.379
3.926.854
4.581.330
4.483.260
5.379.912
6.276.564
5.384.213
6.461.055
7.537.898
9.691.807
10.710.969
14.566.248
11.630.169
12.853.162
17.479.498
13.568.530
14.995.356
20.392.747
Kode INACBG
H-1-30-I
H-1-30-II
H-1-30-III
H-4-10-I
H-4-10-II
H-4-10-III
H-4-11-I
H-4-11-II
H-4-11-III
H-4-12-I
H-4-12-II
H-4-12-III
229 I-1-01-I
230 I-1-01-II
231 I-1-01-III
232 I-1-02-I
233 I-1-02-II
234 I-1-02-III
235 I-1-03-I
236 I-1-03-II
237 I-1-03-III
238 I-1-04-I
239 I-1-04-II
240 I-1-04-III
241 I-1-05-I
242 I-1-05-II
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
3.008.837
4.225.236
7.049.654
3.353.237
4.495.859
8.271.584
2.688.391
2.967.468
3.796.723
3.040.684
4.123.408
6.879.145
3.610.604
5.070.284
8.459.585
4.023.885
5.395.031
9.925.901
3.226.070
3.560.961
4.556.068
3.648.821
4.948.090
8.254.974
4.212.372
5.915.331
9.869.516
4.694.532
6.294.203
11.580.218
3.763.748
4.154.455
5.315.412
4.256.958
5.772.771
9.630.803
41.121.380
49.345.656
57.569.932
42.026.265
50.431.517
58.836.770
66.337.652
79.605.183
92.872.713
22.813.905
27.376.686
31.939.466
29.429.937
35.315.924
41.201.912
36.274.108
43.528.930
50.783.752
14.028.081
16.833.697
19.639.313
15.995.821
19.194.985
22.394.149
26.461.463
31.753.756
37.046.048
22.825.408
27.390.489
31.955.571
54.425.628
65.310.754
76.195.879
86.944.622
104.333.547
121.722.471
30.194.874
36.233.849
42.272.823
36.233.849
43.480.618
50.727.388
243 I-1-05-III
49.857.547
59.829.056
69.800.566
244 I-1-06-I
245 I-1-06-II
246 I-1-06-III
32.621.059
47.254.250
56.383.040
39.145.270
56.705.100
67.659.648
45.669.482
66.155.950
78.936.256
247 I-1-07-I
24.926.303
29.911.564
34.896.824
248 I-1-07-II
30.751.659
36.901.990
43.052.322
Kode INACBG
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
33.549.860
40.259.832
46.969.804
249 I-1-07-III
250 I-1-11-I
4.011.386
4.813.663
5.615.940
251 I-1-11-II
4.460.260
5.352.312
6.244.364
252 I-1-11-III
5.935.246
7.122.296
8.309.345
12.120.213
14.544.255
16.968.298
13.806.465
16.567.758
19.329.051
22.326.707
26.792.049
31.257.390
12.775.405
15.330.486
17.885.568
15.501.714
18.602.057
21.702.400
18.129.913
21.755.896
25.381.879
23.484.902
28.181.882
32.878.863
29.188.378
35.026.054
40.863.729
38.246.840
45.896.208
53.545.576
6.153.107
11.573.543
18.118.519
7.383.728
13.888.252
21.742.222
8.614.350
16.202.961
25.365.926
10.064.958
12.077.950
14.090.941
26.168.891
31.402.669
36.636.447
30.185.173
36.222.208
42.259.242
25.420.188
30.504.225
35.588.263
31.828.460
38.194.152
44.559.844
39.371.321
47.245.586
55.119.850
22.120.059
26.544.070
30.968.082
27.633.971
33.160.766
38.687.560
29.049.085
34.858.902
40.668.718
253 I-1-12-I
254 I-1-12-II
255 I-1-12-III
256 I-1-13-I
257 I-1-13-II
258 I-1-13-III
259 I-1-14-I
260 I-1-14-II
261 I-1-14-III
262 I-1-15-I
263 I-1-15-II
264 I-1-15-III
265 I-1-16-I
266 I-1-16-II
267 I-1-16-III
268 I-1-17-I
269 I-1-17-II
270 I-1-17-III
271 I-1-20-I
272 I-1-20-II
273 I-1-20-III
Kode INACBG
274 I-1-30-I
275 I-1-30-II
276 I-1-30-III
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
11.418.747
13.702.496
15.986.246
23.753.301
28.503.961
33.254.621
36.808.989
44.170.787
51.532.585
277 I-1-40-I
15.598.347
18.718.016
21.837.686
278 I-1-40-II
22.244.316
26.693.179
31.142.042
279 I-1-40-III
26.737.474
32.084.969
37.432.464
280
281
282
283
284
285
286
287
288
5.014.650
7.910.661
11.391.339
5.119.600
5.969.007
9.685.456
5.213.149
7.440.064
9.058.764
6.017.579
9.492.793
13.669.607
6.143.520
7.162.808
11.622.547
6.255.778
8.928.076
10.870.517
7.020.509
11.074.926
15.947.875
7.167.440
8.356.610
13.559.639
7.298.408
10.416.089
12.682.270
5.747.229
6.896.675
8.046.120
7.287.903
8.745.484
10.203.064
13.265.631
15.918.757
18.571.883
2.909.612
3.409.547
5.256.485
3.491.534
4.091.457
6.307.782
4.073.457
4.773.366
7.359.079
3.918.919
4.702.703
5.486.487
5.624.511
6.749.413
7.874.315
6.410.589
7.692.707
8.974.825
2.887.721
3.634.452
4.995.841
3.502.018
4.747.470
5.761.905
3.465.265
4.361.343
5.995.009
4.202.422
5.696.964
6.914.285
4.042.809
5.088.233
6.994.177
4.902.825
6.646.458
8.066.666
304 I-4-18-I
4.244.151
5.092.981
5.941.811
305 I-4-18-II
6.509.732
7.811.678
9.113.625
8.782.082
10.538.498
12.294.915
3.321.853
3.986.224
4.650.595
5.384.164
6.460.997
7.537.829
6.167.388
7.400.866
8.634.344
I-4-10-I
I-4-10-II
I-4-10-III
I-4-11-I
I-4-11-II
I-4-11-III
I-4-12-I
I-4-12-II
I-4-12-III
289 I-4-13-I
290 I-4-13-II
291 I-4-13-III
292 I-4-14-I
293 I-4-14-II
294 I-4-14-III
295 I-4-15-I
296 I-4-15-II
297 I-4-15-III
298
299
300
301
302
303
I-4-16-I
I-4-16-II
I-4-16-III
I-4-17-I
I-4-17-II
I-4-17-III
306 I-4-18-III
307 I-4-19-I
308 I-4-19-II
309 I-4-19-III
Kode INACBG
I-4-20-I
I-4-20-II
I-4-20-III
I-4-21-I
I-4-21-II
I-4-21-III
I-4-22-I
I-4-22-II
I-4-22-III
319 I-4-23-I
320 I-4-23-II
321 I-4-23-III
322 I-4-24-I
323 I-4-24-II
324 I-4-24-III
325 J-1-01-I
326 J-1-01-II
327 J-1-01-III
328 J-1-02-I
329 J-1-02-II
330 J-1-02-III
331 J-1-10-I
332 J-1-10-II
333 J-1-10-III
334 J-1-20-I
335 J-1-20-II
336 J-1-20-III
337 J-1-30-I
338 J-1-30-II
339 J-1-30-III
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
4.026.020
4.626.806
6.148.156
5.353.646
6.651.052
9.119.790
3.105.544
3.650.444
5.327.085
4.831.224
5.552.167
7.377.787
6.424.375
7.981.263
10.943.747
3.726.653
4.380.532
6.392.502
5.636.428
6.477.528
8.607.418
7.495.104
9.311.473
12.767.705
4.347.762
5.110.621
7.457.919
2.346.439
2.815.727
3.285.015
2.880.887
3.457.064
4.033.241
5.628.990
6.754.788
7.880.586
3.149.403
3.779.283
4.409.164
7.866.011
9.439.213
11.012.415
9.898.856
11.878.627
13.858.399
30.026.602
36.031.923
42.037.243
32.077.310
38.492.772
44.908.234
46.132.541
55.359.050
64.585.558
12.946.192
15.535.430
18.124.668
13.092.383
15.710.860
18.329.337
20.580.091
24.696.109
28.812.127
6.209.543
7.451.452
8.693.360
12.238.731
14.686.477
17.134.223
18.442.704
22.131.245
25.819.786
12.494.985
14.993.982
17.492.979
15.737.793
18.885.352
22.032.911
24.301.744
29.162.093
34.022.442
3.618.147
4.341.777
5.065.406
11.585.531
13.902.637
16.219.743
34.590.152
41.508.182
48.426.212
Kode INACBG
J-4-10-I
J-4-10-II
J-4-10-III
J-4-11-I
J-4-11-II
J-4-11-III
J-4-12-I
J-4-12-II
J-4-12-III
J-4-13-I
J-4-13-II
J-4-13-III
J-4-14-I
J-4-14-II
J-4-14-III
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
3.025.507
4.326.111
6.544.760
2.638.596
3.538.154
5.070.265
3.030.865
3.779.892
5.047.664
5.073.701
7.427.597
14.310.394
4.217.265
7.081.395
8.383.509
3.630.608
5.191.333
7.853.712
3.166.315
4.245.785
6.084.318
3.637.038
4.535.871
6.057.197
6.088.441
8.913.116
17.172.473
5.060.718
8.497.674
10.060.211
4.235.709
6.056.556
9.162.664
3.694.035
4.953.416
7.098.372
4.243.211
5.291.849
7.066.730
7.103.181
10.398.636
20.034.552
5.904.171
9.913.954
11.736.912
355 J-4-15-I
4.587.781
5.505.337
6.422.893
356 J-4-15-II
5.481.113
6.577.335
7.673.558
357 J-4-15-III
7.283.349
8.740.018
10.196.688
3.822.574
4.587.089
5.351.603
5.371.721
6.446.066
7.520.410
358 J-4-16-I
359 J-4-16-II
360 J-4-16-III
8.890.831
10.668.997
12.447.163
361
362
363
364
365
366
367
368
369
370
371
372
2.925.975
3.759.458
5.363.802
2.051.416
2.859.273
3.100.545
3.849.282
5.223.929
5.742.657
4.244.754
5.612.459
9.127.953
3.511.171
4.511.349
6.436.562
2.461.699
3.431.127
3.720.654
4.619.139
6.268.715
6.891.188
5.093.705
6.734.951
10.953.544
4.096.366
5.263.241
7.509.323
2.871.983
4.002.982
4.340.763
5.388.995
7.313.501
8.039.719
5.942.655
7.857.443
12.779.134
2.290.291
2.748.350
3.206.408
4.275.427
5.130.512
5.985.597
5.981.852
7.178.223
8.374.593
5.265.532
6.318.639
7.371.745
9.892.978
11.871.574
13.850.169
11.576.235
13.891.482
16.206.729
6.084.629
7.988.383
20.272.943
7.301.554
9.586.059
24.327.532
8.518.480
11.183.736
28.382.121
J-4-17-I
J-4-17-II
J-4-17-III
J-4-18-I
J-4-18-II
J-4-18-III
J-4-19-I
J-4-19-II
J-4-19-III
J-4-20-I
J-4-20-II
J-4-20-III
373 J-4-21-I
374 J-4-21-II
375 J-4-21-III
376 K-1-10-I
377 K-1-10-II
378 K-1-10-III
379 K-1-11-I
380 K-1-11-II
381 K-1-11-III
Kode INACBG
382 K-1-12-I
383 K-1-12-II
384 K-1-12-III
385 K-1-13-I
386 K-1-13-II
387 K-1-13-III
388 K-1-14-I
389 K-1-14-II
390 K-1-14-III
391 K-1-20-I
392 K-1-20-II
393 K-1-20-III
394 K-1-30-I
395 K-1-30-II
396 K-1-30-III
397 K-1-40-I
398 K-1-40-II
399 K-1-40-III
400
401
402
403
404
405
406
407
408
409
410
411
K-1-50-I
K-1-50-II
K-1-50-III
K-4-10-I
K-4-10-II
K-4-10-III
K-4-11-I
K-4-11-II
K-4-11-III
K-4-12-I
K-4-12-II
K-4-12-III
412 K-4-13-I
413 K-4-13-II
414 K-4-13-III
415 K-4-14-I
416 K-4-14-II
417 K-4-14-III
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
3.280.387
3.936.464
4.592.541
4.264.008
5.116.809
5.969.611
8.504.468
10.205.361
11.906.255
3.728.965
6.253.033
6.956.450
4.474.757
7.503.640
8.347.740
5.220.550
8.754.247
9.739.030
4.877.741
5.853.289
6.828.838
6.046.075
7.255.289
8.464.504
13.628.662
16.354.394
19.080.127
11.671.819
16.328.658
27.238.056
14.006.183
19.594.390
32.685.667
16.340.547
22.860.121
38.133.278
7.526.478
9.031.774
10.537.069
10.559.650
12.671.580
14.783.510
19.429.386
23.315.263
27.201.140
6.925.578
8.310.693
9.695.809
8.493.097
10.191.716
11.890.336
14.084.983
16.901.980
19.718.977
5.311.922
7.617.092
8.717.340
7.845.990
12.472.179
14.702.877
2.187.864
3.155.723
4.890.358
2.253.366
3.926.679
7.069.222
6.374.306
9.140.510
10.460.808
9.415.188
14.966.614
17.643.453
2.625.437
3.786.867
5.868.429
2.704.039
4.712.015
8.483.066
7.436.691
10.663.928
12.204.276
10.984.386
17.461.050
20.584.028
3.063.010
4.418.012
6.846.501
3.154.712
5.497.351
9.896.910
3.100.612
3.720.734
4.340.856
3.973.435
4.768.122
5.562.808
6.183.978
7.420.774
8.657.570
2.459.542
2.951.451
3.443.359
3.301.543
3.961.851
4.622.160
5.796.458
6.955.749
8.115.041
Kode INACBG
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
418 K-4-15-I
2.569.503
3.083.404
3.597.304
419 K-4-15-II
3.960.745
4.752.894
5.545.044
420 K-4-15-III
5.558.716
6.670.459
7.782.203
421 K-4-16-I
422 K-4-16-II
423 K-4-16-III
2.603.896
3.267.390
4.390.971
3.124.675
3.920.868
5.269.165
3.645.454
4.574.346
6.147.360
2.771.255
3.325.506
3.879.757
3.921.803
4.706.164
5.490.524
4.423.803
5.308.563
6.193.324
3.057.555
3.669.066
4.280.578
4.586.246
5.503.495
6.420.744
5.625.992
6.751.191
7.876.389
26.856.614
32.227.936
37.599.259
27.678.229
33.213.875
38.749.521
38.927.655
46.713.186
54.498.717
8.403.236
10.083.883
11.764.530
15.670.382
18.804.459
21.938.535
18.612.218
22.334.662
26.057.106
3.994.358
4.793.230
5.592.101
8.613.085
10.335.702
12.058.319
14.733.630
17.680.356
20.627.082
5.384.348
9.664.369
11.643.625
3.250.445
4.510.398
9.282.893
3.023.539
4.184.205
11.305.963
3.198.794
5.215.967
8.447.071
6.461.218
11.597.242
13.972.350
3.900.534
5.412.477
11.139.471
3.628.247
5.021.045
13.567.156
3.838.552
6.259.160
10.136.485
7.538.088
13.530.116
16.301.075
4.550.623
6.314.557
12.996.050
4.232.955
5.857.886
15.828.349
4.478.311
7.302.353
11.825.900
1.950.644
2.340.773
2.730.901
424 K-4-17-I
425 K-4-17-II
426 K-4-17-III
427 K-4-18-I
428 K-4-18-II
429 K-4-18-III
430 L-1-20-I
431 L-1-20-II
432 L-1-20-III
433 L-1-30-I
434 L-1-30-II
435 L-1-30-III
436 L-1-40-I
437 L-1-40-II
438 L-1-40-III
439
440
441
442
443
444
445
446
447
448
449
450
L-1-50-I
L-1-50-II
L-1-50-III
L-4-10-I
L-4-10-II
L-4-10-III
L-4-11-I
L-4-11-II
L-4-11-III
L-4-12-I
L-4-12-II
L-4-12-III
451 L-4-13-I
Kode INACBG
452 L-4-13-II
453 L-4-13-III
454 L-4-14-I
455 L-4-14-II
456 L-4-14-III
457 M-1-01-I
458 M-1-01-II
459 M-1-01-III
460 M-1-02-I
461 M-1-02-II
462 M-1-02-III
463 M-1-03-I
464 M-1-03-II
465 M-1-03-III
466 M-1-04-I
467 M-1-04-II
468 M-1-04-III
469 M-1-05-I
470 M-1-05-II
471 M-1-05-III
472 M-1-07-I
473 M-1-07-II
474 M-1-07-III
475 M-1-10-I
476 M-1-10-II
477 M-1-10-III
478 M-1-20-I
479 M-1-20-II
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
2.607.701
3.129.241
3.650.781
3.442.218
4.130.662
4.819.105
2.257.810
2.709.372
3.160.934
3.355.248
4.026.297
4.697.347
5.938.717
7.126.460
8.314.204
9.292.880
11.151.456
13.010.032
10.372.357
12.446.829
14.521.300
14.570.352
17.484.422
20.398.492
9.099.408
14.952.975
20.950.577
10.919.290
17.943.570
25.140.692
12.739.172
20.934.165
29.330.808
17.134.418
20.561.302
23.988.186
19.950.056
23.940.067
27.930.078
25.165.279
30.198.334
35.231.390
5.978.542
7.174.251
8.369.959
7.656.960
9.188.352
10.719.744
9.581.242
11.497.490
13.413.739
7.583.330
9.099.996
10.616.661
8.806.695
10.568.034
12.329.372
15.589.424
18.707.309
21.825.193
7.466.115
8.959.338
10.452.561
10.002.261
12.002.713
14.003.165
20.375.554
24.450.665
28.525.776
18.431.129
22.117.355
25.803.581
44.068.112
52.881.734
61.695.356
95.050.768
114.060.922
133.071.076
6.356.183
7.627.420
8.898.657
7.215.922
8.659.107
10.102.291
Kode INACBG
480 M-1-20-III
481 M-1-30-I
482 M-1-30-II
483 M-1-30-III
484 M-1-40-I
485 M-1-40-II
486 M-1-40-III
487 M-1-50-I
488 M-1-50-II
489 M-1-50-III
490 M-1-60-I
491 M-1-60-II
492 M-1-60-III
493 M-1-70-I
494 M-1-70-II
495 M-1-70-III
496
497
498
499
500
501
M-1-80-I
M-1-80-II
M-1-80-III
M-4-10-I
M-4-10-II
M-4-10-III
502 M-4-11-I
503 M-4-11-II
504 M-4-11-III
505 M-4-12-I
506 M-4-12-II
507 M-4-12-III
508 M-4-13-I
509 M-4-13-II
510 M-4-13-III
511
512
513
514
M-4-14-I
M-4-14-II
M-4-14-III
M-4-15-I
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
17.706.360
21.247.631
24.788.903
8.855.737
18.368.854
27.402.458
10.626.884
22.042.625
32.882.949
12.398.031
25.716.396
38.363.441
3.765.792
4.518.950
5.272.109
6.198.558
7.438.270
8.677.981
9.181.066
11.017.279
12.853.493
5.358.439
10.749.865
16.468.232
6.430.126
12.899.838
19.761.878
7.501.814
15.049.811
23.055.525
3.835.377
4.602.452
5.369.528
7.691.543
9.229.852
10.768.161
11.926.796
14.312.155
16.697.514
21.963.543
26.356.251
30.748.960
24.159.897
28.991.876
33.823.855
26.575.886
31.891.064
37.206.241
12.485.356
14.585.872
33.373.606
2.236.638
4.015.914
6.918.390
14.982.427
17.503.046
40.048.327
2.683.966
4.819.097
8.302.068
17.479.498
20.420.220
46.723.048
3.131.294
5.622.279
9.685.746
3.481.352
4.177.623
4.873.893
6.474.617
7.769.541
9.064.464
11.572.777
13.887.333
16.201.888
1.948.318
2.337.982
2.727.645
3.437.546
4.125.055
4.812.564
6.369.796
7.643.755
8.917.714
4.378.310
5.253.972
6.129.634
5.447.722
6.537.267
7.626.811
11.133.511
13.360.213
15.586.915
3.916.591
5.188.326
8.228.472
3.282.086
4.699.909
6.225.991
9.874.166
3.938.504
5.483.227
7.263.656
11.519.860
4.594.921
Kode INACBG
M-4-15-II
M-4-15-III
M-4-16-I
M-4-16-II
M-4-16-III
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
4.079.378
9.174.585
3.287.322
4.796.287
9.433.792
4.895.253
11.009.502
3.944.787
5.755.545
11.320.550
5.711.129
12.844.419
4.602.251
6.714.802
13.207.309
2.808.754
3.370.505
3.932.256
3.676.124
4.411.348
5.146.573
5.065.983
6.079.179
7.092.376
523 M-4-18-I
3.139.388
3.767.266
4.395.143
524 M-4-18-II
3.815.497
4.578.596
5.341.695
525 M-4-18-III
5.329.499
6.395.399
7.461.299
2.868.195
3.441.834
4.015.473
4.582.072
5.498.486
6.414.900
7.316.346
8.779.615
10.242.884
2.056.119
2.467.343
2.878.567
2.938.545
3.526.254
4.113.963
3.253.890
3.904.668
4.555.446
2.049.738
2.459.685
2.869.633
3.432.558
4.119.070
4.805.581
5.805.430
6.966.516
8.127.602
250.000.000
250.000.000
250.000.000
7.349.937
250.000.000
250.000.000
250.000.000
8.819.924
250.000.000
250.000.000
250.000.000
10.289.911
515
516
517
518
519
11.833.631
14.200.357
16.567.084
540 N-1-11-III
16.727.212
20.072.655
23.418.097
3.733.007
4.479.608
5.226.210
12.387.359
14.864.831
17.342.303
22.502.437
27.002.925
31.503.412
11.211.720
14.276.265
16.290.178
13.454.064
17.131.517
19.548.214
15.696.408
19.986.770
22.806.250
541 N-1-12-I
542 N-1-12-II
543 N-1-12-III
544 N-1-20-I
545 N-1-20-II
546 N-1-20-III
Kode INACBG
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
7.391.091
8.869.309
10.347.527
11.047.334
13.256.800
15.466.267
11.601.282
13.921.538
16.241.795
7.715.506
9.258.608
10.801.709
10.466.961
12.560.353
14.653.745
12.156.410
14.587.692
17.018.974
3.001.693
3.602.032
4.202.370
4.045.357
4.854.428
5.663.500
7.077.431
8.492.917
9.908.403
2.518.495
4.251.512
4.875.932
2.306.775
3.220.636
4.383.172
2.855.093
3.417.166
8.392.729
3.022.194
5.101.814
5.851.119
2.768.131
3.864.764
5.259.806
3.426.112
4.100.599
10.071.275
3.525.894
5.952.116
6.826.305
3.229.486
4.508.891
6.136.440
3.997.131
4.784.032
11.749.821
565 N-4-14-I
1.709.688
2.051.626
2.393.564
566 N-4-14-II
2.542.360
3.050.832
3.559.304
567 N-4-14-III
4.122.898
4.947.477
5.772.057
2.751.616
3.301.939
3.852.263
3.764.194
4.517.032
5.269.871
4.295.624
5.154.749
6.013.874
3.314.203
3.977.044
4.639.885
3.983.156
4.779.787
5.576.418
7.090.567
8.508.681
9.926.794
4.424.347
5.309.216
6.194.086
547 N-1-30-I
548 N-1-30-II
549 N-1-30-III
550 N-1-40-I
551 N-1-40-II
552 N-1-40-III
553 N-4-10-I
554 N-4-10-II
555 N-4-10-III
556
557
558
559
560
561
562
563
564
N-4-11-I
N-4-11-II
N-4-11-III
N-4-12-I
N-4-12-II
N-4-12-III
N-4-13-I
N-4-13-II
N-4-13-III
568 N-4-15-I
569 N-4-15-II
570 N-4-15-III
571 N-4-16-I
572 N-4-16-II
573 N-4-16-III
574 O-6-10-I
Kode INACBG
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
575 O-6-10-II
4.882.245
5.858.694
6.835.142
576 O-6-10-III
5.120.722
6.144.866
7.169.010
2.498.906
2.998.688
3.498.469
3.534.047
4.240.856
4.947.666
6.001.501
7.201.801
8.402.101
2.406.765
2.888.117
3.369.470
2.890.518
3.468.622
4.046.726
3.774.378
4.529.254
5.284.129
2.214.995
2.621.591
3.286.409
2.657.994
3.145.909
3.943.691
3.100.993
3.670.227
4.600.972
47.891.844
57.470.212
67.048.581
59.258.665
71.110.398
82.962.131
69.553.061
83.463.673
97.374.285
77.271.208
92.725.450
108.179.692
88.638.030
106.365.636
124.093.242
101.275.287
121.530.344
141.785.401
2.677.726
3.213.271
3.748.816
3.990.952
4.789.143
5.587.333
7.253.065
8.703.677
10.154.290
32.243.798
38.692.558
45.141.318
41.682.600
50.019.120
58.355.640
59.762.357
71.714.828
83.667.300
17.508.505
21.010.205
24.511.906
24.807.132
29.768.559
34.729.985
577 O-6-11-I
578 O-6-11-II
579 O-6-11-III
580 O-6-12-I
581 O-6-12-II
582 O-6-12-III
583 O-6-13-I
584 O-6-13-II
585 O-6-13-III
586 P-8-01-I
587 P-8-01-II
588 P-8-01-III
589 P-8-02-I
590 P-8-02-II
591 P-8-02-III
592 P-8-03-I
593 P-8-03-II
594 P-8-03-III
595 P-8-04-I
596 P-8-04-II
597 P-8-04-III
598 P-8-05-I
599 P-8-05-II
Kode INACBG
600 P-8-05-III
601 P-8-06-I
602 P-8-06-II
603 P-8-06-III
604 P-8-07-I
605 P-8-07-II
606 P-8-07-III
607 P-8-08-I
608 P-8-08-II
609 P-8-08-III
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
36.427.739
43.713.286
50.998.834
2.967.422
3.560.906
4.154.390
6.443.085
7.731.702
9.020.319
11.766.310
14.119.572
16.472.834
4.640.035
5.568.042
6.496.049
11.482.374
13.778.849
16.075.324
15.435.868
18.523.041
21.610.215
3.841.567
4.609.881
5.378.194
5.451.001
6.541.202
7.631.402
8.826.371
10.591.645
12.356.919
610 P-8-10-I
2.272.660
2.727.192
3.181.724
611 P-8-10-II
3.897.265
4.676.718
5.456.172
612 P-8-10-III
7.651.481
9.181.777
10.712.073
2.743.154
3.291.785
3.840.415
13.610.157
16.332.189
19.054.220
13.895.292
16.674.351
19.453.409
3.700.643
4.440.771
5.180.900
5.761.949
6.914.339
8.066.729
6.790.973
8.149.167
9.507.362
2.155.562
2.586.675
3.017.787
5.296.393
6.355.672
7.414.951
12.902.425
15.482.909
18.063.394
3.486.282
4.183.539
4.880.795
7.135.789
8.562.947
9.990.105
613 P-8-11-I
614 P-8-11-II
615 P-8-11-III
616 P-8-12-I
617 P-8-12-II
618 P-8-12-III
619 P-8-13-I
620 P-8-13-II
621 P-8-13-III
622 P-8-14-I
623 P-8-14-II
Kode INACBG
624 P-8-14-III
625 P-8-15-I
626 P-8-15-II
627 P-8-15-III
628 P-8-16-I
629 P-8-16-II
630 P-8-16-III
631 P-8-17-I
632 P-8-17-II
633 P-8-17-III
634 S-4-10-I
635 S-4-10-II
636 S-4-10-III
637
638
639
640
641
642
S-4-11-I
S-4-11-II
S-4-11-III
S-4-12-I
S-4-12-II
S-4-12-III
643 S-4-13-I
644 S-4-13-II
645 S-4-13-III
646 S-4-14-I
647 S-4-14-II
648 S-4-14-III
649 S-4-15-I
650 S-4-15-II
651 S-4-15-III
652 S-4-16-I
653 S-4-16-II
654 S-4-16-III
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
7.838.284
9.405.940
10.973.597
2.628.200
3.153.840
3.679.480
5.257.139
6.308.567
7.359.995
6.163.012
7.395.614
8.628.217
2.384.582
2.861.498
3.338.415
5.112.281
6.134.737
7.157.193
13.427.605
16.113.126
18.798.647
1.829.473
2.195.368
2.561.263
4.756.472
5.707.767
6.659.061
8.989.939
10.787.927
12.585.914
1.902.444
2.282.933
2.663.422
2.449.126
2.938.951
3.428.776
3.185.854
3.823.024
4.460.195
1.219.808
1.959.024
3.017.351
1.507.997
2.053.250
3.588.105
1.463.769
2.350.828
3.620.822
1.809.596
2.463.900
4.305.726
1.707.731
2.742.633
4.224.292
2.111.196
2.874.551
5.023.347
2.337.377
2.804.852
3.272.327
3.869.376
4.643.251
5.417.127
7.368.268
8.841.922
10.315.576
1.161.339
1.393.607
1.625.875
2.467.074
2.960.489
3.453.903
4.678.451
5.614.141
6.549.831
878.331
1.053.998
1.229.664
1.657.711
1.989.253
2.320.795
2.147.121
2.576.545
3.005.969
3.739.942
6.503.291
9.448.896
4.487.930
7.803.949
11.338.675
5.235.919
9.104.608
13.228.454
Kode INACBG
655 S-4-17-I
656 S-4-17-II
657 S-4-17-III
658 T-1-10-I
659 T-1-10-II
660 T-1-10-III
661 T-4-10-I
662 T-4-10-II
663 T-4-10-III
664 T-4-11-I
665 T-4-11-II
666 T-4-11-III
667 T-4-12-I
668 T-4-12-II
669 T-4-12-III
670 U-1-10-I
671 U-1-10-II
672 U-1-10-III
673 U-1-11-I
674 U-1-11-II
675 U-1-11-III
676
677
678
679
680
681
U-1-12-I
U-1-12-II
U-1-12-III
U-1-13-I
U-1-13-II
U-1-13-III
682 U-1-14-I
683 U-1-14-II
684 U-1-14-III
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
1.984.946
2.381.935
2.778.924
2.861.116
3.433.339
4.005.562
3.979.917
4.775.900
5.571.884
2.068.503
2.482.203
2.895.904
2.777.859
3.333.431
3.889.002
5.053.831
6.064.597
7.075.363
803.134
963.761
1.124.388
1.530.596
1.836.715
2.142.834
2.225.070
2.670.085
3.115.099
1.096.074
1.315.288
1.534.503
1.724.908
2.069.889
2.414.871
2.778.319
3.333.982
3.889.646
1.805.777
2.166.932
2.528.087
2.690.654
3.228.785
3.766.916
4.128.160
4.953.792
5.779.424
1.775.241
3.622.488
15.642.637
2.130.289
4.346.986
18.771.164
2.485.338
5.071.484
21.899.692
6.252.993
7.503.592
8.754.190
8.555.452
10.266.542
11.977.632
19.436.895
23.324.275
27.211.654
4.834.077
9.615.728
12.508.934
5.182.904
6.558.623
9.382.897
5.800.892
11.538.873
15.010.721
6.219.485
7.870.348
11.259.476
6.767.707
13.462.019
17.512.508
7.256.066
9.182.073
13.136.055
3.918.512
4.702.214
5.485.916
4.808.802
5.770.562
6.732.323
5.698.565
6.838.279
7.977.992
688 U-1-20-I
689 U-1-20-II
690 U-1-20-III
691 U-1-30-I
692 U-1-30-II
693 U-1-30-III
694 U-4-10-I
695 U-4-10-II
696 U-4-10-III
697
698
699
700
701
702
U-4-11-I
U-4-11-II
U-4-11-III
U-4-12-I
U-4-12-II
U-4-12-III
703 U-4-13-I
704 U-4-13-II
705 U-4-13-III
706 U-4-14-I
707 U-4-14-II
708 U-4-14-III
709 U-4-15-I
710 U-4-15-II
711 U-4-15-III
712 V-1-10-I
713 V-1-10-II
714 V-1-10-III
715 V-1-11-I
716 V-1-11-II
717 V-1-11-III
718 V-1-12-I
719 V-1-12-II
720 V-1-12-III
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
2.301.463
3.258.307
5.226.271
2.761.756
3.909.968
6.271.526
3.222.048
4.561.629
7.316.780
5.951.802
7.142.162
8.332.523
8.712.586
10.455.103
12.197.620
15.761.973
18.914.367
22.066.762
5.064.194
6.885.134
10.565.083
6.077.033
8.262.161
12.678.100
7.089.871
9.639.188
14.791.117
4.753.878
5.704.654
6.655.429
11.291.276
13.549.532
15.807.787
14.077.849
16.893.419
19.708.989
2.205.702
2.939.225
4.431.344
1.904.981
2.609.247
3.980.279
2.646.842
3.527.070
5.317.613
2.285.978
3.131.097
4.776.335
3.087.982
4.114.915
6.203.882
2.666.974
3.652.946
5.572.391
1.957.556
2.349.067
2.740.578
2.232.388
2.678.865
3.125.343
2.854.968
3.425.962
3.996.956
2.451.021
2.941.202
4.939.381
2.941.225
3.529.442
5.927.258
3.431.429
4.117.683
6.915.134
2.111.223
2.533.468
2.955.712
2.767.344
3.320.813
3.874.282
3.763.912
4.516.694
5.269.477
6.511.795
7.814.154
9.116.513
7.342.123
8.810.548
10.278.972
9.448.837
11.338.605
13.228.372
6.561.645
7.368.969
10.840.989
7.873.974
8.842.763
13.009.187
9.186.303
10.316.557
15.177.385
4.787.114
5.744.537
6.701.960
11.938.243
14.325.892
16.713.540
12.360.466
14.832.560
17.304.653
Kode INACBG
721 V-1-13-I
722 V-1-13-II
723 V-1-13-III
724 V-1-14-I
725 V-1-14-II
726 V-1-14-III
727 V-1-15-I
728 V-1-15-II
729 V-1-15-III
730 V-4-10-I
731 V-4-10-II
732 V-4-10-III
733 V-4-11-I
734 V-4-11-II
735 V-4-11-III
736 W-1-01-I
737 W-1-01-II
738 W-1-01-III
739 W-1-10-I
740 W-1-10-II
741 W-1-10-III
742 W-1-11-I
743 W-1-11-II
744 W-1-11-III
745 W-1-12-I
746 W-1-12-II
747 W-1-12-III
748 W-1-13-I
749 W-1-13-II
750 W-1-13-III
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
7.268.899
8.722.679
10.176.459
10.339.664
12.407.597
14.475.529
12.819.224
15.383.069
17.946.914
7.736.907
9.284.288
10.831.669
10.333.126
12.399.752
14.466.377
14.048.577
16.858.292
19.668.008
3.362.220
5.181.598
8.534.861
4.034.664
6.217.917
10.241.833
4.707.108
7.254.237
11.948.806
5.411.055
6.493.265
7.575.476
6.995.555
8.394.667
9.793.778
13.366.935
16.040.322
18.713.709
2.700.282
3.240.339
3.780.395
3.791.128
4.549.354
5.307.580
6.643.546
7.972.255
9.300.965
9.899.422
11.879.307
13.859.191
11.102.122
13.322.547
15.542.971
17.578.430
21.094.116
24.609.802
2.574.088
4.207.282
6.875.964
3.088.906
5.048.739
8.251.157
3.603.724
5.890.195
9.626.349
3.005.839
3.607.007
4.208.175
5.284.606
6.341.528
7.398.449
11.127.893
13.353.472
15.579.050
2.615.364
3.138.437
3.661.510
2.956.973
3.548.368
4.139.762
4.542.283
5.450.740
6.359.197
2.249.623
2.699.547
3.149.472
2.442.442
2.930.930
3.419.419
3.280.650
3.936.780
4.592.910
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
6.896.111
8.577.487
9.368.850
8.275.333
10.292.985
11.242.620
9.654.556
12.008.482
13.116.390
754 W-1-30-I
3.742.935
4.491.522
5.240.108
755 W-1-30-II
5.970.174
7.164.209
8.358.244
756 W-1-30-III
17.640.181
21.168.217
24.696.253
757
758
759
760
761
762
3.329.842
4.646.664
8.350.991
2.216.944
3.057.040
3.690.862
3.995.810
5.575.997
10.021.189
2.660.333
3.668.448
4.429.034
4.661.779
6.505.330
11.691.387
3.103.722
4.279.856
5.167.206
1.959.465
2.351.358
2.743.251
3.170.431
3.804.517
4.438.603
4.032.150
4.838.580
5.645.010
1.074.729
1.468.976
1.960.272
1.463.017
1.922.651
2.369.387
1.335.129
1.501.577
1.989.676
2.293.869
3.067.536
4.157.526
1.470.029
1.959.156
3.690.020
3.270.607
4.341.258
6.167.171
3.203.628
3.852.078
6.048.596
1.289.675
1.762.771
2.352.326
1.755.620
2.307.182
2.843.265
1.602.154
1.801.893
2.387.611
2.752.643
3.681.043
4.989.031
1.764.034
2.350.988
4.428.024
3.924.728
5.209.510
7.400.605
3.844.354
4.622.493
7.258.315
1.504.621
2.056.567
2.744.381
2.048.224
2.691.712
3.317.142
1.869.180
2.102.208
2.785.546
3.211.417
4.294.550
5.820.537
2.058.040
2.742.819
5.166.028
4.578.849
6.077.761
8.634.040
4.485.079
5.392.909
8.468.034
1.523.757
1.828.509
2.133.260
3.958.152
4.749.782
5.541.412
5.115.855
6.139.026
7.162.197
W-4-10-I
W-4-10-II
W-4-10-III
W-4-11-I
W-4-11-II
W-4-11-III
763 W-4-12-I
764 W-4-12-II
765 W-4-12-III
766
767
768
769
770
771
772
773
774
775
776
777
778
779
780
781
782
783
784
785
786
W-4-13-I
W-4-13-II
W-4-13-III
W-4-14-I
W-4-14-II
W-4-14-III
W-4-15-I
W-4-15-II
W-4-15-III
W-4-16-I
W-4-16-II
W-4-16-III
W-4-17-I
W-4-17-II
W-4-17-III
Z-4-10-I
Z-4-10-II
Z-4-10-III
Z-4-11-I
Z-4-11-II
Z-4-11-III
787 Z-4-12-I
788 Z-4-12-II
789 Z-4-12-III
1
2
3
4
5
Kode INACBG
B-2-10-0
B-2-11-0
B-2-12-0
B-2-13-0
B-2-14-0
B-3-10-0
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
B-3-11-0
B-3-12-0
C-3-10-0
C-3-11-0
C-3-12-0
C-3-13-0
C-3-14-0
C-3-15-0
C-3-16-0
C-3-17-0
C-3-18-0
C-3-19-0
C-3-20-0
C-3-21-0
C-3-22-0
C-3-23-0
D-2-10-0
D-2-11-0
D-2-21-0
D-2-22-0
D-3-10-0
D-3-11-0
E-2-10-0
E-2-21-0
31
E-2-22-0
32
33
34
35
36
37
38
39
E-3-10-0
F-3-10-0
F-5-10-0
F-5-11-0
F-5-12-0
F-5-13-0
F-5-14-0
F-5-15-0
40
F-5-16-0
41
42
43
44
45
46
47
48
49
50
51
G-2-10-0
G-2-11-0
G-2-12-0
G-2-13-0
G-2-21-0
G-2-22-0
G-2-31-0
G-2-32-0
G-3-10-0
G-3-11-0
G-3-12-0
PROSEDUR KRANIOTOMI
PROSEDUR SHUNT VENTRIKEL
PROSEDUR PADA PEMBULUH DARAH EKSTRAKRANIAL
PROSEDUR CARPAL TUNNEL RELEASE
PROSEDUR BESAR PADA SARAF PERIFER
PROSEDUR KECIL PADA SARAF PERIFER
PROSEDUR BESAR PADA TULANG BELAKANG
PROSEDUR KECIL PADA TULANG BELAKANG
PROSEDUR TAP & INJEKSI PADA SPINAL
PROSEDUR INJEKSI PADA SARAF PERIFER
PROSEDUR PEMERIKSAAN NEUROLOGIS LAIN
No
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
Kode INACBG
G-3-13-0
H-2-21-0
H-2-22-0
H-2-23-0
H-2-31-0
H-2-32-0
H-2-33-0
H-2-34-0
H-2-35-0
H-2-36-0
H-2-37-0
H-3-10-0
H-3-11-0
H-3-12-0
H-3-13-0
67
I-2-11-0
68
69
I-2-12-0
I-2-13-0
70
I-2-14-0
71
I-2-15-0
72
I-2-16-0
73
74
75
76
77
78
79
I-2-17-0
I-2-21-0
I-2-22-0
I-2-23-0
I-2-31-0
I-2-32-0
I-2-41-0
80
I-2-42-0
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
I-3-10-0
I-3-11-0
I-3-12-0
I-3-13-0
I-3-14-0
I-3-15-0
J-2-10-0
J-2-21-0
J-2-22-0
J-2-31-0
J-2-32-0
J-3-10-0
J-3-11-0
J-3-12-0
J-3-13-0
J-3-14-0
J-3-15-0
J-3-16-0
J-3-17-0
K-2-10-0
K-2-11-0
No
Kode INACBG
102 K-2-12-0
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
K-2-13-0
K-2-14-0
K-2-21-0
K-2-22-0
K-2-31-0
K-2-32-0
K-2-41-0
K-2-42-0
K-2-51-0
K-2-52-0
K-2-53-0
K-3-10-0
K-3-11-0
K-3-12-0
K-3-13-0
K-3-14-0
K-3-15-0
K-3-16-0
L-2-21-0
L-2-22-0
L-2-31-0
L-2-32-0
L-2-41-0
L-2-42-0
L-2-51-0
L-2-52-0
L-2-53-0
L-3-10-0
L-3-11-0
L-3-12-0
M-2-10-0
M-2-21-0
M-2-22-0
M-2-31-0
M-2-32-0
M-2-41-0
M-2-42-0
M-2-51-0
M-2-52-0
M-2-61-0
M-2-62-0
M-2-63-0
M-2-64-0
M-2-65-0
M-2-71-0
M-2-72-0
M-2-81-0
M-2-82-0
M-2-83-0
M-2-84-0
M-3-10-0
M-3-11-0
Kode INACBG
M-3-12-0
M-3-13-0
M-3-14-0
M-3-15-0
M-3-16-0
M-3-17-0
N-2-11-0
564.743
227.119
386.424
143.361
158.746
171.964
2.571.677
162 N-2-12-0
1.487.533
163 N-2-21-0
1.479.975
164
165
166
167
168
169
170
171
172
173
174
175
176
177
N-2-22-0
N-2-23-0
N-2-24-0
N-2-31-0
N-2-32-0
N-2-41-0
N-2-42-0
N-3-10-0
N-3-11-0
N-3-12-0
N-3-13-0
N-3-14-0
N-3-15-0
O-7-10-0
178 O-7-11-0
179 O-7-12-0
180 O-7-13-0
181 P-9-10-0
182 P-9-11-0
183 P-9-12-0
184 P-9-13-0
185 P-9-14-0
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
P-9-15-0
P-9-16-0
P-9-17-0
Q-5-10-0
Q-5-11-0
Q-5-12-0
Q-5-13-0
Q-5-14-0
Q-5-15-0
Q-5-16-0
Q-5-17-0
Q-5-18-0
Q-5-19-0
Q-5-20-0
Q-5-21-0
Q-5-22-0
Q-5-23-0
1.082.130
734.852
272.957
741.073
272.470
459.969
271.660
272.348
314.162
299.222
334.852
235.085
982.650
2.654.608
2.135.789
1.444.059
1.328.997
183.357
183.357
183.357
183.357
149.422
94.625
149.063
182.568
239.100
145.918
128.507
97.205
127.531
90.864
102.443
88.435
135.901
152.450
107.539
100.582
107.131
131.404
Kode INACBG
Q-5-24-0
Q-5-25-0
Q-5-26-0
Q-5-27-0
Q-5-28-0
Q-5-29-0
Q-5-30-0
Q-5-31-0
Q-5-32-0
Q-5-33-0
Q-5-34-0
Q-5-35-0
Q-5-36-0
Q-5-37-0
Q-5-38-0
Q-5-39-0
Q-5-40-0
Q-5-41-0
Q-5-42-0
Q-5-43-0
Q-5-44-0
T-2-10-0
U-2-10-0
U-2-11-0
U-2-12-0
U-2-13-0
U-2-14-0
U-2-15-0
231 U-2-21-0
468.045
232 U-2-22-0
242.565
233
234
235
236
237
U-2-23-0
U-2-24-0
U-2-25-0
U-2-31-0
U-2-32-0
238 U-3-10-0
239 U-3-11-0
240 U-3-12-0
241 U-3-13-0
753.942
518.155
196.195
197.523
158.100
199.213
188.283
88.577
193.710
242 U-3-14-0
179.239
243 U-3-15-0
155.826
244
245
246
247
248
249
U-3-16-0
V-2-10-0
V-2-11-0
V-2-12-0
V-2-13-0
V-2-14-0
175.275
2.107.068
237.140
758.291
280.204
334.852
SIRKUMSISI/SUNAT
PROSEDUR STERILISASI PADA LAKI-LAKI
182.269
382.403
252 V-3-11-0
656.624
No
253
254
255
256
257
258
259
260
261
262
263
264
265
266
267
268
V-3-12-0
W-2-10-0
W-2-11-0
W-2-12-0
W-2-13-0
W-2-21-0
W-2-22-0
W-2-23-0
W-2-31-0
W-2-32-0
W-2-33-0
W-2-34-0
W-3-10-0
W-3-11-0
W-3-12-0
Z-3-10-0
269 Z-3-11-0
270
271
272
273
274
275
276
277
278
279
280
281
282
283
284
285
286
287
288
Z-3-12-0
Z-3-13-0
Z-3-14-0
Z-3-15-0
Z-3-16-0
Z-3-17-0
Z-3-18-0
Z-3-19-0
Z-3-20-0
Z-3-21-0
Z-3-22-0
Z-3-23-0
Z-3-24-0
Z-3-25-0
Z-3-26-0
Z-3-27-0
Z-3-28-0
Z-3-29-0
Z-3-30-0
465.608
170.502
437.535
808.980
129.746
1.626.266
171.019
570.700
1.873.433
1.313.924
558.435
189.933
461.612
368.999
171.019
1.936.166
1.479.848
247.099
1.507.865
298.152
194.662
624.806
262.307
252.728
263.040
178.900
171.019
192.809
200.827
394.585
175.748
198.630
189.638
194.662
561.051
76.895
Kode INACBG
A-4-10-I
A-4-10-II
A-4-10-III
A-4-11-I
A-4-11-II
A-4-11-III
A-4-12-I
A-4-12-II
A-4-12-III
A-4-13-I
A-4-13-II
A-4-13-III
13 A-4-14-I
14 A-4-14-II
15 A-4-14-III
16
17
18
19
20
21
22
23
24
25
26
27
A-4-15-I
A-4-15-II
A-4-15-III
B-1-01-I
B-1-01-II
B-1-01-III
B-1-10-I
B-1-10-II
B-1-10-III
B-1-11-I
B-1-11-II
B-1-11-III
28 B-1-12-I
29 B-1-12-II
30 B-1-12-III
31 B-1-13-I
32 B-1-13-II
33 B-1-13-III
34 B-1-14-I
35 B-1-14-II
36 B-1-14-III
37 B-4-10-I
38 B-4-10-II
39 B-4-10-III
40 B-4-11-I
41 B-4-11-II
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
1.875.166
2.520.148
3.270.269
4.380.236
5.587.224
9.139.477
1.556.927
1.988.713
2.122.649
1.942.960
2.326.565
2.832.401
2.250.199
3.024.178
3.924.322
5.256.284
6.704.668
10.967.372
1.868.312
2.386.456
2.547.179
2.331.552
2.791.878
3.398.881
2.625.232
3.528.208
4.578.376
6.132.331
7.822.113
12.795.268
2.179.698
2.784.198
2.971.709
2.720.144
3.257.191
3.965.361
2.774.467
3.329.361
3.884.254
3.568.667
4.282.400
4.996.134
4.088.853
4.906.623
5.724.394
2.333.959
3.502.857
6.000.265
25.853.030
28.522.804
50.034.867
3.351.758
8.541.893
19.420.772
3.100.151
7.794.454
9.750.189
2.800.751
4.203.428
7.200.317
31.023.636
34.227.365
60.041.841
4.022.109
10.250.271
23.304.926
3.720.181
9.353.345
11.700.227
3.267.543
4.903.999
8.400.370
36.194.242
39.931.925
70.048.814
4.692.461
11.958.650
27.189.081
4.340.211
10.912.236
13.650.265
5.401.010
6.481.212
7.561.414
11.575.686
13.890.823
16.205.960
13.688.385
16.426.062
19.163.739
4.343.195
5.211.834
6.080.474
7.074.435
8.489.322
9.904.209
10.429.702
12.515.643
14.601.583
5.874.714
7.049.656
8.224.599
6.533.867
7.840.640
9.147.414
10.221.458
12.265.750
14.310.041
1.650.366
1.944.237
3.880.784
1.980.439
2.333.084
4.656.941
2.310.513
2.721.931
5.433.098
2.802.260
3.362.713
3.923.165
4.200.393
5.040.472
5.880.550
42 B-4-11-III
4.785.222
5.742.266
6.699.311
43 B-4-12-I
2.579.550
3.095.460
3.611.370
No
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
4.949.302
7.111.210
5.939.162
8.533.452
6.929.023
9.955.694
2.332.606
2.799.128
3.265.649
3.532.105
4.238.527
4.944.948
4.391.253
5.269.504
6.147.754
2.333.470
2.709.049
3.620.957
3.067.042
5.987.213
7.355.141
2.328.523
3.101.692
7.142.032
1.557.392
5.787.612
11.723.912
1.555.150
3.110.950
4.069.125
2.350.288
3.982.856
6.079.986
2.800.165
3.250.859
4.345.148
3.680.451
7.184.656
8.826.169
2.794.228
3.722.031
8.570.438
1.868.871
6.945.134
14.068.695
1.866.180
3.733.141
4.882.950
2.820.345
4.779.427
7.295.983
3.266.859
3.792.669
5.069.339
4.293.859
8.382.099
10.297.197
3.259.932
4.342.369
9.998.844
2.180.349
8.102.657
16.413.477
2.177.210
4.355.331
5.696.775
3.290.403
5.575.998
8.511.980
67 D-1-10-I
16.542.969
19.851.563
23.160.156
68 D-1-10-II
25.196.210
30.235.453
35.274.695
69 D-1-10-III
34.147.750
40.977.300
47.806.850
70 D-1-11-I
71 D-1-11-II
72 D-1-11-III
4.591.497
8.880.292
12.574.561
5.509.797
10.656.350
15.089.473
6.428.096
12.432.408
17.604.385
3.535.482
4.242.579
4.949.675
9.406.189
11.287.427
13.168.664
16.305.955
19.567.146
22.828.337
1.487.857
2.668.256
3.883.023
1.938.101
3.933.687
6.797.763
1.993.426
2.765.077
4.245.777
1.785.428
3.201.907
4.659.627
2.325.721
4.720.425
8.157.316
2.392.111
3.318.093
5.094.933
2.083.000
3.735.558
5.436.232
2.713.341
5.507.162
9.516.869
2.790.796
3.871.108
5.944.088
1.552.099
1.862.519
2.172.939
2.325.780
2.790.936
3.256.092
2.717.161
3.260.593
3.804.026
1.873.583
2.248.300
2.623.017
46 B-4-13-I
47 B-4-13-II
48 B-4-13-III
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
B-4-14-I
B-4-14-II
B-4-14-III
C-4-10-I
C-4-10-II
C-4-10-III
C-4-11-I
C-4-11-II
C-4-11-III
C-4-12-I
C-4-12-II
C-4-12-III
C-4-13-I
C-4-13-II
C-4-13-III
C-4-14-I
C-4-14-II
C-4-14-III
73 D-1-20-I
74 D-1-20-II
75 D-1-20-III
76
77
78
79
80
81
82
83
84
D-4-10-I
D-4-10-II
D-4-10-III
D-4-11-I
D-4-11-II
D-4-11-III
D-4-12-I
D-4-12-II
D-4-12-III
85 D-4-13-I
86 D-4-13-II
87 D-4-13-III
88 D-4-14-I
Kode INACBG
89 D-4-14-II
90 D-4-14-III
91
92
93
94
95
96
E-1-01-I
E-1-01-II
E-1-01-III
E-1-10-I
E-1-10-II
E-1-10-III
97 E-1-20-I
98 E-1-20-II
99 E-1-20-III
100 E-4-10-I
101 E-4-10-II
102 E-4-10-III
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
E-4-11-I
E-4-11-II
E-4-11-III
E-4-12-I
E-4-12-II
E-4-12-III
E-4-13-I
E-4-13-II
E-4-13-III
F-4-10-I
F-4-10-II
F-4-10-III
F-4-11-I
F-4-11-II
F-4-11-III
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
3.580.203
4.296.243
5.012.284
5.020.226
6.024.271
7.028.316
4.867.690
6.376.211
11.072.311
3.797.187
4.608.894
9.714.191
5.841.228
7.651.453
13.286.773
4.556.624
5.530.672
11.657.029
6.814.766
8.926.695
15.501.235
5.316.062
6.452.451
13.599.867
4.789.894
5.747.873
6.705.852
7.641.303
9.169.563
10.697.824
13.776.309
16.531.570
19.286.832
1.942.893
2.331.471
2.720.050
3.388.164
4.065.797
4.743.430
4.294.479
5.153.374
6.012.270
1.652.683
2.589.494
5.718.262
1.980.428
3.436.044
5.073.762
2.091.055
3.575.614
6.839.907
3.461.812
3.836.762
5.680.411
3.188.069
3.714.403
4.763.222
1.983.219
3.107.393
6.861.914
2.376.513
4.123.252
6.088.515
2.509.266
4.290.737
8.207.889
4.154.174
4.604.115
6.816.493
3.825.683
4.457.284
5.715.867
2.313.756
3.625.291
8.005.566
2.772.599
4.810.461
7.103.267
2.927.477
5.005.860
9.575.870
4.846.537
5.371.467
7.952.575
4.463.297
5.200.164
6.668.511
118 F-4-12-I
1.162.136
1.394.564
1.626.991
119 F-4-12-II
1.663.111
1.995.733
2.328.356
120 F-4-12-III
3.617.419
4.340.903
5.064.387
121
122
123
124
125
126
127
128
129
2.524.762
2.569.752
3.255.358
1.472.260
1.888.472
2.541.024
2.137.920
2.335.069
3.069.263
3.029.714
3.083.702
3.906.429
1.766.712
2.266.167
3.049.228
2.565.504
2.802.083
3.683.115
3.534.666
3.597.653
4.557.501
2.061.164
2.643.861
3.557.433
2.993.088
3.269.097
4.296.968
4.614.175
5.537.009
6.459.844
5.361.898
6.434.278
7.506.657
7.157.239
8.588.687
10.020.134
F-4-13-I
F-4-13-II
F-4-13-III
F-4-14-I
F-4-14-II
F-4-14-III
F-4-15-I
F-4-15-II
F-4-15-III
130 F-4-16-I
131 F-4-16-II
132 F-4-16-III
Kode INACBG
F-4-17-I
F-4-17-II
F-4-17-III
F-4-18-I
F-4-18-II
F-4-18-III
F-4-19-I
F-4-19-II
F-4-19-III
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
787.718
2.308.727
2.463.242
3.862.634
4.249.988
6.551.727
3.064.867
3.924.641
4.886.230
945.262
2.770.472
2.955.890
4.635.160
5.099.985
7.862.072
3.677.840
4.709.569
5.863.477
1.102.805
3.232.218
3.448.538
5.407.687
5.949.983
9.172.417
4.290.814
5.494.497
6.840.723
7.209.959
8.651.951
10.093.943
143 G-1-01-II
9.922.762
11.907.315
13.891.867
144 G-1-01-III
19.258.720
23.110.464
26.962.208
145
146
147
148
149
150
4.883.297
6.890.749
8.135.948
5.609.593
11.554.967
17.853.746
5.859.956
8.268.899
9.763.138
6.731.511
13.865.960
21.424.496
6.836.615
9.647.049
11.390.327
7.853.430
16.176.953
24.995.245
133
134
135
136
137
138
139
140
141
142 G-1-01-I
G-1-10-I
G-1-10-II
G-1-10-III
G-1-11-I
G-1-11-II
G-1-11-III
151 G-1-12-I
2.836.486
3.403.783
3.971.080
152 G-1-12-II
7.702.969
9.243.563
10.784.156
153 G-1-12-III
10.466.957
12.560.349
14.653.740
154
155
156
157
158
159
160
161
162
851.300
2.286.498
5.159.303
5.336.101
6.345.620
14.810.016
6.998.149
18.023.927
20.244.981
1.021.560
2.743.798
6.191.164
6.403.322
7.614.744
17.772.020
8.397.779
21.628.713
24.293.978
1.191.820
3.201.098
7.223.025
7.470.542
8.883.868
20.734.023
9.797.409
25.233.498
28.342.974
2.334.415
2.801.298
3.268.181
2.711.086
3.253.304
3.795.521
5.551.264
6.661.517
7.771.770
3.301.804
3.962.165
4.622.526
5.363.899
6.436.679
7.509.459
6.521.841
7.826.209
9.130.577
3.884.751
4.736.015
6.878.499
4.661.701
5.683.219
8.254.198
5.438.651
6.630.422
9.629.898
2.164.038
2.596.846
3.029.654
2.709.452
3.251.342
3.793.232
3.220.558
3.864.669
4.508.781
G-1-13-I
G-1-13-II
G-1-13-III
G-1-20-I
G-1-20-II
G-1-20-III
G-1-30-I
G-1-30-II
G-1-30-III
163 G-4-10-I
164 G-4-10-II
165 G-4-10-III
166 G-4-11-I
167 G-4-11-II
168 G-4-11-III
169 G-4-12-I
170 G-4-12-II
171 G-4-12-III
172 G-4-13-I
173 G-4-13-II
174 G-4-13-III
Kode INACBG
175 G-4-14-I
176 G-4-14-II
177 G-4-14-III
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
2.929.890
3.515.868
4.101.846
5.330.863
6.397.036
7.463.209
6.665.890
7.999.069
9.332.247
178 G-4-15-I
2.354.374
2.825.249
3.296.124
179 G-4-15-II
2.809.957
3.371.948
3.933.939
180 G-4-15-III
3.652.814
4.383.377
5.113.940
181 G-4-16-I
182 G-4-16-II
183 G-4-16-III
1.940.984
2.212.010
4.287.612
2.329.181
2.654.412
5.145.134
2.717.378
3.096.814
6.002.656
184 G-4-17-I
2.585.124
3.102.149
3.619.174
185 G-4-17-II
3.438.084
4.125.701
4.813.317
186 G-4-17-III
5.762.257
6.914.708
8.067.160
2.327.413
2.792.896
3.258.378
4.532.519
5.439.023
6.345.527
4.797.948
5.757.538
6.717.127
2.598.006
3.117.607
3.637.208
3.590.543
4.308.652
5.026.760
4.513.630
5.416.356
6.319.082
1.359.941
1.932.673
3.296.326
1.578.215
2.663.600
4.230.771
1.549.447
1.945.542
2.228.350
1.554.939
1.939.722
2.779.621
2.780.475
3.473.779
6.725.390
1.479.209
1.857.376
2.415.574
1.631.929
2.319.207
3.955.591
1.893.858
3.196.320
5.076.925
1.859.336
2.334.650
2.674.020
1.865.927
2.327.666
3.335.545
3.336.570
4.168.534
8.070.467
1.775.051
2.228.852
2.898.689
1.903.917
2.705.742
4.614.856
2.209.501
3.729.041
5.923.079
2.169.225
2.723.759
3.119.691
2.176.915
2.715.611
3.891.469
3.892.665
4.863.290
9.415.545
2.070.893
2.600.327
3.381.804
2.333.685
2.800.421
3.267.158
2.707.870
3.249.443
3.791.017
187 G-4-18-I
188 G-4-18-II
189 G-4-18-III
190 G-4-19-I
191 G-4-19-II
192 G-4-19-III
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
G-4-20-I
G-4-20-II
G-4-20-III
G-4-21-I
G-4-21-II
G-4-21-III
G-4-22-I
G-4-22-II
G-4-22-III
G-4-23-I
G-4-23-II
G-4-23-III
G-4-24-I
G-4-24-II
G-4-24-III
G-4-25-I
G-4-25-II
G-4-25-III
211 G-4-26-I
212 G-4-26-II
Kode INACBG
213 G-4-26-III
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
H-1-20-I
H-1-20-II
H-1-20-III
H-1-30-I
H-1-30-II
H-1-30-III
H-4-10-I
H-4-10-II
H-4-10-III
H-4-11-I
H-4-11-II
H-4-11-III
H-4-12-I
H-4-12-II
H-4-12-III
229 I-1-01-I
230 I-1-01-II
231 I-1-01-III
232 I-1-02-I
233 I-1-02-II
234 I-1-02-III
235 I-1-03-I
236 I-1-03-II
237 I-1-03-III
238 I-1-04-I
239 I-1-04-II
240 I-1-04-III
241 I-1-05-I
242 I-1-05-II
243 I-1-05-III
244 I-1-06-I
245 I-1-06-II
246 I-1-06-III
247 I-1-07-I
248 I-1-07-II
249 I-1-07-III
250 I-1-11-I
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
3.976.112
4.771.334
5.566.556
4.144.909
5.283.651
7.185.435
2.320.059
3.240.245
5.406.231
2.336.375
3.320.084
6.339.568
1.588.712
1.771.496
2.536.447
2.432.548
3.298.726
5.503.316
4.973.890
6.340.381
8.622.521
2.784.070
3.888.293
6.487.477
2.803.650
3.984.101
7.607.481
1.906.454
2.125.796
3.043.737
2.919.057
3.958.472
6.603.979
5.802.872
7.397.111
10.059.608
3.248.082
4.536.342
7.568.723
3.270.925
4.648.118
8.875.395
2.224.196
2.480.095
3.551.026
3.405.567
4.618.217
7.704.642
33.539.000
40.246.800
46.954.599
34.277.032
41.132.439
47.987.845
54.105.638
64.926.766
75.747.894
18.607.244
22.328.693
26.050.141
24.003.344
28.804.013
33.604.682
29.585.518
35.502.621
41.419.725
11.441.440
13.729.728
16.018.016
13.111.907
15.734.289
18.356.670
21.690.681
26.028.818
30.366.954
17.818.511
21.382.213
24.945.916
18.260.326
21.912.392
25.564.457
42.364.804
50.837.765
59.310.725
24.627.234
29.552.681
34.478.128
29.552.681
35.463.218
41.373.754
40.664.303
48.797.164
56.930.024
12.846.455
14.052.661
22.547.284
15.415.745
16.863.193
27.056.741
17.985.036
19.673.725
31.566.198
19.941.043
23.929.251
27.917.460
24.601.327
29.521.592
34.441.858
26.839.888
32.207.865
37.575.843
3.209.109
3.850.930
4.492.752
Kode INACBG
251 I-1-11-II
252 I-1-11-III
253 I-1-12-I
254 I-1-12-II
255 I-1-12-III
256 I-1-13-I
257 I-1-13-II
258 I-1-13-III
259 I-1-14-I
260 I-1-14-II
261 I-1-14-III
262 I-1-15-I
263 I-1-15-II
264 I-1-15-III
265 I-1-16-I
266 I-1-16-II
267 I-1-16-III
268 I-1-17-I
269 I-1-17-II
270 I-1-17-III
271 I-1-20-I
272 I-1-20-II
273 I-1-20-III
274 I-1-30-I
275 I-1-30-II
276 I-1-30-III
277
278
279
280
281
282
283
I-1-40-I
I-1-40-II
I-1-40-III
I-4-10-I
I-4-10-II
I-4-10-III
I-4-11-I
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
3.568.208
4.281.849
4.995.491
4.748.197
5.697.836
6.647.476
8.891.860
10.670.232
12.448.604
10.104.709
12.125.651
14.146.593
17.203.305
20.643.966
24.084.626
4.243.783
5.092.540
5.941.296
6.078.876
7.294.651
8.510.426
14.503.931
17.404.717
20.305.503
19.154.516
22.985.419
26.816.322
23.806.327
28.567.592
33.328.857
31.194.497
37.433.396
43.672.296
4.922.486
8.920.546
13.063.840
5.906.983
10.704.655
15.676.608
6.891.480
12.488.764
18.289.376
8.209.078
9.850.894
11.492.709
21.343.603
25.612.324
29.881.044
24.619.322
29.543.187
34.467.051
11.572.881
13.887.457
16.202.033
15.026.193
18.031.432
21.036.670
31.497.057
37.796.469
44.095.880
10.268.663
12.322.396
14.376.128
12.984.373
15.581.248
18.178.123
14.730.161
17.676.193
20.622.225
9.313.242
11.175.890
13.038.539
19.373.424
23.248.109
27.122.794
30.021.771
36.026.126
42.030.480
10.221.342
14.203.906
17.729.549
4.011.720
6.328.529
6.766.359
3.468.247
12.265.610
17.044.687
21.275.459
4.814.064
7.594.235
8.119.631
4.161.896
14.309.878
19.885.468
24.821.369
5.616.408
8.859.940
9.472.903
4.855.546
Kode INACBG
I-4-11-II
I-4-11-III
I-4-12-I
I-4-12-II
I-4-12-III
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
4.291.969
7.939.249
4.170.519
5.952.051
7.247.011
5.150.363
9.527.099
5.004.623
7.142.461
8.696.414
6.008.757
11.114.949
5.838.727
8.332.871
10.145.816
4.597.783
5.517.340
6.436.896
5.830.322
6.996.387
8.162.451
10.112.772
12.135.326
14.157.880
2.019.493
2.327.690
4.205.188
2.423.392
2.793.228
5.046.226
2.827.290
3.258.766
5.887.263
3.104.245
3.725.095
4.345.944
4.449.092
5.338.911
6.228.729
5.070.895
6.085.074
7.099.253
2.331.582
2.979.191
3.871.180
3.183.653
4.315.882
5.238.095
3.077.788
4.600.070
2.797.899
3.575.029
4.645.415
3.820.384
5.179.058
6.285.714
3.693.345
5.520.084
3.264.215
4.170.867
5.419.651
4.457.114
6.042.235
7.333.333
4.308.903
6.440.098
6.314.689
7.577.627
8.840.565
2.250.373
2.700.447
3.150.522
307 I-4-19-I
308 I-4-19-II
3.834.006
4.600.807
5.367.609
309
310
311
312
313
314
315
316
317
318
4.307.331
3.220.816
3.701.445
4.918.525
4.282.917
5.320.842
7.295.832
2.527.821
2.902.170
4.238.976
5.168.797
3.864.979
4.441.734
5.902.230
5.139.500
6.385.010
8.754.998
3.033.385
3.482.603
5.086.771
6.030.264
4.509.142
5.182.022
6.885.934
5.996.083
7.449.179
10.214.164
3.538.949
4.063.037
5.934.566
1.913.779
2.296.535
2.679.290
2.349.679
2.819.615
3.289.551
4.591.059
5.509.271
6.427.483
2.284.594
2.741.513
3.198.432
6.292.808
7.551.370
8.809.932
7.919.085
9.502.902
11.086.719
18.705.922
22.447.107
26.188.291
289 I-4-13-I
290 I-4-13-II
291 I-4-13-III
292 I-4-14-I
293 I-4-14-II
294 I-4-14-III
295 I-4-15-I
296 I-4-15-II
297 I-4-15-III
298
299
300
301
302
303
304
305
I-4-16-I
I-4-16-II
I-4-16-III
I-4-17-I
I-4-17-II
I-4-17-III
I-4-18-I
I-4-18-II
306 I-4-18-III
I-4-19-III
I-4-20-I
I-4-20-II
I-4-20-III
I-4-21-I
I-4-21-II
I-4-21-III
I-4-22-I
I-4-22-II
I-4-22-III
319 I-4-23-I
320 I-4-23-II
321 I-4-23-III
322 I-4-24-I
323 I-4-24-II
324 I-4-24-III
325 J-1-01-I
Kode INACBG
326 J-1-01-II
327 J-1-01-III
328 J-1-02-I
329 J-1-02-II
330 J-1-02-III
331 J-1-10-I
332 J-1-10-II
333 J-1-10-III
334 J-1-20-I
335 J-1-20-II
336 J-1-20-III
337 J-1-30-I
338 J-1-30-II
339 J-1-30-III
340
341
342
343
344
345
346
347
348
349
350
351
352
353
354
355
356
357
358
359
360
361
362
363
364
365
366
367
368
369
370
371
372
J-4-10-I
J-4-10-II
J-4-10-III
J-4-11-I
J-4-11-II
J-4-11-III
J-4-12-I
J-4-12-II
J-4-12-III
J-4-13-I
J-4-13-II
J-4-13-III
J-4-14-I
J-4-14-II
J-4-14-III
J-4-15-I
J-4-15-II
J-4-15-III
J-4-16-I
J-4-16-II
J-4-16-III
J-4-17-I
J-4-17-II
J-4-17-III
J-4-18-I
J-4-18-II
J-4-18-III
J-4-19-I
J-4-19-II
J-4-19-III
J-4-20-I
J-4-20-II
J-4-20-III
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
20.377.880
24.453.455
28.529.031
36.906.033
44.287.240
51.668.446
8.770.331
10.524.398
12.278.464
10.088.019
12.105.623
14.123.227
16.464.073
19.756.887
23.049.702
4.967.634
9.790.985
12.598.032
5.961.161
11.749.182
15.117.638
6.954.688
13.707.379
17.637.244
5.760.913
6.913.096
8.065.278
7.612.084
9.134.501
10.656.918
11.657.080
13.988.496
16.319.912
2.894.518
3.473.421
4.052.325
9.496.756
11.396.107
13.295.459
25.597.212
30.716.655
35.836.097
2.467.633
3.528.419
5.337.970
2.110.877
2.830.523
4.056.212
2.374.006
3.082.917
4.116.924
4.058.960
5.942.077
11.448.315
2.501.427
4.987.765
5.665.116
4.170.710
4.982.830
6.621.226
3.475.067
4.883.383
8.082.573
2.398.446
3.081.659
3.408.336
1.552.350
2.343.770
2.541.542
2.716.030
3.115.051
4.707.303
2.719.984
4.489.967
6.116.883
2.961.159
4.234.102
6.405.565
2.533.052
3.396.628
4.867.455
2.848.808
3.699.501
4.940.309
4.870.753
7.130.493
13.737.978
3.001.713
5.985.318
6.798.140
5.004.851
5.979.396
7.945.471
4.170.080
5.860.060
9.699.088
2.878.136
3.697.990
4.090.003
1.862.820
2.812.524
3.049.851
3.259.236
3.738.061
5.648.764
3.263.981
5.387.961
7.340.260
3.454.686
4.939.786
7.473.159
2.955.228
3.962.733
5.678.697
3.323.609
4.316.084
5.763.694
5.682.545
8.318.908
16.027.642
3.501.998
6.982.871
7.931.163
5.838.993
6.975.961
9.269.716
4.865.094
6.836.736
11.315.603
3.357.825
4.314.322
4.771.670
2.173.290
3.281.278
3.558.159
3.802.441
4.361.071
6.590.225
3.807.978
6.285.954
8.563.637
Kode INACBG
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
1.548.831
1.858.597
2.168.363
3.134.398
3.761.278
4.388.158
4.447.246
5.336.696
6.226.145
4.187.487
5.024.984
5.862.482
7.914.382
9.497.259
11.080.135
9.260.988
11.113.186
12.965.383
4.867.703
6.390.706
16.218.355
5.841.243
7.668.848
19.462.026
6.814.784
8.946.989
22.705.697
2.624.309
3.149.171
3.674.033
3.411.206
4.093.448
4.775.689
6.803.574
8.164.289
9.525.004
2.846.694
4.997.522
5.332.384
3.416.033
5.997.026
6.398.861
3.985.372
6.996.531
7.465.337
385 K-1-13-I
386 K-1-13-II
387 K-1-13-III
388 K-1-14-I
3.569.933
4.283.920
4.997.906
389 K-1-14-II
4.956.018
5.947.221
6.938.425
390
391
392
393
10.897.716
9.337.455
13.062.926
21.790.445
13.077.259
11.204.947
15.675.512
26.148.533
15.256.802
13.072.438
18.288.097
30.506.622
6.021.182
7.225.419
8.429.655
8.364.063
10.036.876
11.709.689
15.543.508
18.652.210
21.760.912
397 K-1-40-I
5.676.954
6.812.344
7.947.735
398 K-1-40-II
6.516.029
7.819.234
9.122.440
399
400
401
402
403
404
405
406
407
408
409
410
411
10.806.206
4.354.227
5.863.968
7.145.676
3.059.569
4.263.616
9.641.657
1.551.300
2.328.095
3.455.747
1.552.004
3.141.343
5.173.839
12.967.447
5.225.072
7.036.762
8.574.812
3.671.483
5.116.340
11.569.988
1.861.560
2.793.714
4.146.897
1.862.404
3.769.612
6.208.607
15.128.689
6.095.917
8.209.556
10.003.947
4.283.397
5.969.063
13.498.320
2.171.820
3.259.333
4.838.046
2.172.805
4.397.881
7.243.375
2.331.505
2.797.807
3.264.108
373 J-4-21-I
374 J-4-21-II
375 J-4-21-III
376 K-1-10-I
377 K-1-10-II
378 K-1-10-III
379 K-1-11-I
380 K-1-11-II
381 K-1-11-III
382 K-1-12-I
383 K-1-12-II
384 K-1-12-III
K-1-14-III
K-1-20-I
K-1-20-II
K-1-20-III
394 K-1-30-I
395 K-1-30-II
396 K-1-30-III
K-1-40-III
K-1-50-I
K-1-50-II
K-1-50-III
K-4-10-I
K-4-10-II
K-4-10-III
K-4-11-I
K-4-11-II
K-4-11-III
K-4-12-I
K-4-12-II
K-4-12-III
412 K-4-13-I
Kode INACBG
413 K-4-13-II
414 K-4-13-III
415 K-4-14-I
416 K-4-14-II
417 K-4-14-III
418
419
420
421
422
423
K-4-15-I
K-4-15-II
K-4-15-III
K-4-16-I
K-4-16-II
K-4-16-III
424 K-4-17-I
425 K-4-17-II
426 K-4-17-III
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
3.013.286
3.615.943
4.218.600
4.942.332
5.930.798
6.919.265
1.945.544
2.334.652
2.723.761
2.633.232
3.159.878
3.686.524
3.967.423
4.760.907
5.554.392
1.937.744
2.873.147
4.032.324
1.942.336
2.330.127
3.512.777
2.325.292
3.447.776
4.838.789
2.330.803
2.796.152
4.215.332
2.712.841
4.022.406
5.645.253
2.719.270
3.262.178
4.917.888
2.519.323
3.023.187
3.527.052
3.565.275
4.278.331
4.991.386
4.021.639
4.825.966
5.630.294
427 K-4-18-I
2.779.596
3.335.515
3.891.434
428 K-4-18-II
4.169.314
5.003.177
5.837.040
429 K-4-18-III
5.114.538
6.137.446
7.160.354
21.485.291
25.782.349
30.079.407
22.142.583
26.571.100
30.999.617
33.278.214
39.933.856
46.589.499
6.888.202
8.265.843
9.643.483
12.536.306
15.043.567
17.550.828
14.889.775
17.867.730
20.845.685
3.274.209
3.929.050
4.583.892
6.945.417
8.334.501
9.723.584
11.792.088
14.150.505
16.508.923
5.098.463
9.219.526
11.173.904
2.321.947
2.706.206
7.426.314
2.205.794
3.018.248
6.764.666
2.333.649
4.172.773
5.747.032
6.118.156
11.063.432
13.408.685
2.786.336
3.247.447
8.911.577
2.646.953
3.621.898
8.117.599
2.800.379
5.007.328
6.896.438
7.137.849
12.907.337
15.643.466
3.250.725
3.788.688
10.396.840
3.088.112
4.225.547
9.470.532
3.267.109
5.841.883
8.045.844
430 L-1-20-I
431 L-1-20-II
432 L-1-20-III
433 L-1-30-I
434 L-1-30-II
435 L-1-30-III
436 L-1-40-I
437 L-1-40-II
438 L-1-40-III
439
440
441
442
443
444
445
446
447
448
449
450
L-1-50-I
L-1-50-II
L-1-50-III
L-4-10-I
L-4-10-II
L-4-10-III
L-4-11-I
L-4-11-II
L-4-11-III
L-4-12-I
L-4-12-II
L-4-12-III
Kode INACBG
451 L-4-13-I
452 L-4-13-II
453 L-4-13-III
454 L-4-14-I
455 L-4-14-II
456 L-4-14-III
457 M-1-01-I
458 M-1-01-II
459 M-1-01-III
460 M-1-02-I
461 M-1-02-II
462 M-1-02-III
463 M-1-03-I
464 M-1-03-II
465 M-1-03-III
466 M-1-04-I
467 M-1-04-II
468 M-1-04-III
469 M-1-05-I
470 M-1-05-II
471 M-1-05-III
472 M-1-07-I
473 M-1-07-II
474 M-1-07-III
475 M-1-10-I
476 M-1-10-II
477 M-1-10-III
478 M-1-20-I
479 M-1-20-II
480 M-1-20-III
481 M-1-30-I
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
1.463.047
1.755.657
2.048.266
2.086.161
2.503.393
2.920.625
2.525.345
3.030.414
3.535.483
1.551.727
1.862.072
2.172.417
2.328.904
2.794.684
3.260.465
4.750.974
5.701.168
6.651.363
7.579.364
9.095.236
10.611.109
8.459.796
10.151.755
11.843.714
11.883.721
14.260.466
16.637.210
7.279.527
11.962.380
15.333.359
8.735.432
14.354.856
18.400.031
10.191.337
16.747.332
21.466.703
13.625.965
16.351.158
19.076.351
15.855.520
19.026.624
22.197.728
16.193.128
19.431.753
22.670.379
4.782.834
5.739.400
6.695.967
6.125.568
7.350.682
8.575.795
7.664.994
9.197.992
10.730.991
6.066.664
7.279.996
8.493.329
7.045.356
8.454.427
9.863.498
12.471.539
14.965.847
17.460.155
6.089.436
7.307.324
8.525.211
8.157.942
9.789.530
11.421.119
16.618.501
19.942.201
23.265.902
5.155.363
6.186.435
7.217.508
12.685.517
15.222.621
17.759.724
17.289.826
20.747.791
24.205.756
5.084.947
6.101.936
7.118.925
5.372.393
6.446.872
7.521.350
14.165.088
16.998.105
19.831.123
4.054.688
4.865.626
5.676.563
484 M-1-40-I
485 M-1-40-II
486 M-1-40-III
487 M-1-50-I
488 M-1-50-II
489 M-1-50-III
490 M-1-60-I
491 M-1-60-II
492 M-1-60-III
493 M-1-70-I
494 M-1-70-II
495 M-1-70-III
496
497
498
499
500
501
M-1-80-I
M-1-80-II
M-1-80-III
M-4-10-I
M-4-10-II
M-4-10-III
502 M-4-11-I
503 M-4-11-II
504 M-4-11-III
505 M-4-12-I
506 M-4-12-II
507 M-4-12-III
508 M-4-13-I
509 M-4-13-II
510 M-4-13-III
511
512
513
514
515
516
517
518
519
M-4-14-I
M-4-14-II
M-4-14-III
M-4-15-I
M-4-15-II
M-4-15-III
M-4-16-I
M-4-16-II
M-4-16-III
520 M-4-17-I
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
9.274.914
12.360.849
11.129.897
14.833.018
12.984.880
17.305.188
2.956.682
3.548.019
4.139.355
5.429.186
6.515.023
7.600.860
8.802.101
10.562.521
12.322.941
4.871.308
9.772.605
14.971.120
5.845.569
11.727.126
17.965.344
6.819.831
13.681.647
20.959.568
2.947.397
3.536.877
4.126.356
5.925.237
7.110.284
8.295.331
9.776.494
11.731.792
13.687.091
9.119.304
10.943.165
12.767.026
11.436.680
13.724.015
16.011.351
12.035.900
14.443.080
16.850.260
5.194.654
6.829.119
14.829.545
1.552.029
2.376.385
4.805.985
6.233.585
8.194.943
17.795.454
1.862.435
2.851.662
5.767.182
7.272.516
9.560.767
20.761.364
2.172.841
3.326.939
6.728.378
2.060.484
2.472.581
2.884.678
4.714.965
5.657.958
6.600.951
9.258.222
11.109.866
12.961.511
1.550.355
1.860.426
2.170.497
2.817.785
3.381.342
3.944.899
5.095.837
6.115.004
7.134.171
3.502.648
4.203.178
4.903.708
3.869.191
4.643.029
5.416.867
8.533.027
10.239.632
11.946.237
3.103.669
4.040.268
6.036.727
2.625.669
3.263.502
6.598.039
2.629.858
3.109.014
7.547.034
3.724.403
4.848.322
7.244.073
3.150.803
3.916.203
7.917.647
3.155.829
3.730.817
9.056.440
4.345.137
5.656.375
8.451.418
3.675.937
4.568.903
9.237.255
3.681.801
4.352.620
10.565.847
1.937.381
2.324.858
2.712.334
Kode INACBG
521 M-4-17-II
522 M-4-17-III
523 M-4-18-I
524 M-4-18-II
525 M-4-18-III
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
2.724.664
3.269.597
3.814.530
3.807.099
4.568.519
5.329.939
2.075.308
3.111.956
3.766.064
2.490.370
3.734.348
4.519.277
2.905.432
4.356.739
5.272.490
526 M-4-19-I
2.294.556
2.753.467
3.212.378
527 M-4-19-II
3.665.657
4.398.789
5.131.920
528 M-4-19-III
5.568.163
6.681.796
7.795.429
1.550.585
1.860.702
2.170.819
2.332.242
2.798.691
3.265.139
2.578.976
3.094.771
3.610.567
1.547.541
1.857.049
2.166.557
2.033.400
2.440.080
2.846.760
4.758.759
5.710.511
6.662.263
250.000.000
250.000.000
250.000.000
5.813.936
9.466.905
13.711.435
250.000.000
250.000.000
250.000.000
6.976.723
11.360.286
16.453.722
250.000.000
250.000.000
250.000.000
8.139.511
13.253.667
19.196.009
3.059.977
3.671.972
4.283.967
9.909.887
11.891.865
13.873.842
18.001.950
21.602.340
25.202.730
10.090.548
11.421.012
13.032.143
12.108.658
13.705.214
15.638.571
14.126.767
15.989.416
18.245.000
5.912.873
7.095.447
8.278.022
7.697.253
9.236.703
10.776.154
8.843.991
10.612.789
12.381.587
529 M-4-20-I
530 M-4-20-II
531 M-4-20-III
532 M-4-21-I
533 M-4-21-II
534 M-4-21-III
535
536
537
538
539
540
N-1-01-I
N-1-01-II
N-1-01-III
N-1-11-I
N-1-11-II
N-1-11-III
541 N-1-12-I
542 N-1-12-II
543 N-1-12-III
544 N-1-20-I
545 N-1-20-II
546 N-1-20-III
547 N-1-30-I
548 N-1-30-II
549 N-1-30-III
550 N-1-40-I
6.172.405
7.406.886
8.641.367
551 N-1-40-II
8.373.569
10.048.283
11.722.996
552 N-1-40-III
9.725.128
11.670.153
13.615.179
1.940.468
2.328.561
2.716.655
3.236.286
3.883.543
4.530.800
553 N-4-10-I
554 N-4-10-II
Kode INACBG
555 N-4-10-III
556
557
558
559
560
561
562
563
564
N-4-11-I
N-4-11-II
N-4-11-III
N-4-12-I
N-4-12-II
N-4-12-III
N-4-13-I
N-4-13-II
N-4-13-III
565 N-4-14-I
566 N-4-14-II
567 N-4-14-III
568 N-4-15-I
569 N-4-15-II
570 N-4-15-III
571 N-4-16-I
572 N-4-16-II
573 N-4-16-III
574 O-6-10-I
575 O-6-10-II
576 O-6-10-III
577 O-6-11-I
578 O-6-11-II
579 O-6-11-III
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
4.329.425
5.195.310
6.061.195
2.014.796
2.908.944
3.401.209
1.550.524
2.323.185
2.994.102
2.053.599
2.464.950
6.714.183
2.417.756
3.490.733
4.081.451
1.860.629
2.787.822
3.592.922
2.464.319
2.957.940
8.057.020
2.820.715
4.072.522
4.761.693
2.170.734
3.252.458
4.191.743
2.875.038
3.450.930
9.399.857
1.343.355
1.612.026
1.880.697
2.073.574
2.488.289
2.903.003
3.362.676
4.035.211
4.707.746
1.927.797
2.313.357
2.698.916
2.391.892
2.870.271
3.348.649
2.729.581
3.275.497
3.821.413
2.594.429
3.113.315
3.632.201
3.101.775
3.722.130
4.342.484
5.296.599
6.355.919
7.415.239
4.022.134
4.438.404
4.655.201
4.826.560
5.326.085
5.586.242
5.630.987
6.213.766
6.517.282
2.048.374
2.458.049
2.867.724
2.721.319
3.265.583
3.809.846
4.621.330
5.545.596
6.469.862
580 O-6-12-I
1.925.412
2.310.494
2.695.576
581 O-6-12-II
2.312.415
2.774.898
3.237.380
582 O-6-12-III
3.019.503
3.623.403
4.227.304
2.013.632
2.383.264
2.987.644
2.416.358
2.859.917
3.585.173
2.819.084
3.336.570
4.182.702
39.061.056
46.873.267
54.685.479
583 O-6-13-I
584 O-6-13-II
585 O-6-13-III
586 P-8-01-I
Kode INACBG
587 P-8-01-II
588 P-8-01-III
589 P-8-02-I
590 P-8-02-II
591 P-8-02-III
592 P-8-03-I
593 P-8-03-II
594 P-8-03-III
595 P-8-04-I
596 P-8-04-II
597 P-8-04-III
598 P-8-05-I
599 P-8-05-II
600 P-8-05-III
601 P-8-06-I
602 P-8-06-II
603 P-8-06-III
604 P-8-07-I
605 P-8-07-II
606 P-8-07-III
607 P-8-08-I
608 P-8-08-II
609 P-8-08-III
610 P-8-10-I
611 P-8-10-II
612 P-8-10-III
613 P-8-11-I
614 P-8-11-II
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
48.331.947
57.998.336
67.664.726
56.728.157
68.073.788
79.419.420
61.816.967
74.180.360
86.543.753
70.910.424
85.092.509
99.274.593
81.020.229
97.224.275
113.428.321
2.126.788
2.552.145
2.977.503
2.984.063
3.580.875
4.177.688
4.700.078
5.640.093
6.580.109
19.101.041
22.921.249
26.741.457
33.346.080
40.015.296
46.684.512
47.809.886
57.371.863
66.933.840
14.006.804
16.808.164
19.609.525
19.845.706
23.814.847
27.783.988
29.142.191
34.970.629
40.799.067
2.091.881
2.510.258
2.928.634
5.154.468
6.185.362
7.216.255
8.243.540
9.892.248
11.540.956
2.993.825
3.592.590
4.191.355
8.376.264
10.051.517
11.726.769
11.061.592
13.273.911
15.486.229
3.492.334
4.190.801
4.889.267
4.955.456
5.946.547
6.937.638
8.023.973
9.628.768
11.233.563
1.818.128
2.181.753
2.545.379
3.117.812
3.741.375
4.364.937
6.121.184
7.345.421
8.569.658
2.177.148
2.612.578
3.048.008
10.888.126
13.065.751
15.243.376
Kode INACBG
615 P-8-11-III
616 P-8-12-I
617 P-8-12-II
618 P-8-12-III
619 P-8-13-I
620 P-8-13-II
621 P-8-13-III
622 P-8-14-I
623 P-8-14-II
624 P-8-14-III
625 P-8-15-I
626 P-8-15-II
627 P-8-15-III
628 P-8-16-I
629 P-8-16-II
630 P-8-16-III
631 P-8-17-I
632 P-8-17-II
633 P-8-17-III
634 S-4-10-I
635 S-4-10-II
636 S-4-10-III
637
638
639
640
641
642
S-4-11-I
S-4-11-II
S-4-11-III
S-4-12-I
S-4-12-II
S-4-12-III
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
11.116.234
13.339.481
15.562.727
2.960.514
3.552.617
4.144.720
4.609.559
5.531.471
6.453.383
5.432.778
6.519.334
7.605.890
1.959.602
2.351.523
2.743.443
3.388.361
4.066.033
4.743.705
5.043.991
6.052.789
7.061.588
2.070.822
2.484.987
2.899.151
5.708.631
6.850.358
7.992.084
6.270.627
7.524.752
8.778.878
2.102.560
2.523.072
2.943.584
4.205.711
5.046.853
5.887.996
4.930.409
5.916.491
6.902.573
1.907.665
2.289.199
2.670.732
2.593.426
3.112.112
3.630.797
2.697.496
3.236.995
3.776.494
1.663.158
1.995.789
2.328.421
4.324.066
5.188.879
6.053.692
8.172.672
9.807.206
11.441.740
1.551.652
1.861.983
2.172.313
1.941.223
2.329.468
2.717.712
2.524.603
3.029.523
3.534.444
971.206
1.481.567
2.385.131
1.165.884
1.556.090
2.941.200
1.165.448
1.777.881
2.862.157
1.399.060
1.867.307
3.529.440
1.359.689
2.074.194
3.339.183
1.632.237
2.178.525
4.117.679
643 S-4-13-I
1.552.411
1.862.893
2.173.375
644 S-4-13-II
2.751.406
3.301.687
3.851.969
645 S-4-13-III
5.586.844
6.704.212
7.821.581
947.200
1.136.639
1.326.079
646 S-4-14-I
Kode INACBG
647 S-4-14-II
648 S-4-14-III
649 S-4-15-I
650 S-4-15-II
651 S-4-15-III
652 S-4-16-I
653 S-4-16-II
654 S-4-16-III
655 S-4-17-I
656 S-4-17-II
657 S-4-17-III
658 T-1-10-I
659 T-1-10-II
660 T-1-10-III
661 T-4-10-I
662 T-4-10-II
663 T-4-10-III
664 T-4-11-I
665 T-4-11-II
666 T-4-11-III
667 T-4-12-I
668 T-4-12-II
669 T-4-12-III
670 U-1-10-I
671 U-1-10-II
672 U-1-10-III
673 U-1-11-I
674 U-1-11-II
675 U-1-11-III
676
677
678
679
680
681
U-1-12-I
U-1-12-II
U-1-12-III
U-1-13-I
U-1-13-II
U-1-13-III
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
2.012.170
2.414.603
2.817.037
3.815.790
4.578.949
5.342.107
716.376
859.651
1.002.926
1.352.045
1.622.454
1.892.863
1.751.213
2.101.455
2.451.698
2.718.320
3.849.059
6.297.023
3.261.985
4.618.871
7.556.428
3.805.649
5.388.682
8.815.832
1.448.098
1.737.718
2.027.338
1.939.800
2.327.760
2.715.720
3.171.025
3.805.230
4.439.435
1.654.802
1.985.763
2.316.723
2.222.287
2.666.744
3.111.202
4.043.065
4.851.677
5.660.290
655.044
786.053
917.062
1.248.369
1.498.042
1.747.716
1.814.789
2.177.747
2.540.705
876.859
1.052.231
1.227.602
1.379.926
1.655.912
1.931.897
2.222.655
2.667.186
3.111.717
1.362.578
1.635.093
1.907.609
2.059.489
2.471.386
2.883.284
3.188.287
3.825.944
4.463.602
1.447.904
2.954.537
12.758.288
1.737.485
3.545.444
15.309.945
2.027.066
4.136.352
17.861.603
5.125.630
6.150.757
7.175.883
6.797.191
8.156.629
9.516.067
12.746.068
15.295.282
17.844.495
3.843.657
7.688.270
9.997.335
4.184.743
4.731.019
7.691.238
4.612.388
9.225.924
11.996.803
5.021.691
5.677.223
9.229.486
5.381.120
10.763.578
13.996.270
5.858.640
6.623.427
10.767.734
Kode INACBG
682 U-1-14-I
683 U-1-14-II
684 U-1-14-III
685 U-1-15-I
686 U-1-15-II
687 U-1-15-III
688 U-1-20-I
689 U-1-20-II
690 U-1-20-III
691 U-1-30-I
692 U-1-30-II
693 U-1-30-III
694 U-4-10-I
695 U-4-10-II
696 U-4-10-III
697
698
699
700
701
702
U-4-11-I
U-4-11-II
U-4-11-III
U-4-12-I
U-4-12-II
U-4-12-III
703 U-4-13-I
704 U-4-13-II
705 U-4-13-III
706 U-4-14-I
707 U-4-14-II
708 U-4-14-III
709 U-4-15-I
710 U-4-15-II
711 U-4-15-III
712 V-1-10-I
713 V-1-10-II
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
3.134.809
3.761.771
4.388.733
3.847.041
4.616.450
5.385.858
4.558.852
5.470.623
6.382.393
1.767.864
2.511.782
4.005.383
2.121.436
3.014.138
4.806.459
2.475.009
3.516.494
5.607.536
4.761.441
5.713.730
6.666.018
6.249.057
7.498.868
8.748.680
12.553.689
15.064.427
17.575.165
4.051.355
5.508.107
7.945.217
4.861.626
6.609.729
9.534.261
5.671.897
7.711.350
11.123.304
3.803.103
4.563.723
5.324.344
6.316.077
7.579.293
8.842.508
9.697.252
11.636.703
13.576.153
1.548.675
2.325.634
3.545.076
1.553.721
2.087.398
3.184.224
1.858.411
2.790.760
4.254.091
1.864.466
2.504.877
3.821.068
2.168.146
3.255.887
4.963.106
2.175.210
2.922.357
4.457.913
1.524.137
1.828.964
2.133.791
1.778.792
2.134.551
2.490.309
2.012.608
2.415.129
2.817.651
1.935.935
2.328.310
3.910.106
2.323.122
2.793.972
4.692.127
2.710.308
3.259.634
5.474.149
1.556.440
1.867.728
2.179.016
1.946.273
2.335.528
2.724.783
2.721.101
3.265.321
3.809.541
4.553.218
5.463.862
6.374.505
5.226.898
6.272.277
7.317.657
714 V-1-10-III
7.745.291
9.294.349
10.843.407
715 V-1-11-I
716 V-1-11-II
717 V-1-11-III
5.223.055
5.854.287
8.659.958
6.267.666
7.025.144
10.391.949
7.312.277
8.196.001
12.123.941
3.829.692
4.595.630
5.361.568
8.813.770
10.576.524
12.339.278
718 V-1-12-I
719 V-1-12-II
Kode INACBG
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
10.131.977
12.158.373
14.184.768
5.570.554
6.684.664
7.798.775
8.475.509
10.170.610
11.865.712
11.754.740
14.105.688
16.456.635
6.189.525
7.427.430
8.665.335
7.524.820
9.029.785
10.534.749
9.212.588
11.055.106
12.897.624
2.425.315
4.247.399
6.996.097
2.910.378
5.096.879
8.395.316
3.395.441
5.946.358
9.794.535
727 V-1-15-I
728 V-1-15-II
729 V-1-15-III
730 V-4-10-I
3.548.389
4.258.067
4.967.745
731 V-4-10-II
4.344.178
5.213.014
6.081.849
732 V-4-10-III
9.207.553
11.049.063
12.890.574
1.992.100
2.390.519
2.788.939
2.905.624
3.486.749
4.067.874
5.314.837
6.377.804
7.440.772
7.919.538
9.503.445
11.087.353
8.881.698
10.658.038
12.434.377
12.529.726
15.035.671
17.541.617
2.059.271
3.365.826
5.500.771
2.471.125
4.038.991
6.600.925
2.882.979
4.712.156
7.701.080
2.732.581
3.279.097
3.825.613
4.804.188
5.765.025
6.725.863
10.116.266
12.139.520
14.162.773
2.092.291
2.510.750
2.929.208
2.365.578
2.838.694
3.311.810
3.633.827
4.360.592
5.087.357
1.834.814
2.201.777
2.568.740
1.992.080
2.390.495
2.788.911
720 V-1-12-III
721 V-1-13-I
722 V-1-13-II
723 V-1-13-III
724 V-1-14-I
725 V-1-14-II
726 V-1-14-III
733 V-4-11-I
734 V-4-11-II
735 V-4-11-III
736 W-1-01-I
737 W-1-01-II
738 W-1-01-III
739 W-1-10-I
740 W-1-10-II
741 W-1-10-III
742 W-1-11-I
743 W-1-11-II
744 W-1-11-III
745 W-1-12-I
746 W-1-12-II
747 W-1-12-III
748 W-1-13-I
749 W-1-13-II
750 W-1-13-III
2.675.730
3.210.877
3.746.023
751 W-1-20-I
752 W-1-20-II
753 W-1-20-III
5.272.780
7.444.628
8.975.970
6.327.335
8.933.554
10.771.164
7.381.891
10.422.479
12.566.358
Kode INACBG
W-1-30-I
W-1-30-II
W-1-30-III
W-4-10-I
W-4-10-II
W-4-10-III
W-4-11-I
W-4-11-II
W-4-11-III
763 W-4-12-I
764 W-4-12-II
765 W-4-12-III
766
767
768
769
770
771
772
773
774
775
776
777
778
779
780
781
782
783
784
785
786
W-4-13-I
W-4-13-II
W-4-13-III
W-4-14-I
W-4-14-II
W-4-14-III
W-4-15-I
W-4-15-II
W-4-15-III
W-4-16-I
W-4-16-II
W-4-16-III
W-4-17-I
W-4-17-II
W-4-17-III
Z-4-10-I
Z-4-10-II
Z-4-10-III
Z-4-11-I
Z-4-11-II
Z-4-11-III
787 Z-4-12-I
788 Z-4-12-II
789 Z-4-12-III
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
2.730.622
4.355.483
14.112.144
2.663.874
3.717.331
6.194.297
1.817.248
2.505.881
3.025.430
3.276.746
5.226.580
16.934.573
3.196.648
4.460.797
7.433.157
2.180.697
3.007.057
3.630.516
3.822.871
6.097.677
19.757.002
3.729.423
5.204.264
8.672.016
2.544.147
3.508.233
4.235.602
1.552.895
1.863.474
2.174.053
2.131.039
2.557.247
2.983.455
3.225.720
3.870.864
4.516.008
849.415
1.164.454
1.550.822
1.397.848
1.576.013
2.268.220
974.030
1.083.153
1.499.728
2.085.336
2.788.669
3.779.569
1.176.023
1.551.189
2.940.720
2.667.539
3.540.773
5.030.005
2.562.902
3.081.662
3.617.378
1.019.297
1.397.345
1.860.986
1.677.418
1.891.216
2.721.864
1.168.836
1.299.783
1.799.673
2.502.403
3.346.403
4.535.483
1.411.228
1.861.427
3.528.864
3.201.046
4.248.927
6.036.006
3.075.483
3.697.995
4.340.854
1.189.180
1.630.236
2.171.150
1.956.988
2.206.419
3.175.508
1.363.642
1.516.414
2.099.619
2.919.470
3.904.137
5.291.397
1.646.432
2.171.665
4.117.008
3.734.554
4.957.082
7.042.007
3.588.063
4.314.327
5.064.329
1.166.153
1.399.384
1.632.614
3.166.521
3.799.826
4.433.130
4.092.684
4.911.221
5.729.757
B-2-10-0
B-2-11-0
B-2-12-0
B-2-13-0
B-2-14-0
B-3-10-0
B-3-11-0
B-3-12-0
C-3-10-0
C-3-11-0
C-3-12-0
C-3-13-0
C-3-14-0
C-3-15-0
C-3-16-0
C-3-17-0
C-3-18-0
C-3-19-0
C-3-20-0
C-3-21-0
C-3-22-0
C-3-23-0
D-2-10-0
D-2-11-0
D-2-21-0
D-2-22-0
D-3-10-0
D-3-11-0
E-2-10-0
E-2-21-0
E-2-22-0
E-3-10-0
F-3-10-0
F-5-10-0
F-5-11-0
F-5-12-0
F-5-13-0
F-5-14-0
F-5-15-0
F-5-16-0
G-2-10-0
G-2-11-0
G-2-12-0
G-2-13-0
G-2-21-0
G-2-22-0
G-2-31-0
G-2-32-0
G-3-10-0
G-3-11-0
G-3-12-0
G-3-13-0
H-2-21-0
H-2-22-0
H-2-23-0
H-2-31-0
H-2-32-0
H-2-33-0
H-2-34-0
H-2-35-0
H-2-36-0
H-2-37-0
H-3-10-0
H-3-11-0
H-3-12-0
H-3-13-0
I-2-11-0
I-2-12-0
I-2-13-0
I-2-14-0
I-2-15-0
72
I-2-16-0
73
74
75
76
77
78
79
I-2-17-0
I-2-21-0
I-2-22-0
I-2-23-0
I-2-31-0
I-2-32-0
I-2-41-0
80
I-2-42-0
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
I-3-10-0
I-3-11-0
I-3-12-0
I-3-13-0
I-3-14-0
I-3-15-0
J-2-10-0
J-2-21-0
J-2-22-0
J-2-31-0
J-2-32-0
J-3-10-0
J-3-11-0
J-3-12-0
J-3-13-0
J-3-14-0
J-3-15-0
J-3-16-0
J-3-17-0
K-2-10-0
K-2-11-0
K-2-12-0
K-2-13-0
K-2-14-0
K-2-21-0
K-2-22-0
K-2-31-0
K-2-32-0
K-2-41-0
K-2-42-0
K-2-51-0
K-2-52-0
K-2-53-0
K-3-10-0
K-3-11-0
K-3-12-0
K-3-13-0
K-3-14-0
K-3-15-0
K-3-16-0
L-2-21-0
L-2-22-0
L-2-31-0
L-2-32-0
L-2-41-0
L-2-42-0
L-2-51-0
L-2-52-0
L-2-53-0
L-3-10-0
L-3-11-0
L-3-12-0
M-2-10-0
M-2-21-0
M-2-22-0
M-2-31-0
M-2-32-0
M-2-41-0
M-2-42-0
M-2-51-0
M-2-52-0
M-2-61-0
M-2-62-0
M-2-63-0
M-2-64-0
M-2-65-0
M-2-71-0
M-2-72-0
M-2-81-0
M-2-82-0
M-2-83-0
M-2-84-0
M-3-10-0
M-3-11-0
M-3-12-0
M-3-13-0
M-3-14-0
M-3-15-0
M-3-16-0
M-3-17-0
N-2-11-0
N-2-12-0
N-2-21-0
N-2-22-0
N-2-23-0
N-2-24-0
N-2-31-0
N-2-32-0
N-2-41-0
N-2-42-0
N-3-10-0
N-3-11-0
N-3-12-0
N-3-13-0
N-3-14-0
N-3-15-0
O-7-10-0
O-7-11-0
179 O-7-12-0
180 O-7-13-0
181 P-9-10-0
182 P-9-11-0
P-9-12-0
P-9-13-0
P-9-14-0
P-9-15-0
P-9-16-0
P-9-17-0
Q-5-10-0
Q-5-11-0
Q-5-12-0
Q-5-13-0
Q-5-14-0
Q-5-15-0
Q-5-16-0
Q-5-17-0
Q-5-18-0
Q-5-19-0
Q-5-20-0
Q-5-21-0
Q-5-22-0
Q-5-23-0
Q-5-24-0
Q-5-25-0
Q-5-26-0
Q-5-27-0
Q-5-28-0
Q-5-29-0
Q-5-30-0
Q-5-31-0
Q-5-32-0
Q-5-33-0
Q-5-34-0
Q-5-35-0
Q-5-36-0
Q-5-37-0
Q-5-38-0
Q-5-39-0
Q-5-40-0
Q-5-41-0
Q-5-42-0
Q-5-43-0
Q-5-44-0
T-2-10-0
U-2-10-0
U-2-11-0
U-2-12-0
U-2-13-0
U-2-14-0
U-2-15-0
U-2-21-0
U-2-22-0
U-2-23-0
U-2-24-0
U-2-25-0
U-2-31-0
U-2-32-0
U-3-10-0
U-3-11-0
U-3-12-0
241 U-3-13-0
242 U-3-14-0
243 U-3-15-0
U-3-16-0
V-2-10-0
V-2-11-0
V-2-12-0
V-2-13-0
V-2-14-0
V-2-15-0
V-3-10-0
V-3-11-0
V-3-12-0
W-2-10-0
W-2-11-0
W-2-12-0
W-2-13-0
W-2-21-0
W-2-22-0
W-2-23-0
W-2-31-0
W-2-32-0
W-2-33-0
W-2-34-0
W-3-10-0
W-3-11-0
W-3-12-0
Z-3-10-0
269 Z-3-11-0
270
271
272
273
274
275
276
277
278
279
280
281
282
283
284
285
286
287
288
Z-3-12-0
Z-3-13-0
Z-3-14-0
Z-3-15-0
Z-3-16-0
Z-3-17-0
Z-3-18-0
Z-3-19-0
Z-3-20-0
Z-3-21-0
Z-3-22-0
Z-3-23-0
Z-3-24-0
Z-3-25-0
Z-3-26-0
Z-3-27-0
Z-3-28-0
Z-3-29-0
Z-3-30-0
Kode INACBG
A-4-10-I
A-4-10-II
A-4-10-III
A-4-11-I
A-4-11-II
A-4-11-III
A-4-12-I
A-4-12-II
A-4-12-III
A-4-13-I
A-4-13-II
A-4-13-III
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
1.477.721
2.386.587
2.756.288
3.216.627
4.709.092
7.703.045
1.298.769
1.676.151
2.075.283
1.620.442
1.950.528
2.361.149
1.773.265
2.863.904
3.307.545
3.859.952
5.650.910
9.243.654
1.558.523
2.011.382
2.490.340
1.944.530
2.340.634
2.833.378
2.068.809
3.341.221
3.858.803
4.503.278
6.592.729
10.784.263
1.818.277
2.346.612
2.905.396
2.268.618
2.730.740
3.305.608
2.522.243
3.026.692
3.531.140
3.244.243
3.893.091
4.541.940
SEPTIKEMIA RINGAN
SEPTIKEMIA SEDANG
SEPTIKEMIA BERAT
INFEKSI SESUDAH OPERASI & TRAUMA RINGAN
INFEKSI SESUDAH OPERASI & TRAUMA SEDANG
INFEKSI SESUDAH OPERASI & TRAUMA BERAT
DEMAM RINGAN
DEMAM SEDANG
DEMAM BERAT
INFEKSI NON BAKTERI RINGAN
INFEKSI NON BAKTERI SEDANG
INFEKSI NON BAKTERI BERAT
PENYAKIT INFEKSI BAKTERI DAN PARASIT LAIN-LAIN
RINGAN
PENYAKIT INFEKSI BAKTERI DAN PARASIT LAIN-LAIN
SEDANG
PENYAKIT INFEKSI BAKTERI DAN PARASIT LAIN-LAIN
BERAT
INFEKSI HIV RINGAN
INFEKSI HIV SEDANG
INFEKSI HIV BERAT
PROSEDUR PENCANGKOKAN HATI RINGAN
PROSEDUR PENCANGKOKAN HATI SEDANG
PROSEDUR PENCANGKOKAN HATI BERAT
PROSEDUR HATI DAN PANKREAS RINGAN
PROSEDUR HATI DAN PANKREAS SEDANG
PROSEDUR HATI DAN PANKREAS BERAT
3.717.139
4.460.567
5.203.994
1.951.399
2.912.603
4.870.894
21.570.773
23.798.329
41.747.167
2.796.577
7.127.026
14.842.950
2.341.679
3.495.124
5.845.073
25.884.927
28.557.995
50.096.600
3.355.893
8.552.432
17.811.540
2.731.958
4.077.644
6.819.252
30.199.082
33.317.661
58.446.033
3.915.208
9.977.837
20.780.130
25 B-1-11-I
2.286.100
2.743.320
3.200.540
26 B-1-11-II
5.736.082
6.883.298
8.030.514
27 B-1-11-III
7.187.994
8.625.592
10.063.191
3.969.608
4.763.529
5.557.451
8.507.840
10.209.408
11.910.977
10.354.362
12.425.235
14.496.107
3.199.805
3.839.766
4.479.727
5.212.018
6.254.422
7.296.825
7.683.977
9.220.772
10.757.568
4.342.811
5.211.373
6.079.935
4.830.082
5.796.099
6.762.115
7.556.089
9.067.307
10.578.525
1.212.978
1.759.155
2.966.014
1.455.574
2.110.986
3.559.217
1.698.169
2.462.818
4.152.420
2.361.835
2.834.202
3.306.569
13 A-4-14-I
14 A-4-14-II
15 A-4-14-III
16
17
18
19
20
21
22
23
24
A-4-15-I
A-4-15-II
A-4-15-III
B-1-01-I
B-1-01-II
B-1-01-III
B-1-10-I
B-1-10-II
B-1-10-III
28 B-1-12-I
29 B-1-12-II
30 B-1-12-III
31 B-1-13-I
32 B-1-13-II
33 B-1-13-III
34 B-1-14-I
35 B-1-14-II
36 B-1-14-III
37 B-4-10-I
38 B-4-10-II
39 B-4-10-III
40 B-4-11-I
Kode INACBG
41 B-4-11-II
42 B-4-11-III
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
3.540.226
4.248.272
4.956.317
4.583.112
5.499.735
6.416.357
43 B-4-12-I
2.429.193
2.915.032
3.400.870
44 B-4-12-II
3.645.907
4.375.089
5.104.270
45 B-4-12-III
6.933.723
8.320.467
9.707.212
1.944.029
2.332.835
2.721.641
2.515.541
3.018.650
3.521.758
3.701.089
4.441.307
5.181.525
46 B-4-13-I
47 B-4-13-II
48 B-4-13-III
49 B-4-14-I
2.230.553
2.676.663
3.122.774
50 B-4-14-II
2.511.601
3.013.921
3.516.241
51 B-4-14-III
3.191.486
3.829.783
4.468.081
52
53
54
55
56
57
58
59
60
61
62
63
2.274.300
4.413.105
6.480.929
2.282.040
2.605.663
5.291.923
1.301.055
4.278.819
8.666.760
1.298.594
2.596.177
3.403.208
2.729.160
5.295.726
7.777.114
2.738.448
3.126.795
6.350.308
1.561.266
5.134.583
10.400.112
1.558.313
3.115.412
4.083.850
3.184.020
6.178.347
9.073.300
3.194.856
3.647.928
7.408.692
1.821.477
5.990.347
12.133.465
1.818.031
3.634.647
4.764.491
64 C-4-14-I
2.019.550
2.423.460
2.827.370
65 C-4-14-II
2.943.448
3.532.138
4.120.828
66 C-4-14-III
4.474.985
5.369.982
6.264.979
13.802.816
16.563.379
19.323.943
21.022.748
25.227.297
29.431.847
28.491.568
34.189.881
39.888.195
3.392.901
8.764.013
12.181.099
4.071.481
10.516.816
14.617.319
4.750.061
12.269.619
17.053.539
2.979.818
3.575.782
4.171.745
8.584.842
10.301.810
12.018.779
13.743.184
16.491.820
19.240.457
1.337.111
2.248.892
1.604.533
2.698.670
1.871.955
3.148.448
C-4-10-I
C-4-10-II
C-4-10-III
C-4-11-I
C-4-11-II
C-4-11-III
C-4-12-I
C-4-12-II
C-4-12-III
C-4-13-I
C-4-13-II
C-4-13-III
67 D-1-10-I
68 D-1-10-II
69 D-1-10-III
70 D-1-11-I
71 D-1-11-II
72 D-1-11-III
73 D-1-20-I
74 D-1-20-II
75 D-1-20-III
76 D-4-10-I
77 D-4-10-II
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
AGRANULOSITOSIS BERAT
GANGGUAN PEMBEKUAN DARAH RINGAN
GANGGUAN PEMBEKUAN DARAH SEDANG
GANGGUAN PEMBEKUAN DARAH BERAT
KRISIS ANEMIA SEL SICKLE RINGAN
KRISIS ANEMIA SEL SICKLE SEDANG
KRISIS ANEMIA SEL SICKLE BERAT
GANGGUAN SEL DARAH MERAH SELAIN KRISIS
ANEMIA SEL SICKLE RINGAN
GANGGUAN SEL DARAH MERAH SELAIN KRISIS
ANEMIA SEL SICKLE SEDANG
GANGGUAN SEL DARAH MERAH SELAIN KRISIS
ANEMIA SEL SICKLE BERAT
GANGGUAN PADA DARAH & ORGAN PEMBENTUK
DARAH LAIN-LAIN (RINGAN)
GANGGUAN PADA DARAH & ORGAN PEMBENTUK
DARAH LAIN-LAIN (SEDANG)
GANGGUAN PADA DARAH & ORGAN PEMBENTUK
DARAH LAIN-LAIN (BERAT)
PROSEDUR KELENJAR PITUITARI DAN PINEAL
RINGAN
PROSEDUR KELENJAR PITUITARI DAN PINEAL
SEDANG
3.255.046
1.622.382
3.278.216
4.042.196
1.663.238
2.307.074
3.542.513
3.906.055
1.946.858
3.933.859
4.850.635
1.995.885
2.768.489
4.251.016
4.557.064
2.271.334
4.589.503
5.659.075
2.328.533
3.229.903
4.959.519
1.300.464
1.560.557
1.820.650
1.949.815
2.339.779
2.729.742
2.391.571
2.869.886
3.348.200
1.627.260
1.952.712
2.278.164
3.017.510
3.621.012
4.224.514
4.231.208
5.077.449
5.923.691
3.720.289
4.464.347
5.208.404
4.873.224
5.847.869
6.822.514
93 E-1-01-III
9.659.542
11.591.450
13.523.358
94 E-1-10-I
95 E-1-10-II
96 E-1-10-III
3.168.226
3.845.483
8.105.147
3.801.872
4.614.580
9.726.176
4.435.517
5.383.677
11.347.205
4.037.077
4.844.492
5.651.908
5.878.871
7.054.645
8.230.419
9.757.240
11.708.688
13.660.136
1.799.131
2.158.957
2.518.783
2.765.074
3.318.088
3.871.103
3.830.664
4.596.796
5.362.929
103 E-4-11-I
1.547.705
1.857.246
2.166.787
104 E-4-11-II
2.553.535
3.064.242
3.574.949
105
106
107
108
4.199.834
1.780.446
2.925.711
4.276.330
5.039.801
2.136.535
3.510.853
5.131.596
5.879.767
2.492.624
4.095.995
5.986.862
2.049.312
2.459.174
2.869.037
3.463.957
4.156.749
4.849.540
111 E-4-13-III
5.040.567
6.048.680
7.056.794
112 F-4-10-I
113 F-4-10-II
SCHIZOFRENIA RINGAN
SCHIZOFRENIA SEDANG
2.552.587
2.838.181
3.063.105
3.405.817
3.573.622
3.973.453
No
78
79
80
81
82
83
84
85 D-4-13-I
86 D-4-13-II
87 D-4-13-III
88 D-4-14-I
89 D-4-14-II
90 D-4-14-III
91 E-1-01-I
92 E-1-01-II
97 E-1-20-I
98 E-1-20-II
99 E-1-20-III
100 E-4-10-I
101 E-4-10-II
102 E-4-10-III
E-4-11-III
E-4-12-I
E-4-12-II
E-4-12-III
109 E-4-13-I
110 E-4-13-II
Kode INACBG
F-4-10-III
F-4-11-I
F-4-11-II
F-4-11-III
118 F-4-12-I
119 F-4-12-II
120 F-4-12-III
121
122
123
124
125
126
127
128
129
F-4-13-I
F-4-13-II
F-4-13-III
F-4-14-I
F-4-14-II
F-4-14-III
F-4-15-I
F-4-15-II
F-4-15-III
130 F-4-16-I
131 F-4-16-II
132 F-4-16-III
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
4.201.989
2.347.941
2.735.575
3.508.007
5.042.387
2.817.530
3.282.690
4.209.608
5.882.785
3.287.118
3.829.805
4.911.209
1.148.139
1.377.767
1.607.395
1.522.117
1.826.540
2.130.964
3.015.188
3.618.226
4.221.263
1.893.239
2.510.981
3.237.590
1.082.075
1.387.980
1.867.589
1.581.321
2.231.405
2.788.973
2.271.886
3.013.178
3.885.108
1.298.489
1.665.576
2.241.107
1.897.585
2.677.686
3.346.768
2.650.534
3.515.374
4.532.626
1.514.904
1.943.172
2.614.624
2.213.849
3.123.967
3.904.562
3.416.624
4.099.948
4.783.273
3.957.777
4.749.333
5.540.888
5.282.972
6.339.566
7.396.161
133 F-4-17-I
657.242
788.690
920.138
134 F-4-17-II
1.926.313
2.311.575
2.696.838
135 F-4-17-III
2.055.234
2.466.281
2.877.328
136
137
138
139
140
141
2.952.142
3.248.190
5.007.368
2.258.608
2.892.205
3.600.834
3.542.570
3.897.828
6.008.842
2.710.329
3.470.646
4.321.001
4.132.999
4.547.466
7.010.315
3.162.051
4.049.087
5.041.168
6.015.712
7.218.855
8.421.997
8.289.212
9.947.055
11.604.897
16.114.247
19.337.096
22.559.945
3.598.030
5.079.969
6.024.266
4.156.928
8.540.985
17.525.079
4.317.636
6.095.963
7.229.119
4.988.314
10.249.181
21.030.095
5.037.242
7.111.957
8.433.972
5.819.699
11.957.378
24.535.111
2.390.681
2.868.818
3.346.954
6.002.031
7.202.437
8.402.843
8.821.888
10.586.266
12.350.644
710.292
852.351
994.409
F-4-18-I
F-4-18-II
F-4-18-III
F-4-19-I
F-4-19-II
F-4-19-III
142 G-1-01-I
143 G-1-01-II
144 G-1-01-III
145
146
147
148
149
150
G-1-10-I
G-1-10-II
G-1-10-III
G-1-11-I
G-1-11-II
G-1-11-III
151 G-1-12-I
152 G-1-12-II
153 G-1-12-III
154 G-1-13-I
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
1.907.766
4.304.724
2.289.319
5.165.669
2.670.873
6.026.614
157 G-1-20-I
3.317.893
3.981.471
4.645.050
158 G-1-20-II
5.480.050
6.576.060
7.672.070
159 G-1-20-III
10.987.658
13.185.189
15.382.721
160 G-1-30-I
161 G-1-30-II
162 G-1-30-III
5.185.903
13.541.886
17.396.061
6.223.084
16.250.263
20.875.273
7.260.264
18.958.640
24.354.486
1.942.615
2.331.138
2.719.661
2.368.385
2.842.062
3.315.739
4.146.851
4.976.221
5.805.592
3.116.811
3.740.173
4.363.535
4.470.112
5.364.134
6.258.156
5.942.505
7.131.006
8.319.507
No
163 G-4-10-I
164 G-4-10-II
165 G-4-10-III
166 G-4-11-I
167 G-4-11-II
168 G-4-11-III
169 G-4-12-I
2.882.723
3.459.268
4.035.812
170 G-4-12-II
3.619.652
4.343.583
5.067.513
171 G-4-12-III
5.257.114
6.308.537
7.359.959
1.595.630
1.914.756
2.233.882
2.268.183
2.721.820
3.175.456
2.683.190
3.219.828
3.756.466
2.545.779
3.054.935
3.564.091
3.932.971
4.719.566
5.506.160
4.917.919
5.901.503
6.885.087
1.944.656
2.333.587
2.722.518
2.368.322
2.841.986
3.315.650
3.051.221
3.661.465
4.271.709
1.619.565
1.864.353
3.593.661
1.943.477
2.237.224
4.312.393
2.267.390
2.610.095
5.031.125
2.178.826
2.614.591
3.050.356
172 G-4-13-I
173 G-4-13-II
174 G-4-13-III
175 G-4-14-I
176 G-4-14-II
177 G-4-14-III
178 G-4-15-I
179 G-4-15-II
180 G-4-15-III
181 G-4-16-I
182 G-4-16-II
183 G-4-16-III
184 G-4-17-I
Kode INACBG
185 G-4-17-II
186 G-4-17-III
187 G-4-18-I
188 G-4-18-II
189 G-4-18-III
190 G-4-19-I
191 G-4-19-II
192 G-4-19-III
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
G-4-20-I
G-4-20-II
G-4-20-III
G-4-21-I
G-4-21-II
G-4-21-III
G-4-22-I
G-4-22-II
G-4-22-III
G-4-23-I
G-4-23-II
G-4-23-III
G-4-24-I
G-4-24-II
G-4-24-III
G-4-25-I
G-4-25-II
G-4-25-III
211 G-4-26-I
212 G-4-26-II
213 G-4-26-III
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
H-1-20-I
H-1-20-II
H-1-20-III
H-1-30-I
H-1-30-II
H-1-30-III
H-4-10-I
H-4-10-II
H-4-10-III
H-4-11-I
H-4-11-II
H-4-11-III
H-4-12-I
H-4-12-II
H-4-12-III
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
2.897.728
3.477.273
4.056.819
4.856.615
5.827.939
6.799.262
1.941.776
2.330.131
2.718.486
3.329.472
3.995.366
4.661.261
3.534.606
4.241.528
4.948.449
1.940.737
2.328.885
2.717.032
3.026.225
3.631.470
4.236.715
3.804.232
4.565.079
5.325.925
1.135.019
1.611.213
2.749.005
1.520.195
1.969.270
3.125.156
1.298.787
1.619.139
1.865.930
1.421.751
1.624.244
2.312.525
2.527.704
3.157.981
6.113.990
1.297.464
1.626.012
2.021.063
1.362.023
1.933.456
3.298.805
1.824.234
2.363.124
3.750.187
1.558.545
1.942.967
2.239.116
1.706.102
1.949.093
2.775.029
3.033.245
3.789.577
7.336.789
1.556.957
1.951.214
2.425.275
1.589.027
2.255.698
3.848.606
2.128.272
2.756.978
4.375.219
1.818.302
2.266.795
2.612.302
1.990.452
2.273.942
3.237.534
3.538.786
4.421.173
8.559.587
1.816.450
2.276.416
2.829.488
2.260.810
2.712.972
3.165.134
2.644.546
3.173.455
3.702.365
3.351.195
4.021.434
4.691.673
1.807.798
4.061.738
5.523.710
1.761.640
2.488.228
4.151.519
1.980.755
2.798.274
5.286.045
1.579.995
1.744.011
2.321.414
1.794.061
2.430.947
4.038.191
2.169.358
4.874.085
6.628.452
2.113.968
2.985.874
4.981.823
2.376.906
3.357.928
6.343.254
1.895.994
2.092.813
2.785.697
2.152.873
2.917.136
4.845.829
2.530.917
5.686.433
7.733.194
2.466.296
3.483.520
5.812.127
2.773.058
3.917.583
7.400.463
2.211.993
2.441.615
3.249.980
2.511.685
3.403.326
5.653.467
Kode INACBG
229 I-1-01-I
230 I-1-01-II
231 I-1-01-III
232 I-1-02-I
233 I-1-02-II
234 I-1-02-III
235 I-1-03-I
236 I-1-03-II
237 I-1-03-III
238 I-1-04-I
239 I-1-04-II
240 I-1-04-III
241 I-1-05-I
242 I-1-05-II
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
27.983.650
33.580.380
39.177.110
28.599.436
34.319.323
40.039.210
45.143.661
54.172.393
63.201.126
15.525.168
18.630.201
21.735.235
20.027.466
24.032.960
28.038.453
24.685.017
29.622.020
34.559.023
9.594.755
11.513.706
13.432.657
11.051.137
13.261.365
15.471.592
18.281.604
21.937.925
25.594.246
13.956.042
16.747.250
19.538.459
15.018.015
18.021.617
21.025.220
31.145.058
37.374.069
43.603.081
20.548.016
24.657.619
28.767.223
24.657.619
29.589.143
34.520.667
243 I-1-05-III
33.928.729
40.714.474
47.500.220
244 I-1-06-I
245 I-1-06-II
246 I-1-06-III
9.452.662
13.857.521
18.781.312
11.343.195
16.629.025
22.537.575
13.233.727
19.400.529
26.293.837
247 I-1-07-I
15.240.583
18.288.700
21.336.817
248 I-1-07-II
18.802.356
22.562.827
26.323.298
249 I-1-07-III
20.513.248
24.615.898
28.718.547
250 I-1-11-I
2.358.615
2.830.338
3.302.061
251 I-1-11-II
2.622.544
3.147.052
3.671.561
252 I-1-11-III
3.489.806
4.187.768
4.885.729
253 I-1-12-I
7.452.478
8.942.973
10.433.469
Kode INACBG
254 I-1-12-II
255 I-1-12-III
256 I-1-13-I
257 I-1-13-II
258 I-1-13-III
259 I-1-14-I
260 I-1-14-II
261 I-1-14-III
262 I-1-15-I
263 I-1-15-II
264 I-1-15-III
265 I-1-16-I
266 I-1-16-II
267 I-1-16-III
268 I-1-17-I
269 I-1-17-II
270 I-1-17-III
271 I-1-20-I
272 I-1-20-II
273 I-1-20-III
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
8.516.574
10.219.889
11.923.203
14.422.374
17.306.848
20.191.323
3.697.025
4.436.430
5.175.835
5.090.418
6.108.501
7.126.585
11.085.096
13.302.115
15.519.134
15.981.790
19.178.148
22.374.506
19.863.082
23.835.699
27.808.315
26.027.487
31.232.985
36.438.482
3.740.913
7.458.852
10.935.723
4.489.095
8.950.623
13.122.867
5.237.278
10.442.393
15.310.012
6.849.339
8.219.206
9.589.074
17.808.281
21.369.937
24.931.593
20.541.415
24.649.698
28.757.981
2.625.648
3.150.777
3.675.907
4.429.101
5.314.922
6.200.742
25.794.484
30.953.380
36.112.277
3.183.864
3.820.637
4.457.410
5.269.505
6.323.406
7.377.307
9.218.363
11.062.036
12.905.708
7.770.610
9.324.732
10.878.854
16.164.439
19.397.327
22.630.215
25.049.010
30.058.812
35.068.614
277 I-1-40-I
7.739.720
9.287.663
10.835.607
278 I-1-40-II
10.145.618
12.174.741
14.203.865
279 I-1-40-III
12.690.316
15.228.379
17.766.442
280
281
282
283
2.957.503
4.669.374
6.729.428
3.420.086
3.549.004
5.603.249
8.075.314
4.104.103
4.140.505
6.537.124
9.421.199
4.788.120
274 I-1-30-I
275 I-1-30-II
276 I-1-30-III
I-4-10-I
I-4-10-II
I-4-10-III
I-4-11-I
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
3.617.410
6.691.454
3.090.166
4.374.609
5.322.639
4.340.891
8.029.745
3.708.200
5.249.531
6.387.167
5.064.373
9.368.036
4.326.233
6.124.452
7.451.695
3.388.334
4.066.001
4.743.668
4.934.340
5.921.208
6.908.077
8.431.720
10.118.064
11.804.408
1.724.583
2.006.039
3.118.424
2.069.500
2.407.247
3.742.109
2.414.416
2.808.455
4.365.793
2.601.659
3.121.991
3.642.323
3.885.843
4.663.011
5.440.180
4.428.926
5.314.711
6.200.496
1.945.182
2.510.958
3.235.790
2.894.230
3.923.529
4.761.905
2.334.218
3.013.149
3.882.948
3.473.076
4.708.235
5.714.285
2.723.255
3.515.341
4.530.106
4.051.922
5.492.941
6.666.666
304 I-4-18-I
2.641.607
3.169.929
3.698.250
305 I-4-18-II
3.877.087
4.652.505
5.427.922
5.322.223
6.386.668
7.451.112
1.896.687
2.276.024
2.655.361
3.170.561
3.804.674
4.438.786
3.631.777
4.358.133
5.084.488
2.381.645
2.739.901
3.647.671
3.145.439
3.933.368
5.390.289
2.113.365
2.430.849
3.551.223
2.857.973
3.287.882
4.377.205
3.774.527
4.720.042
6.468.347
2.536.037
2.917.019
4.261.467
3.334.302
3.835.862
5.106.739
4.403.615
5.506.715
7.546.404
2.958.710
3.403.189
4.971.712
1.596.783
1.916.140
2.235.497
1.960.482
2.352.578
2.744.675
3.830.603
4.596.724
5.362.844
No
284
285
286
287
288
289 I-4-13-I
290 I-4-13-II
291 I-4-13-III
292 I-4-14-I
293 I-4-14-II
294 I-4-14-III
295 I-4-15-I
296 I-4-15-II
297 I-4-15-III
298
299
300
301
302
303
I-4-16-I
I-4-16-II
I-4-16-III
I-4-17-I
I-4-17-II
I-4-17-III
306 I-4-18-III
307 I-4-19-I
308 I-4-19-II
309 I-4-19-III
310
311
312
313
314
315
316
317
318
I-4-20-I
I-4-20-II
I-4-20-III
I-4-21-I
I-4-21-II
I-4-21-III
I-4-22-I
I-4-22-II
I-4-22-III
319 I-4-23-I
320 I-4-23-II
321 I-4-23-III
Kode INACBG
322 I-4-24-I
323 I-4-24-II
324 I-4-24-III
325 J-1-01-I
326 J-1-01-II
327 J-1-01-III
328 J-1-02-I
329 J-1-02-II
330 J-1-02-III
331 J-1-10-I
332 J-1-10-II
333 J-1-10-III
334 J-1-20-I
335 J-1-20-II
336 J-1-20-III
337 J-1-30-I
338 J-1-30-II
339 J-1-30-III
340
341
342
343
344
345
346
347
348
349
350
351
352
353
354
J-4-10-I
J-4-10-II
J-4-10-III
J-4-11-I
J-4-11-II
J-4-11-III
J-4-12-I
J-4-12-II
J-4-12-III
J-4-13-I
J-4-13-II
J-4-13-III
J-4-14-I
J-4-14-II
J-4-14-III
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
1.925.530
2.310.635
2.695.741
4.624.043
5.548.852
6.473.660
5.868.833
7.042.599
8.216.366
18.359.038
22.030.845
25.702.653
19.612.893
23.535.472
27.458.050
27.286.007
32.743.209
38.200.410
7.391.917
8.870.301
10.348.684
9.045.221
10.854.265
12.663.309
12.159.100
14.590.920
17.022.740
3.655.308
4.386.369
5.117.431
7.196.130
8.635.355
10.074.581
12.210.730
14.652.876
17.095.023
3.166.711
3.800.053
4.433.395
3.906.747
4.688.096
5.469.445
5.534.250
6.641.100
7.747.950
2.135.318
2.562.381
2.989.445
8.004.172
9.605.006
11.205.840
21.463.517
25.756.221
30.048.924
2.058.898
2.943.977
4.453.797
1.557.289
2.163.319
3.100.091
1.989.256
2.572.267
3.435.003
2.981.312
4.394.084
8.749.743
2.488.154
4.189.275
4.958.386
2.470.677
3.532.772
5.344.556
1.868.747
2.595.982
3.720.109
2.387.107
3.086.721
4.122.004
3.577.575
5.272.901
10.499.692
2.985.785
5.027.130
5.950.063
2.882.457
4.121.567
6.235.316
2.180.205
3.028.646
4.340.127
2.784.958
3.601.174
4.809.005
4.173.837
6.151.717
12.249.641
3.483.416
5.864.985
6.941.740
355 J-4-15-I
3.791.554
4.549.865
5.308.176
356 J-4-15-II
4.529.845
5.435.814
6.341.783
Kode INACBG
357 J-4-15-III
358 J-4-16-I
359 J-4-16-II
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
6.019.296
7.223.156
8.427.015
3.159.152
3.790.982
4.422.813
4.439.439
5.327.327
6.215.215
360 J-4-16-III
7.347.794
8.817.353
10.286.911
361
362
363
364
365
366
367
368
369
370
371
372
1.789.017
2.428.495
2.872.655
1.300.808
1.856.880
1.938.595
2.275.027
3.069.206
3.967.467
2.500.898
3.316.566
5.385.663
2.146.820
2.914.194
3.447.186
1.560.969
2.228.256
2.326.314
2.730.032
3.683.047
4.760.960
3.001.078
3.979.880
6.462.795
2.504.623
3.399.893
4.021.717
1.821.131
2.599.632
2.714.033
3.185.037
4.296.888
5.554.454
3.501.258
4.643.193
7.539.928
1.392.432
1.670.918
1.949.404
2.600.169
3.120.203
3.640.237
3.724.255
4.469.106
5.213.957
3.507.652
4.209.182
4.910.713
5.816.874
6.980.248
8.143.623
6.822.489
8.186.986
9.551.484
3.598.610
4.724.541
11.989.956
4.318.333
5.669.449
14.387.947
5.038.055
6.614.358
16.785.938
1.937.307
2.324.769
2.712.230
2.522.821
3.027.385
3.531.950
5.017.676
6.021.212
7.024.747
2.195.091
3.844.866
4.104.625
2.634.109
4.613.839
4.925.550
3.073.127
5.382.812
5.746.475
3.008.854
3.610.625
4.212.396
4.177.091
5.012.509
5.847.927
8.400.302
10.080.362
11.760.423
6.892.510
9.624.505
16.783.741
8.271.012
11.549.406
20.140.489
9.649.514
13.474.307
23.497.237
4.549.884
5.459.860
6.369.837
J-4-17-I
J-4-17-II
J-4-17-III
J-4-18-I
J-4-18-II
J-4-18-III
J-4-19-I
J-4-19-II
J-4-19-III
J-4-20-I
J-4-20-II
J-4-20-III
373 J-4-21-I
374 J-4-21-II
375 J-4-21-III
376 K-1-10-I
377 K-1-10-II
378 K-1-10-III
379 K-1-11-I
380 K-1-11-II
381 K-1-11-III
382 K-1-12-I
383 K-1-12-II
384 K-1-12-III
385 K-1-13-I
386 K-1-13-II
387 K-1-13-III
388 K-1-14-I
389 K-1-14-II
390 K-1-14-III
391 K-1-20-I
392 K-1-20-II
393 K-1-20-III
394 K-1-30-I
Kode INACBG
395 K-1-30-II
396 K-1-30-III
397 K-1-40-I
398 K-1-40-II
399 K-1-40-III
400
401
402
403
404
405
406
407
408
409
410
411
K-1-50-I
K-1-50-II
K-1-50-III
K-4-10-I
K-4-10-II
K-4-10-III
K-4-11-I
K-4-11-II
K-4-11-III
K-4-12-I
K-4-12-II
K-4-12-III
412 K-4-13-I
413 K-4-13-II
414 K-4-13-III
415 K-4-14-I
416 K-4-14-II
417 K-4-14-III
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
7.008.516
8.410.219
9.811.923
13.020.608
15.624.729
18.228.851
4.569.407
5.483.288
6.397.169
5.022.215
6.026.658
7.031.101
8.328.860
9.994.632
11.660.404
3.486.388
4.493.037
6.022.606
2.629.019
3.152.020
8.126.299
1.299.928
2.114.808
2.889.314
1.326.502
2.317.702
4.360.678
4.183.666
5.391.645
7.227.127
3.154.823
3.782.424
9.751.558
1.559.913
2.537.770
3.467.177
1.591.803
2.781.242
5.232.814
4.880.943
6.290.252
8.431.648
3.680.627
4.412.827
11.376.818
1.819.899
2.960.732
4.045.040
1.857.103
3.244.782
6.104.949
1.943.474
2.332.168
2.720.863
2.525.426
3.030.512
3.535.597
4.122.833
4.947.399
5.771.966
1.622.774
1.947.329
2.271.884
2.201.125
2.641.350
3.081.575
3.544.103
4.252.924
4.961.745
418 K-4-15-I
1.624.317
1.949.180
2.274.043
419 K-4-15-II
2.421.581
2.905.897
3.390.213
420 K-4-15-III
3.398.572
4.078.287
4.758.001
421 K-4-16-I
422 K-4-16-II
423 K-4-16-III
1.619.074
2.121.921
2.851.602
1.942.888
2.546.306
3.421.922
2.266.703
2.970.690
3.992.243
2.290.293
2.748.352
3.206.411
3.241.160
3.889.391
4.537.623
3.656.035
4.387.242
5.118.449
2.526.905
3.032.286
3.537.667
3.790.286
4.548.343
5.306.400
4.649.580
5.579.496
6.509.413
424 K-4-17-I
425 K-4-17-II
426 K-4-17-III
427 K-4-18-I
428 K-4-18-II
429 K-4-18-III
Kode INACBG
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
15.844.381
19.013.258
22.182.134
16.471.377
19.765.653
23.059.928
27.849.027
33.418.833
38.988.638
5.805.599
6.966.718
8.127.838
10.447.379
12.536.855
14.626.331
11.032.651
13.239.181
15.445.712
2.759.608
3.311.530
3.863.452
4.837.869
5.805.442
6.773.016
8.188.531
9.826.237
11.463.943
3.559.579
6.389.089
7.782.704
1.951.238
2.679.228
5.514.144
2.088.893
2.890.769
6.670.729
2.176.822
3.423.410
5.544.089
4.271.494
7.666.907
9.339.245
2.341.486
3.215.073
6.616.973
2.506.671
3.468.923
8.004.875
2.612.186
4.108.091
6.652.907
4.983.410
8.944.724
10.895.786
2.731.734
3.750.919
7.719.802
2.924.450
4.047.076
9.339.021
3.047.551
4.792.773
7.761.725
1.347.654
1.617.185
1.886.716
1.684.496
2.021.395
2.358.294
2.378.148
2.853.777
3.329.407
1.336.484
1.603.781
1.871.078
1.981.569
2.377.883
2.774.197
3.651.599
4.381.919
5.112.239
6.323.929
7.588.715
8.853.501
7.058.528
8.470.234
9.881.939
9.915.319
11.898.383
13.881.447
5.366.582
8.830.533
12.923.448
6.439.899
10.596.640
15.508.138
7.513.215
12.362.746
18.092.828
11.348.492
13.618.190
15.887.888
13.283.640
15.940.369
18.597.097
Kode INACBG
465 M-1-03-III
466 M-1-04-I
467 M-1-04-II
468 M-1-04-III
469 M-1-05-I
470 M-1-05-II
471 M-1-05-III
472 M-1-07-I
473 M-1-07-II
474 M-1-07-III
475 M-1-10-I
476 M-1-10-II
477 M-1-10-III
478 M-1-20-I
479 M-1-20-II
480 M-1-20-III
481 M-1-30-I
482 M-1-30-II
483 M-1-30-III
484 M-1-40-I
485 M-1-40-II
486 M-1-40-III
487 M-1-50-I
488 M-1-50-II
489 M-1-50-III
490 M-1-60-I
491 M-1-60-II
492 M-1-60-III
493 M-1-70-I
494 M-1-70-II
495 M-1-70-III
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
15.386.699
18.464.039
21.541.379
3.530.855
4.237.026
4.943.198
4.540.595
5.448.714
6.356.834
5.681.699
6.818.039
7.954.379
4.486.990
5.384.388
6.281.786
5.178.161
6.213.793
7.249.425
8.819.818
10.583.781
12.347.745
5.080.791
6.096.950
7.113.108
6.806.673
8.168.007
9.529.342
13.865.837
16.639.005
19.412.172
3.808.127
4.569.753
5.331.378
10.691.762
12.830.114
14.968.467
15.753.969
18.904.763
22.055.557
3.757.469
4.508.963
5.260.457
4.268.001
5.121.601
5.975.201
10.412.313
12.494.775
14.577.238
2.255.873
4.659.008
6.950.258
2.707.048
5.590.810
8.340.310
3.158.222
6.522.612
9.730.362
2.225.548
2.670.658
3.115.768
3.655.740
4.386.888
5.118.036
6.120.422
7.344.507
8.568.591
4.428.462
8.884.186
13.610.109
5.314.154
10.661.023
16.332.131
6.199.846
12.437.861
19.054.153
2.277.148
2.732.577
3.188.007
4.557.007
5.468.408
6.379.810
7.910.346
9.492.415
11.074.484
3.045.555
3.654.666
4.263.777
6.209.557
7.451.468
8.693.380
8.684.373
10.421.247
12.158.122
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
2.452.457
3.711.965
8.284.657
1.318.300
2.364.072
4.050.638
2.942.948
4.454.358
9.941.588
1.581.960
2.836.886
4.860.766
3.433.439
5.196.751
11.598.520
1.845.619
3.309.700
5.670.894
2.050.022
2.460.026
2.870.030
3.993.894
4.792.673
5.591.452
6.804.562
8.165.475
9.526.387
1.298.818
1.558.581
1.818.345
2.363.045
2.835.654
3.308.263
4.223.293
5.067.952
5.912.611
2.873.628
3.448.354
4.023.080
3.249.111
3.898.934
4.548.756
7.691.882
9.230.258
10.768.634
2.601.808
3.584.493
5.684.858
1.939.466
2.582.968
5.517.847
1.938.217
2.826.706
5.768.063
3.122.170
4.301.391
6.821.830
2.327.359
3.099.562
6.621.417
2.325.860
3.392.047
6.921.676
3.642.532
5.018.290
7.958.801
2.715.252
3.616.155
7.724.986
2.713.503
3.957.388
8.075.289
1.653.957
1.984.748
2.315.540
2.269.096
2.722.916
3.176.735
3.182.271
3.818.725
4.455.180
523 M-4-18-I
1.749.137
2.098.964
2.448.791
524 M-4-18-II
2.636.037
3.163.244
3.690.452
525 M-4-18-III
3.174.160
3.808.992
4.443.824
1.688.391
2.026.069
2.363.747
2.843.790
3.412.549
3.981.307
4.865.248
5.838.298
6.811.348
1.299.780
1.559.736
1.819.692
No
496
497
498
499
500
501
502 M-4-11-I
503 M-4-11-II
504 M-4-11-III
505 M-4-12-I
506 M-4-12-II
507 M-4-12-III
508 M-4-13-I
509 M-4-13-II
510 M-4-13-III
511
512
513
514
515
516
517
518
519
M-4-14-I
M-4-14-II
M-4-14-III
M-4-15-I
M-4-15-II
M-4-15-III
M-4-16-I
M-4-16-II
M-4-16-III
520 M-4-17-I
521 M-4-17-II
522 M-4-17-III
Kode INACBG
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
1.944.888
2.333.865
2.722.843
2.162.020
2.594.424
3.026.828
1.295.444
1.554.533
1.813.622
2.020.351
2.424.421
2.828.491
4.010.836
4.813.003
5.615.170
250.000.000
250.000.000
250.000.000
5.077.899
250.000.000
250.000.000
250.000.000
6.093.479
250.000.000
250.000.000
250.000.000
7.109.058
539 N-1-11-II
7.848.555
9.418.266
10.987.977
540 N-1-11-III
11.556.439
13.867.726
16.179.014
2.579.047
3.094.856
3.610.666
7.298.309
8.757.971
10.217.632
13.299.529
15.959.435
18.619.341
4.247.802
8.406.082
9.646.716
5.097.362
10.087.299
11.576.059
5.946.922
11.768.515
13.505.403
5.055.268
6.066.322
7.077.375
7.632.344
9.158.812
10.685.281
8.015.054
9.618.064
11.221.075
4.560.507
5.472.608
6.384.709
6.185.233
7.422.280
8.659.327
7.170.716
8.604.859
10.039.003
1.777.231
2.132.677
2.488.123
2.599.203
3.119.044
3.638.885
4.159.835
4.991.802
5.823.770
1.490.252
2.513.595
2.870.344
1.434.327
2.024.807
2.523.525
1.777.042
2.360.840
4.974.210
1.788.302
3.016.314
3.444.412
1.721.193
2.429.768
3.028.231
2.132.451
2.833.008
5.969.052
2.086.352
3.519.033
4.018.481
2.008.058
2.834.729
3.532.936
2.487.859
3.305.176
6.963.894
541 N-1-12-I
542 N-1-12-II
543 N-1-12-III
544 N-1-20-I
545 N-1-20-II
546 N-1-20-III
547 N-1-30-I
548 N-1-30-II
549 N-1-30-III
550 N-1-40-I
551 N-1-40-II
552 N-1-40-III
553 N-4-10-I
554 N-4-10-II
555 N-4-10-III
556
557
558
559
560
561
562
563
564
N-4-11-I
N-4-11-II
N-4-11-III
N-4-12-I
N-4-12-II
N-4-12-III
N-4-13-I
N-4-13-II
N-4-13-III
Kode INACBG
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
565 N-4-14-I
1.124.572
1.349.487
1.574.401
566 N-4-14-II
1.730.110
2.076.132
2.422.154
567 N-4-14-III
2.805.687
3.366.825
3.927.962
1.624.809
1.949.771
2.274.733
2.237.720
2.685.264
3.132.807
2.553.642
3.064.370
3.575.099
2.003.492
2.404.191
2.804.889
2.600.516
3.120.619
3.640.723
4.464.144
5.356.973
6.249.802
3.656.485
4.387.782
5.119.079
4.034.913
4.841.895
5.648.878
4.232.001
5.078.402
5.924.802
1.726.436
2.071.723
2.417.010
2.090.149
2.508.179
2.926.209
3.539.010
4.246.813
4.954.615
1.415.130
1.698.155
1.981.181
1.699.567
2.039.480
2.379.394
2.135.262
2.562.315
2.989.367
1.830.574
2.166.604
2.716.040
2.196.689
2.599.925
3.259.248
2.562.804
3.033.245
3.802.457
32.591.041
39.109.250
45.627.458
40.326.316
48.391.579
56.456.842
568 N-4-15-I
569 N-4-15-II
570 N-4-15-III
571 N-4-16-I
572 N-4-16-II
573 N-4-16-III
574 O-6-10-I
575 O-6-10-II
576 O-6-10-III
577 O-6-11-I
578 O-6-11-II
579 O-6-11-III
580 O-6-12-I
581 O-6-12-II
582 O-6-12-III
583 O-6-13-I
584 O-6-13-II
585 O-6-13-III
586 P-8-01-I
587 P-8-01-II
Kode INACBG
588 P-8-01-III
589 P-8-02-I
590 P-8-02-II
591 P-8-02-III
592 P-8-03-I
593 P-8-03-II
594 P-8-03-III
595 P-8-04-I
596 P-8-04-II
597 P-8-04-III
598 P-8-05-I
599 P-8-05-II
600 P-8-05-III
601 P-8-06-I
602 P-8-06-II
603 P-8-06-III
604 P-8-07-I
605 P-8-07-II
606 P-8-07-III
607 P-8-08-I
608 P-8-08-II
609 P-8-08-III
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
47.331.790
56.798.148
66.264.506
47.245.606
56.694.727
66.143.848
54.195.573
65.034.688
75.873.803
61.922.317
74.306.781
86.691.244
1.781.035
2.137.242
2.493.448
2.496.434
2.995.721
3.495.008
4.299.956
5.159.947
6.019.938
18.953.731
22.744.477
26.535.224
24.730.704
29.676.845
34.622.986
35.457.605
42.549.126
49.640.647
10.326.037
12.391.245
14.456.452
14.673.908
17.608.690
20.543.471
21.620.033
25.944.040
30.268.047
1.783.606
2.140.327
2.497.049
4.278.842
5.134.611
5.990.379
7.851.151
9.421.381
10.991.611
2.745.468
3.294.562
3.843.656
6.984.946
8.381.935
9.778.924
9.257.641
11.109.169
12.960.697
3.174.849
3.809.819
4.444.788
4.504.960
5.405.952
6.306.944
7.294.521
8.753.426
10.212.330
610 P-8-10-I
1.345.109
1.614.131
1.883.153
611 P-8-10-II
2.382.888
2.859.466
3.336.044
Kode INACBG
612 P-8-10-III
613 P-8-11-I
614 P-8-11-II
615 P-8-11-III
616 P-8-12-I
617 P-8-12-II
618 P-8-12-III
619 P-8-13-I
620 P-8-13-II
621 P-8-13-III
622 P-8-14-I
623 P-8-14-II
624 P-8-14-III
625 P-8-15-I
626 P-8-15-II
627 P-8-15-III
628 P-8-16-I
629 P-8-16-II
630 P-8-16-III
631 P-8-17-I
632 P-8-17-II
633 P-8-17-III
634 S-4-10-I
635 S-4-10-II
636 S-4-10-III
637
638
639
640
641
S-4-11-I
S-4-11-II
S-4-11-III
S-4-12-I
S-4-12-II
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
4.678.312
5.613.975
6.549.637
1.820.635
2.184.762
2.548.889
8.025.438
9.630.525
11.235.613
8.193.572
9.832.287
11.471.001
2.185.056
2.622.067
3.059.078
3.397.622
4.077.146
4.756.670
4.016.361
4.819.633
5.622.906
1.781.457
2.137.748
2.494.039
3.080.328
3.696.393
4.312.459
4.585.447
5.502.536
6.419.625
2.059.519
2.471.423
2.883.327
4.199.334
5.039.200
5.879.067
4.606.754
5.528.105
6.449.456
1.553.854
1.864.625
2.175.396
3.095.484
3.714.580
4.333.677
3.634.114
4.360.937
5.087.760
1.406.596
1.687.915
1.969.235
1.988.275
2.385.930
2.783.585
2.579.543
3.095.451
3.611.360
1.511.962
1.814.354
2.116.746
3.930.969
4.717.163
5.503.357
7.429.702
8.915.642
10.401.582
1.301.211
1.561.453
1.821.695
1.625.770
1.950.924
2.276.078
2.104.937
2.525.924
2.946.911
813.070
1.297.050
1.996.496
970.805
1.301.030
975.684
1.556.460
2.395.795
1.164.966
1.561.236
1.138.298
1.815.870
2.795.095
1.359.127
1.821.442
643 S-4-13-I
644 S-4-13-II
645 S-4-13-III
646 S-4-14-I
647 S-4-14-II
648 S-4-14-III
649 S-4-15-I
650 S-4-15-II
651 S-4-15-III
652 S-4-16-I
653 S-4-16-II
654 S-4-16-III
655 S-4-17-I
656 S-4-17-II
657 S-4-17-III
658 T-1-10-I
659 T-1-10-II
660 T-1-10-III
661 T-4-10-I
662 T-4-10-II
663 T-4-10-III
664 T-4-11-I
665 T-4-11-II
666 T-4-11-III
667 T-4-12-I
668 T-4-12-II
669 T-4-12-III
670 U-1-10-I
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
2.478.938
2.974.725
3.470.513
1.386.704
1.664.044
1.941.385
2.286.766
2.744.119
3.201.472
4.683.319
5.619.982
6.556.646
790.307
948.368
1.106.430
1.678.877
2.014.652
2.350.428
3.183.749
3.820.498
4.457.248
597.716
717.260
836.803
1.128.094
1.353.713
1.579.332
1.461.144
1.753.373
2.045.602
2.275.178
3.829.514
5.307.334
2.730.213
4.595.417
6.368.800
3.185.249
5.361.320
7.430.267
1.371.353
1.645.623
1.919.894
1.687.665
2.025.198
2.362.731
2.653.394
3.184.073
3.714.752
1.216.238
1.459.486
1.702.734
1.633.326
1.959.991
2.286.656
2.971.552
3.565.862
4.160.172
546.544
655.852
765.161
1.041.591
1.249.909
1.458.227
1.514.190
1.817.028
2.119.866
647.167
776.600
906.033
1.018.456
1.222.147
1.425.838
1.640.432
1.968.519
2.296.605
1.131.900
1.358.280
1.584.660
1.711.182
2.053.418
2.395.655
2.670.705
3.204.846
3.738.987
1.208.075
1.449.690
1.691.305
673 U-1-11-I
674 U-1-11-II
675 U-1-11-III
676
677
678
679
680
681
U-1-12-I
U-1-12-II
U-1-12-III
U-1-13-I
U-1-13-II
U-1-13-III
682 U-1-14-I
683 U-1-14-II
684 U-1-14-III
685 U-1-15-I
686 U-1-15-II
687 U-1-15-III
688 U-1-20-I
689 U-1-20-II
690 U-1-20-III
691 U-1-30-I
692 U-1-30-II
693 U-1-30-III
694 U-4-10-I
695 U-4-10-II
696 U-4-10-III
697
698
699
700
701
702
U-4-11-I
U-4-11-II
U-4-11-III
U-4-12-I
U-4-12-II
U-4-12-III
703 U-4-13-I
704 U-4-13-II
705 U-4-13-III
706 U-4-14-I
707 U-4-14-II
708 U-4-14-III
709 U-4-15-I
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
2.465.152
10.645.024
2.958.182
12.774.029
3.451.213
14.903.034
4.320.046
5.184.055
6.048.065
5.683.424
6.820.109
7.956.793
10.742.796
12.891.355
15.039.915
3.339.750
6.425.468
8.354.058
3.491.228
4.372.607
6.482.423
4.007.700
7.710.562
10.024.870
4.189.474
5.247.129
7.778.908
4.675.650
8.995.655
11.695.682
4.887.720
6.121.650
9.075.393
2.307.720
2.769.264
3.230.808
2.832.037
3.398.444
3.964.851
3.356.043
4.027.252
4.698.460
1.357.340
1.928.832
2.935.535
1.628.808
2.314.598
3.522.642
1.900.276
2.700.364
4.109.749
3.504.032
4.204.838
4.905.645
6.019.321
7.223.186
8.427.050
10.503.422
12.604.106
14.704.791
3.008.910
4.052.070
6.994.106
3.610.692
4.862.484
8.392.928
4.212.474
5.672.898
9.791.749
2.806.560
3.367.871
3.929.183
5.323.393
6.388.072
7.452.751
8.173.156
9.807.787
11.442.419
1.297.410
1.949.748
2.627.255
1.296.365
1.802.668
2.340.325
1.556.892
2.339.697
3.152.706
1.555.638
2.163.201
2.808.390
1.816.375
2.729.647
3.678.157
1.814.911
2.523.735
3.276.455
1.299.025
1.558.830
1.818.635
1.481.991
1.778.389
2.074.787
1.972.431
2.366.917
2.761.403
1.621.719
1.946.549
3.268.986
1.946.063
2.335.859
3.922.783
2.270.406
2.725.169
4.576.581
1.293.471
1.552.165
1.810.859
Kode INACBG
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
1.640.382
1.968.458
2.296.534
2.275.790
2.730.948
3.186.106
3.837.599
4.605.118
5.372.638
4.373.930
5.248.717
6.123.503
6.527.980
7.833.576
9.139.172
4.370.938
4.884.269
7.242.746
5.245.125
5.861.123
8.691.295
6.119.313
6.837.976
10.139.844
2.823.740
3.388.488
3.953.236
7.920.123
9.504.147
11.088.172
8.539.556
10.247.468
11.955.379
4.279.025
5.134.831
5.990.636
7.143.431
8.572.118
10.000.804
8.556.281
10.267.537
11.978.793
5.158.164
6.189.796
7.221.429
6.374.031
7.648.837
8.923.643
7.764.666
9.317.599
10.870.532
2.322.879
3.579.844
5.896.535
2.787.455
4.295.813
7.075.843
3.252.031
5.011.782
8.255.150
2.990.697
3.588.836
4.186.975
4.137.397
4.964.876
5.792.355
7.760.422
9.312.506
10.864.590
1.865.562
2.238.674
2.611.786
2.619.202
3.143.042
3.666.882
3.917.469
4.700.963
5.484.456
5.847.583
7.017.100
8.186.616
7.056.580
8.467.896
9.879.212
11.722.107
14.066.528
16.410.949
1.636.107
2.488.481
4.071.808
1.963.329
2.986.177
4.886.169
2.290.550
3.483.873
5.700.531
Kode INACBG
742 W-1-11-I
743 W-1-11-II
744 W-1-11-III
745 W-1-12-I
746 W-1-12-II
747 W-1-12-III
748 W-1-13-I
749 W-1-13-II
750 W-1-13-III
751 W-1-20-I
752 W-1-20-II
753 W-1-20-III
754 W-1-30-I
755 W-1-30-II
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
2.484.165
2.980.997
3.477.830
4.367.443
5.240.932
6.114.421
9.196.606
11.035.927
12.875.248
1.543.625
1.852.350
2.161.075
1.745.954
2.095.144
2.444.335
2.682.005
3.218.406
3.754.807
1.530.898
1.837.078
2.143.258
1.662.114
1.994.537
2.326.960
2.232.526
2.679.032
3.125.537
4.003.665
5.676.994
6.169.038
4.804.398
6.812.393
7.402.845
5.605.131
7.947.791
8.636.653
2.585.906
3.103.087
3.620.268
4.124.653
4.949.584
5.774.515
756 W-1-30-III
11.577.828
13.893.393
16.208.959
757
758
759
760
761
762
2.035.951
2.743.975
5.182.645
1.531.635
2.112.037
2.549.930
2.443.141
3.292.770
6.219.174
1.837.962
2.534.444
3.059.916
2.850.332
3.841.565
7.255.704
2.144.289
2.956.852
3.569.902
1.301.086
1.561.303
1.821.520
1.971.339
2.365.606
2.759.874
2.378.815
2.854.578
3.330.341
710.800
974.170
1.298.650
972.136
1.301.749
1.578.492
922.409
1.037.404
1.321.474
1.895.760
2.535.154
3.435.972
952.451
1.299.701
2.449.027
2.225.692
2.954.284
852.960
1.169.004
1.558.379
1.166.563
1.562.098
1.894.190
1.106.891
1.244.885
1.585.769
2.274.912
3.042.184
4.123.166
1.142.941
1.559.642
2.938.832
2.670.830
3.545.141
995.120
1.363.838
1.818.109
1.360.990
1.822.448
2.209.888
1.291.373
1.452.366
1.850.064
2.654.064
3.549.215
4.810.361
1.333.432
1.819.582
3.428.638
3.115.968
4.135.998
W-4-10-I
W-4-10-II
W-4-10-III
W-4-11-I
W-4-11-II
W-4-11-III
763 W-4-12-I
764 W-4-12-II
765 W-4-12-III
766
767
768
769
770
771
772
773
774
775
776
777
778
779
780
781
782
W-4-13-I
W-4-13-II
W-4-13-III
W-4-14-I
W-4-14-II
W-4-14-III
W-4-15-I
W-4-15-II
W-4-15-III
W-4-16-I
W-4-16-II
W-4-16-III
W-4-17-I
W-4-17-II
W-4-17-III
Z-4-10-I
Z-4-10-II
Kode INACBG
Z-4-10-III
Z-4-11-I
Z-4-11-II
Z-4-11-III
787 Z-4-12-I
788 Z-4-12-II
789 Z-4-12-III
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
4.196.843
1.897.124
2.283.819
3.560.536
5.036.211
2.276.549
2.740.583
4.272.644
5.875.580
2.655.974
3.197.347
4.984.751
976.373
1.171.647
1.366.922
2.379.097
2.854.916
3.330.736
3.017.191
3.620.630
4.224.068
Kode INA-CBG
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
B-2-10-0
B-2-11-0
B-2-12-0
B-2-13-0
B-2-14-0
B-3-10-0
B-3-11-0
B-3-12-0
C-3-10-0
C-3-11-0
C-3-12-0
C-3-13-0
C-3-14-0
C-3-15-0
C-3-16-0
C-3-17-0
C-3-18-0
C-3-19-0
C-3-20-0
C-3-21-0
C-3-22-0
C-3-23-0
D-2-10-0
D-2-11-0
D-2-21-0
D-2-22-0
D-3-10-0
D-3-11-0
E-2-10-0
E-2-21-0
E-2-22-0
E-3-10-0
F-3-10-0
F-5-10-0
F-5-11-0
F-5-12-0
F-5-13-0
F-5-14-0
F-5-15-0
F-5-16-0
G-2-10-0
G-2-11-0
G-2-12-0
G-2-13-0
G-2-21-0
G-2-22-0
G-2-31-0
G-2-32-0
G-3-10-0
G-3-11-0
G-3-12-0
G-3-13-0
H-2-21-0
H-2-22-0
H-2-23-0
H-2-31-0
H-2-32-0
H-2-33-0
H-2-34-0
H-2-35-0
H-2-36-0
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
Kode INA-CBG
62
63
64
65
66
67
68
69
70
71
H-2-37-0
H-3-10-0
H-3-11-0
H-3-12-0
H-3-13-0
I-2-11-0
I-2-12-0
I-2-13-0
I-2-14-0
I-2-15-0
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
I-2-16-0
I-2-17-0
I-2-21-0
I-2-22-0
I-2-23-0
I-2-31-0
I-2-32-0
I-2-41-0
I-2-42-0
I-3-10-0
I-3-11-0
I-3-12-0
I-3-13-0
I-3-14-0
I-3-15-0
J-2-10-0
J-2-21-0
J-2-22-0
J-2-31-0
J-2-32-0
J-3-10-0
J-3-11-0
J-3-12-0
J-3-13-0
J-3-14-0
J-3-15-0
J-3-16-0
J-3-17-0
K-2-10-0
K-2-11-0
K-2-12-0
K-2-13-0
K-2-14-0
K-2-21-0
K-2-22-0
K-2-31-0
K-2-32-0
K-2-41-0
K-2-42-0
K-2-51-0
K-2-52-0
K-2-53-0
K-3-10-0
K-3-11-0
K-3-12-0
K-3-13-0
K-3-14-0
K-3-15-0
K-3-16-0
L-2-21-0
L-2-22-0
Kode INA-CBG
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
L-2-31-0
L-2-32-0
L-2-41-0
L-2-42-0
L-2-51-0
L-2-52-0
L-2-53-0
L-3-10-0
L-3-11-0
L-3-12-0
M-2-10-0
M-2-21-0
M-2-22-0
M-2-31-0
M-2-32-0
M-2-41-0
M-2-42-0
M-2-51-0
M-2-52-0
M-2-61-0
M-2-62-0
M-2-63-0
M-2-64-0
M-2-65-0
M-2-71-0
M-2-72-0
M-2-81-0
M-2-82-0
M-2-83-0
M-2-84-0
M-3-10-0
M-3-11-0
M-3-12-0
M-3-13-0
M-3-14-0
M-3-15-0
M-3-16-0
M-3-17-0
N-2-11-0
N-2-12-0
N-2-21-0
N-2-22-0
N-2-23-0
N-2-24-0
N-2-31-0
N-2-32-0
N-2-41-0
N-2-42-0
N-3-10-0
N-3-11-0
N-3-12-0
N-3-13-0
N-3-14-0
N-3-15-0
O-7-10-0
O-7-11-0
O-7-12-0
179
180 O-7-13-0
P-9-10-0
181
182 P-9-11-0
183 P-9-12-0
170.987
170.987
170.987
Kode INA-CBG
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
229
230
231
232
233
234
235
236
237
P-9-13-0
P-9-14-0
P-9-15-0
P-9-16-0
P-9-17-0
Q-5-10-0
Q-5-11-0
Q-5-12-0
Q-5-13-0
Q-5-14-0
Q-5-15-0
Q-5-16-0
Q-5-17-0
Q-5-18-0
Q-5-19-0
Q-5-20-0
Q-5-21-0
Q-5-22-0
Q-5-23-0
Q-5-24-0
Q-5-25-0
Q-5-26-0
Q-5-27-0
Q-5-28-0
Q-5-29-0
Q-5-30-0
Q-5-31-0
Q-5-32-0
Q-5-33-0
Q-5-34-0
Q-5-35-0
Q-5-36-0
Q-5-37-0
Q-5-38-0
Q-5-39-0
Q-5-40-0
Q-5-41-0
Q-5-42-0
Q-5-43-0
Q-5-44-0
T-2-10-0
U-2-10-0
U-2-11-0
U-2-12-0
U-2-13-0
U-2-14-0
U-2-15-0
U-2-21-0
U-2-22-0
U-2-23-0
U-2-24-0
U-2-25-0
U-2-31-0
U-2-32-0
U-3-10-0
238
239 U-3-11-0
240 U-3-12-0
188.068
176.064
83.166
U-3-13-0
241
242 U-3-14-0
243 U-3-15-0
244 U-3-16-0
182.566
166.598
146.439
163.901
Kode INA-CBG
245
246
247
248
249
250
251
252
253
254
255
256
257
258
259
260
261
262
263
264
265
266
267
268
V-2-10-0
V-2-11-0
V-2-12-0
V-2-13-0
V-2-14-0
V-2-15-0
V-3-10-0
V-3-11-0
V-3-12-0
W-2-10-0
W-2-11-0
W-2-12-0
W-2-13-0
W-2-21-0
W-2-22-0
W-2-23-0
W-2-31-0
W-2-32-0
W-2-33-0
W-2-34-0
W-3-10-0
W-3-11-0
W-3-12-0
Z-3-10-0
269
270
271
272
273
274
275
276
277
278
279
280
281
282
283
284
285
286
287
288
Z-3-11-0
Z-3-12-0
Z-3-13-0
Z-3-14-0
Z-3-15-0
Z-3-16-0
Z-3-17-0
Z-3-18-0
Z-3-19-0
Z-3-20-0
Z-3-21-0
Z-3-22-0
Z-3-23-0
Z-3-24-0
Z-3-25-0
Z-3-26-0
Z-3-27-0
Z-3-28-0
Z-3-29-0
Z-3-30-0
Kode INACBG
A-4-10-I
A-4-10-II
A-4-10-III
A-4-11-I
A-4-11-II
A-4-11-III
A-4-12-I
A-4-12-II
A-4-12-III
A-4-13-I
A-4-13-II
A-4-13-III
13 A-4-14-I
14 A-4-14-II
15 A-4-14-III
16
17
18
19
20
21
22
23
24
25
26
27
A-4-15-I
A-4-15-II
A-4-15-III
B-1-01-I
B-1-01-II
B-1-01-III
B-1-10-I
B-1-10-II
B-1-10-III
B-1-11-I
B-1-11-II
B-1-11-III
28 B-1-12-I
29 B-1-12-II
30 B-1-12-III
31 B-1-13-I
32 B-1-13-II
33 B-1-13-III
34 B-1-14-I
35 B-1-14-II
36 B-1-14-III
37 B-4-10-I
38 B-4-10-II
39 B-4-10-III
40 B-4-11-I
41 B-4-11-II
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
SEPTIKEMIA RINGAN
SEPTIKEMIA SEDANG
SEPTIKEMIA BERAT
INFEKSI SESUDAH OPERASI & TRAUMA RINGAN
INFEKSI SESUDAH OPERASI & TRAUMA SEDANG
INFEKSI SESUDAH OPERASI & TRAUMA BERAT
DEMAM RINGAN
DEMAM SEDANG
DEMAM BERAT
INFEKSI NON BAKTERI RINGAN
INFEKSI NON BAKTERI SEDANG
INFEKSI NON BAKTERI BERAT
PENYAKIT INFEKSI BAKTERI DAN PARASIT LAIN-LAIN
RINGAN
PENYAKIT INFEKSI BAKTERI DAN PARASIT LAIN-LAIN
SEDANG
PENYAKIT INFEKSI BAKTERI DAN PARASIT LAIN-LAIN
BERAT
INFEKSI HIV RINGAN
INFEKSI HIV SEDANG
INFEKSI HIV BERAT
PROSEDUR PENCANGKOKAN HATI RINGAN
PROSEDUR PENCANGKOKAN HATI SEDANG
PROSEDUR PENCANGKOKAN HATI BERAT
PROSEDUR HATI DAN PANKREAS RINGAN
PROSEDUR HATI DAN PANKREAS SEDANG
PROSEDUR HATI DAN PANKREAS BERAT
PROSEDUR SALURAN EMPEDU KOMPLEK (RINGAN)
PROSEDUR SALURAN EMPEDU KOMPLEK (SEDANG)
PROSEDUR SALURAN EMPEDU KOMPLEK (BERAT)
PROSEDUR CHOLESISTEKTOMI TANPA LAPAROSKOPIK
RINGAN
PROSEDUR CHOLESISTEKTOMI TANPA LAPAROSKOPIK
SEDANG
PROSEDUR CHOLESISTEKTOMI TANPA LAPAROSKOPIK
BERAT
PROSEDUR PANKREAS DAN HEPATOBILLIARI LAIN-LAIN
(RINGAN)
PROSEDUR PANKREAS DAN HEPATOBILLIARI LAIN-LAIN
(SEDANG)
PROSEDUR PANKREAS DAN HEPATOBILLIARI LAIN-LAIN
(BERAT)
PROSEDUR CHOLESISTEKTOMI DENGAN LAPAROSKOPIK
RINGAN
PROSEDUR CHOLESISTEKTOMI DENGAN LAPAROSKOPIK
SEDANG
PROSEDUR CHOLESISTEKTOMI DENGAN LAPAROSKOPIK
BERAT
SIROSIS DAN HEPATITIS ALKOHOLIK RINGAN
SIROSIS DAN HEPATITIS ALKOHOLIK SEDANG
SIROSIS DAN HEPATITIS ALKOHOLIK BERAT
TUMOR SISTEM HEPATOBILLIARI DAN PANCREAS
RINGAN
TUMOR SISTEM HEPATOBILLIARI DAN PANCREAS
SEDANG
3.285.051
5.612.154
7.926.583
7.152.374
12.597.785
20.606.756
3.600.632
4.483.934
4.785.633
4.587.452
5.417.889
6.811.745
3.942.061
6.734.585
9.511.900
8.582.848
15.117.342
24.728.108
4.320.758
5.380.721
5.742.759
5.504.942
6.501.467
8.174.093
4.599.072
7.857.015
11.097.216
10.013.323
17.636.899
28.849.459
5.040.885
6.277.508
6.699.886
6.422.432
7.585.045
9.536.442
3.817.415
4.580.898
5.344.381
4.910.161
5.892.194
6.874.226
5.625.890
6.751.068
7.876.246
5.733.772
8.582.774
10.770.608
58.583.991
64.633.625
113.380.747
7.594.902
19.356.376
33.021.806
5.096.270
12.738.271
16.001.407
6.880.526
10.299.329
12.924.729
70.300.789
77.560.350
136.056.896
9.113.883
23.227.651
39.626.167
6.115.524
15.285.925
19.201.689
8.027.280
12.015.884
15.078.851
82.017.588
90.487.075
158.733.045
10.632.863
27.098.927
46.230.529
7.134.778
17.833.579
22.401.970
8.849.369
10.619.242
12.389.116
18.966.143
22.759.372
26.552.600
23.083.000
27.699.600
32.316.199
7.120.183
8.544.219
9.968.256
11.597.669
13.917.203
16.236.736
17.098.190
20.517.827
23.937.465
9.685.105
11.622.126
13.559.147
10.771.588
12.925.906
15.080.224
16.850.977
20.221.172
23.591.367
2.996.551
4.783.434
6.598.848
3.595.861
5.740.121
7.918.617
4.195.171
6.696.808
9.238.387
6.317.962
7.581.554
8.845.146
9.470.472
11.364.567
13.258.661
10.715.828
12.858.994
15.002.159
5.712.125
8.133.793
6.854.550
9.760.551
7.996.975
11.387.310
42 B-4-11-III
43 B-4-12-I
44 B-4-12-II
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
17.479.682
20.975.619
24.471.555
5.735.611
6.882.733
8.029.856
6.681.815
8.018.178
9.354.541
9.900.887
11.881.064
13.861.241
5.729.515
6.684.194
8.953.655
5.035.758
10.516.469
18.242.046
5.738.510
7.679.002
11.950.301
3.820.850
9.538.670
19.327.989
3.720.872
7.002.739
9.668.865
4.772.875
6.695.301
9.975.886
6.875.418
8.021.032
10.744.387
6.042.909
12.619.762
21.890.456
6.886.212
9.214.802
14.340.361
4.585.020
11.446.403
23.193.587
4.465.046
8.403.287
11.602.638
5.727.450
8.034.361
11.971.063
8.021.321
9.357.871
12.535.118
7.050.061
14.723.056
25.538.865
8.033.914
10.750.602
16.730.421
5.349.190
13.354.137
27.059.185
5.209.221
9.803.835
13.536.411
6.682.025
9.373.422
13.966.240
67 D-1-10-I
37.486.889
44.984.267
52.481.645
68 D-1-10-II
57.095.249
68.514.298
79.933.348
69 D-1-10-III
77.379.876
92.855.851
108.331.826
70 D-1-11-I
71 D-1-11-II
72 D-1-11-III
7.720.618
19.714.230
30.892.682
9.264.741
23.657.076
37.071.219
10.808.865
27.599.922
43.249.755
8.409.948
10.091.937
11.773.927
23.176.635
27.811.962
32.447.289
36.764.992
44.117.991
51.470.989
3.666.042
6.016.263
9.465.024
6.664.833
13.599.897
18.682.954
4.517.305
6.265.522
9.620.981
4.399.250
7.219.516
11.358.029
7.997.800
16.319.876
22.419.545
5.420.766
7.518.626
11.545.177
5.132.459
8.422.768
13.251.034
9.330.766
19.039.856
26.156.135
6.324.227
8.771.731
13.469.374
3.696.937
4.436.325
5.175.712
5.232.499
6.278.999
7.325.499
6.692.518
8.031.021
9.369.525
4.151.987
4.982.384
5.812.782
8.758.454
10.510.145
12.261.835
No
46 B-4-13-I
47 B-4-13-II
48 B-4-13-III
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
B-4-14-I
B-4-14-II
B-4-14-III
C-4-10-I
C-4-10-II
C-4-10-III
C-4-11-I
C-4-11-II
C-4-11-III
C-4-12-I
C-4-12-II
C-4-12-III
C-4-13-I
C-4-13-II
C-4-13-III
C-4-14-I
C-4-14-II
C-4-14-III
73 D-1-20-I
74 D-1-20-II
75 D-1-20-III
76
77
78
79
80
81
82
83
84
D-4-10-I
D-4-10-II
D-4-10-III
D-4-11-I
D-4-11-II
D-4-11-III
D-4-12-I
D-4-12-II
D-4-12-III
85 D-4-13-I
86 D-4-13-II
87 D-4-13-III
88 D-4-14-I
89 D-4-14-II
Kode INACBG
90 D-4-14-III
91
92
93
94
95
96
E-1-01-I
E-1-01-II
E-1-01-III
E-1-10-I
E-1-10-II
E-1-10-III
97 E-1-20-I
98 E-1-20-II
99 E-1-20-III
100 E-4-10-I
101 E-4-10-II
102 E-4-10-III
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
E-4-11-I
E-4-11-II
E-4-11-III
E-4-12-I
E-4-12-II
E-4-12-III
E-4-13-I
E-4-13-II
E-4-13-III
F-4-10-I
F-4-10-II
F-4-10-III
F-4-11-I
F-4-11-II
F-4-11-III
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
11.318.801
13.582.562
15.846.322
8.276.504
11.519.475
27.242.381
8.604.877
10.443.671
22.012.413
9.931.804
13.823.370
32.690.858
10.325.852
12.532.406
26.414.895
11.587.105
16.127.265
38.139.334
12.046.828
14.621.140
30.817.378
9.741.467
11.689.761
13.638.054
13.111.744
15.734.093
18.356.442
26.102.028
31.322.433
36.542.839
4.778.588
5.734.306
6.690.023
6.677.127
8.012.553
9.347.978
11.971.094
14.365.313
16.759.532
3.829.511
5.838.513
11.427.751
4.400.106
7.619.864
11.440.026
4.791.558
7.950.951
11.219.701
5.686.104
6.293.024
9.316.962
5.248.560
6.115.149
7.841.890
4.595.413
7.006.215
13.713.302
5.280.128
9.143.837
13.728.031
5.749.869
9.541.142
13.463.641
6.823.325
7.551.629
11.180.354
6.298.271
7.338.179
9.410.268
5.361.315
8.173.918
15.998.852
6.160.149
10.667.810
16.016.036
6.708.181
11.131.332
15.707.581
7.960.546
8.810.233
13.043.747
7.347.983
8.561.209
10.978.646
118 F-4-12-I
2.877.089
3.452.507
4.027.925
119 F-4-12-II
4.090.353
4.908.424
5.726.495
120 F-4-12-III
8.885.966
10.663.159
12.440.352
121
122
123
124
125
126
127
128
129
4.227.840
5.578.749
7.222.417
2.412.226
3.093.942
4.163.167
3.841.560
5.724.464
7.558.142
5.073.408
6.694.499
8.666.900
2.894.671
3.712.730
4.995.800
4.609.872
6.869.357
9.069.770
5.918.975
7.810.249
10.111.384
3.377.116
4.331.519
5.828.434
5.378.184
8.014.250
10.581.399
7.558.475
9.070.170
10.581.865
8.788.037
10.545.645
12.303.252
11.730.528
14.076.633
16.422.739
1.784.993
5.231.711
5.581.763
2.141.991
6.278.053
6.698.115
2.498.990
7.324.395
7.814.468
F-4-13-I
F-4-13-II
F-4-13-III
F-4-14-I
F-4-14-II
F-4-14-III
F-4-15-I
F-4-15-II
F-4-15-III
130 F-4-16-I
131 F-4-16-II
132 F-4-16-III
133 F-4-17-I
134 F-4-17-II
135 F-4-17-III
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
6.567.771
7.226.402
11.140.098
5.019.348
6.427.455
8.002.192
7.881.325
8.671.683
13.368.117
6.023.217
7.712.945
9.602.631
9.194.879
10.116.963
15.596.137
7.027.087
8.998.436
11.203.069
16.338.029
19.605.635
22.873.241
143 G-1-01-II
24.471.625
29.365.949
34.260.274
144 G-1-01-III
53.535.199
64.242.239
74.949.278
145
146
147
148
149
150
18.404.289
21.792.053
23.228.915
9.238.398
18.936.347
39.567.931
22.085.147
26.150.463
27.874.699
11.086.077
22.723.616
47.481.517
25.766.005
30.508.874
32.520.482
12.933.757
26.510.885
55.395.103
No
136
137
138
139
140
141
142 G-1-01-I
G-1-10-I
G-1-10-II
G-1-10-III
G-1-11-I
G-1-11-II
G-1-11-III
151 G-1-12-I
6.395.600
7.674.719
8.953.839
152 G-1-12-II
13.380.294
16.056.353
18.732.412
153 G-1-12-III
23.599.905
28.319.886
33.039.867
154
155
156
157
158
159
160
161
162
1.929.372
5.181.314
11.691.328
14.080.665
18.283.497
36.331.072
11.525.269
30.105.605
38.772.959
2.315.247
6.217.577
14.029.593
16.896.798
21.940.197
43.597.286
13.830.323
36.126.726
46.527.550
2.701.121
7.253.840
16.367.859
19.712.931
25.596.896
50.863.501
16.135.377
42.147.847
54.282.142
5.489.954
6.587.944
7.685.935
6.710.548
8.052.658
9.394.768
9.208.041
11.049.649
12.891.257
7.444.393
8.933.272
10.422.151
9.888.906
11.866.687
13.844.468
14.530.223
17.436.268
20.342.312
6.375.713
8.052.950
11.695.975
7.650.856
9.663.540
14.035.170
8.925.999
11.274.130
16.374.365
3.830.025
4.596.030
5.362.035
6.678.704
8.014.445
9.350.186
7.921.080
9.505.296
11.089.512
6.497.074
7.796.488
9.095.903
8.686.220
10.423.464
12.160.708
G-1-13-I
G-1-13-II
G-1-13-III
G-1-20-I
G-1-20-II
G-1-20-III
G-1-30-I
G-1-30-II
G-1-30-III
163 G-4-10-I
164 G-4-10-II
165 G-4-10-III
166 G-4-11-I
167 G-4-11-II
168 G-4-11-III
169 G-4-12-I
170 G-4-12-II
171 G-4-12-III
172 G-4-13-I
173 G-4-13-II
174 G-4-13-III
175 G-4-14-I
176 G-4-14-II
Kode INACBG
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
10.902.195
13.082.634
15.263.073
177 G-4-14-III
178 G-4-15-I
5.308.668
6.370.401
7.432.135
179 G-4-15-II
6.335.668
7.602.802
8.869.936
180 G-4-15-III
8.942.240
10.730.688
12.519.136
181 G-4-16-I
182 G-4-16-II
183 G-4-16-III
4.376.331
5.810.110
11.951.518
5.251.597
6.972.132
14.341.822
6.126.863
8.134.154
16.732.125
184 G-4-17-I
5.828.978
6.994.774
8.160.570
185 G-4-17-II
7.643.019
9.171.622
10.700.226
186 G-4-17-III
12.810.215
15.372.258
17.934.301
5.740.577
6.888.692
8.036.807
7.673.510
9.208.212
10.742.914
8.586.025
10.303.229
12.020.434
4.789.565
5.747.478
6.705.391
8.095.463
9.714.555
11.333.648
11.754.095
14.104.914
16.455.733
3.350.496
4.736.598
7.823.730
3.489.023
5.905.210
6.939.988
3.623.170
4.629.388
5.409.222
3.816.193
4.788.098
6.817.012
3.825.681
4.779.604
9.253.525
3.268.997
4.133.944
5.478.296
4.020.595
5.683.918
9.388.476
4.186.827
7.086.252
8.327.985
4.347.804
5.555.266
6.491.066
4.579.432
5.745.718
8.180.414
4.590.817
5.735.524
11.104.230
3.922.796
4.960.732
6.573.956
4.690.694
6.631.238
10.953.222
4.884.632
8.267.294
9.715.983
5.072.438
6.481.144
7.572.911
5.342.670
6.703.337
9.543.816
5.355.953
6.691.445
12.954.934
4.576.595
5.787.521
7.669.615
5.739.810
6.887.772
8.035.734
6.677.187
8.012.624
9.348.062
10.444.393
12.533.272
14.622.151
12.223.792
13.509.209
18.371.680
14.668.551
16.211.051
22.046.016
17.113.309
18.912.893
25.720.352
187 G-4-18-I
188 G-4-18-II
189 G-4-18-III
190 G-4-19-I
191 G-4-19-II
192 G-4-19-III
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
G-4-20-I
G-4-20-II
G-4-20-III
G-4-21-I
G-4-21-II
G-4-21-III
G-4-22-I
G-4-22-II
G-4-22-III
G-4-23-I
G-4-23-II
G-4-23-III
G-4-24-I
G-4-24-II
G-4-24-III
G-4-25-I
G-4-25-II
G-4-25-III
211 G-4-26-I
212 G-4-26-II
213 G-4-26-III
214 H-1-20-I
215 H-1-20-II
216 H-1-20-III
Kode INACBG
H-1-30-I
H-1-30-II
H-1-30-III
H-4-10-I
H-4-10-II
H-4-10-III
H-4-11-I
H-4-11-II
H-4-11-III
H-4-12-I
H-4-12-II
H-4-12-III
229 I-1-01-I
230 I-1-01-II
231 I-1-01-III
232 I-1-02-I
233 I-1-02-II
234 I-1-02-III
235 I-1-03-I
236 I-1-03-II
237 I-1-03-III
238 I-1-04-I
239 I-1-04-II
240 I-1-04-III
241 I-1-05-I
242 I-1-05-II
243 I-1-05-III
244 I-1-06-I
245 I-1-06-II
246 I-1-06-III
247 I-1-07-I
248 I-1-07-II
249 I-1-07-III
250 I-1-11-I
251 I-1-11-II
252 I-1-11-III
253 I-1-12-I
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
4.712.762
8.291.777
9.223.289
5.732.612
7.777.888
15.287.873
3.819.271
4.356.712
6.238.455
4.502.951
5.380.272
9.016.338
5.655.314
9.950.132
11.067.947
6.879.134
9.333.466
18.345.448
4.583.126
5.228.055
7.486.146
5.403.542
6.456.326
10.819.605
6.597.867
11.608.488
12.912.604
8.025.657
10.889.043
21.403.023
5.346.980
6.099.397
8.733.837
6.304.132
7.532.380
12.622.873
76.000.780
91.200.936
106.401.092
77.672.721
93.207.265
108.741.809
122.605.366
147.126.439
171.647.512
42.164.919
50.597.903
59.030.886
54.392.221
65.270.665
76.149.109
67.041.765
80.450.117
93.858.470
25.927.002
31.112.402
36.297.802
31.485.371
37.782.445
44.079.519
48.905.803
58.686.964
68.468.124
43.493.436
52.192.123
60.890.811
68.644.323
82.373.188
96.102.053
109.658.905
131.590.686
153.522.467
55.806.049
66.967.259
78.128.469
66.967.532
80.361.038
93.754.544
92.146.757
110.576.108
129.005.460
41.143.310
59.599.423
71.113.109
49.371.972
71.519.308
85.335.731
57.600.634
83.439.192
99.558.352
33.906.498
40.687.797
47.469.097
41.830.629
50.196.754
58.562.880
45.637.058
54.764.470
63.891.882
5.258.271
6.309.925
7.361.580
5.846.685
7.016.022
8.185.359
7.780.144
9.336.172
10.892.201
21.862.988
26.235.586
30.608.183
Kode INACBG
254 I-1-12-II
255 I-1-12-III
256 I-1-13-I
257 I-1-13-II
258 I-1-13-III
259 I-1-14-I
260 I-1-14-II
261 I-1-14-III
262 I-1-15-I
263 I-1-15-II
264 I-1-15-III
265 I-1-16-I
266 I-1-16-II
267 I-1-16-III
268 I-1-17-I
269 I-1-17-II
270 I-1-17-III
271 I-1-20-I
272 I-1-20-II
273 I-1-20-III
274 I-1-30-I
275 I-1-30-II
276 I-1-30-III
277
278
279
280
281
282
283
284
285
286
287
288
I-1-40-I
I-1-40-II
I-1-40-III
I-4-10-I
I-4-10-II
I-4-10-III
I-4-11-I
I-4-11-II
I-4-11-III
I-4-12-I
I-4-12-II
I-4-12-III
289 I-4-13-I
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
24.719.929
29.663.914
34.607.900
41.263.909
49.516.691
57.769.473
16.112.980
19.335.576
22.558.172
19.551.537
23.461.845
27.372.152
24.661.595
29.593.914
34.526.233
43.405.083
52.086.100
60.767.117
53.946.143
64.735.371
75.524.600
70.688.026
84.825.631
98.963.236
10.107.059
13.425.252
28.721.919
12.128.470
16.110.303
34.466.303
14.149.882
18.795.353
40.210.687
18.601.789
22.322.147
26.042.505
48.365.061
58.038.073
67.711.086
55.788.343
66.946.011
78.103.680
32.061.212
38.473.454
44.885.697
40.143.645
48.172.374
56.201.103
49.657.079
59.588.495
69.519.911
27.898.924
33.478.709
39.058.493
34.853.347
41.824.016
48.794.685
36.638.158
43.965.790
51.293.421
21.103.912
25.324.694
29.545.477
43.900.877
52.681.052
61.461.228
68.030.627
81.636.753
95.242.878
19.476.681
48.149.677
64.311.603
6.583.681
11.756.019
16.959.083
7.819.644
9.676.826
17.901.004
6.818.329
11.034.123
13.630.768
23.372.017
57.779.612
77.173.924
7.900.417
14.107.223
20.350.899
9.383.572
11.612.191
21.481.205
8.181.995
13.240.947
16.356.922
27.267.353
67.409.548
90.036.244
9.217.153
16.458.426
23.742.716
10.947.501
13.547.556
25.061.406
9.545.660
15.447.772
19.083.076
7.560.329
9.072.394
10.584.460
Kode INACBG
307 I-4-19-I
308 I-4-19-II
309
310
311
312
313
314
315
316
317
318
290 I-4-13-II
291 I-4-13-III
292 I-4-14-I
293 I-4-14-II
294 I-4-14-III
295 I-4-15-I
296 I-4-15-II
297 I-4-15-III
298
299
300
301
302
303
304
305
I-4-16-I
I-4-16-II
I-4-16-III
I-4-17-I
I-4-17-II
I-4-17-III
I-4-18-I
I-4-18-II
306 I-4-18-III
I-4-19-III
I-4-20-I
I-4-20-II
I-4-20-III
I-4-21-I
I-4-21-II
I-4-21-III
I-4-22-I
I-4-22-II
I-4-22-III
319 I-4-23-I
320 I-4-23-II
321 I-4-23-III
322 I-4-24-I
323 I-4-24-II
324 I-4-24-III
325 J-1-01-I
326 J-1-01-II
327 J-1-01-III
328 J-1-02-I
329 J-1-02-II
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
10.950.712
13.140.854
15.330.996
24.517.259
29.420.711
34.324.163
4.319.663
4.468.291
7.833.017
5.183.595
5.361.949
9.399.621
6.047.528
6.255.607
10.966.224
7.643.721
9.172.466
10.701.210
9.865.157
11.838.188
13.811.219
11.243.719
13.492.463
15.741.207
5.337.271
7.583.547
10.789.006
4.380.417
5.938.261
7.207.143
6.812.028
10.371.482
6.404.725
9.100.257
12.946.808
5.256.500
7.125.914
8.648.571
8.174.433
12.445.778
7.472.180
10.616.966
15.104.609
6.132.584
8.313.566
10.090.000
9.536.839
14.520.074
14.081.102
16.897.323
19.713.543
5.073.711
6.088.453
7.103.195
7.920.380
9.504.456
11.088.531
9.455.482
5.283.295
6.102.174
9.123.980
7.935.551
9.899.085
13.504.452
5.739.763
7.145.245
10.444.050
11.346.578
6.339.954
7.322.608
10.948.776
9.522.661
11.878.902
16.205.342
6.887.715
8.574.294
12.532.860
13.237.674
7.396.613
8.543.043
12.773.573
11.109.772
13.858.720
18.906.232
8.035.668
10.003.343
14.621.670
4.336.831
5.204.197
6.071.563
5.324.331
6.389.198
7.454.064
10.403.490
12.484.188
14.564.887
5.058.624
6.070.349
7.082.074
11.648.836
13.978.603
16.308.371
14.727.849
17.673.419
20.618.989
73.782.167
88.538.600
103.295.034
81.980.186
98.376.223
114.772.260
91.089.095
109.306.915
127.524.734
39.153.572
46.984.287
54.815.001
53.526.051
64.231.261
74.936.472
Kode INACBG
330 J-1-02-III
331 J-1-10-I
332 J-1-10-II
333 J-1-10-III
334 J-1-20-I
335 J-1-20-II
336 J-1-20-III
337 J-1-30-I
338 J-1-30-II
339 J-1-30-III
340
341
342
343
344
345
346
347
348
349
350
351
352
353
354
355
356
357
358
359
360
361
362
363
364
365
366
367
368
369
370
371
372
J-4-10-I
J-4-10-II
J-4-10-III
J-4-11-I
J-4-11-II
J-4-11-III
J-4-12-I
J-4-12-II
J-4-12-III
J-4-13-I
J-4-13-II
J-4-13-III
J-4-14-I
J-4-14-II
J-4-14-III
J-4-15-I
J-4-15-II
J-4-15-III
J-4-16-I
J-4-16-II
J-4-16-III
J-4-17-I
J-4-17-II
J-4-17-III
J-4-18-I
J-4-18-II
J-4-18-III
J-4-19-I
J-4-19-II
J-4-19-III
J-4-20-I
J-4-20-II
J-4-20-III
373 J-4-21-I
374 J-4-21-II
375 J-4-21-III
376 K-1-10-I
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
86.811.377
104.173.652
121.535.928
12.234.539
20.053.075
28.404.607
14.681.447
24.063.690
34.085.528
17.128.355
28.074.305
39.766.450
15.759.300
18.911.160
22.063.020
19.849.292
23.819.150
27.789.009
30.650.575
36.780.689
42.910.804
9.474.940
11.369.928
13.264.916
21.412.421
25.694.905
29.977.389
71.561.739
85.874.087
100.186.435
5.591.978
7.995.351
12.095.862
3.455.493
4.812.923
6.897.086
5.869.212
6.986.057
9.328.817
7.495.773
9.749.029
19.466.224
5.721.433
9.310.368
11.015.108
5.738.517
6.855.921
10.597.360
4.781.376
6.719.091
11.120.886
4.780.759
5.725.085
8.614.659
3.815.405
5.247.838
5.523.940
6.683.190
7.636.650
10.613.249
6.682.387
9.570.854
15.096.711
6.710.374
9.594.421
14.515.035
4.146.592
5.775.508
8.276.504
7.043.054
8.383.268
11.194.581
8.994.928
11.698.835
23.359.469
6.865.720
11.172.442
13.218.130
6.886.221
8.227.105
12.716.832
5.737.652
8.062.909
13.345.063
5.736.911
6.870.102
10.337.591
4.578.486
6.297.405
6.628.728
8.019.828
9.163.979
12.735.899
8.018.864
11.485.024
18.116.053
7.828.770
11.193.491
16.934.207
4.837.690
6.738.093
9.655.921
8.216.897
9.780.480
13.060.344
10.494.082
13.648.641
27.252.714
8.010.007
13.034.515
15.421.151
8.033.924
9.598.289
14.836.304
6.693.927
9.406.728
15.569.241
6.693.063
8.015.119
12.060.523
5.341.567
7.346.973
7.733.516
9.356.466
10.691.309
14.858.549
9.355.341
13.399.195
21.135.395
3.817.834
4.581.401
5.344.968
8.691.434
10.429.720
12.168.007
12.396.827
14.876.193
17.355.558
10.292.882
12.351.459
14.410.035
Kode INACBG
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
12.935.213
15.522.256
18.109.299
15.160.511
18.192.613
21.224.715
7.995.735
10.497.427
26.640.756
9.594.882
12.596.912
31.968.908
11.194.029
14.696.398
37.297.059
4.318.766
5.182.520
6.046.273
5.617.063
6.740.476
7.863.889
11.128.152
13.353.783
15.579.413
4.870.680
8.506.072
9.104.004
5.844.817
10.207.287
10.924.805
6.818.953
11.908.501
12.745.606
385 K-1-13-I
386 K-1-13-II
387 K-1-13-III
388 K-1-14-I
7.904.268
9.485.121
11.065.975
389 K-1-14-II
9.263.596
11.116.315
12.969.034
390
391
392
393
21.022.906
15.305.093
21.377.773
37.381.707
25.227.487
18.366.112
25.653.328
44.858.048
29.432.068
21.427.131
29.928.882
52.334.390
10.057.031
12.068.437
14.079.843
19.691.924
23.630.308
27.568.693
28.943.148
34.731.777
40.520.407
397 K-1-40-I
10.099.241
12.119.090
14.138.938
398 K-1-40-II
11.134.758
13.361.710
15.588.662
399
400
401
402
403
404
405
406
407
408
409
410
411
23.108.235
7.716.791
10.021.217
14.161.784
9.895.755
15.730.535
26.108.920
3.837.096
5.727.401
9.603.343
3.829.561
5.153.375
11.665.448
27.729.882
9.260.149
12.025.460
16.994.141
11.874.906
18.876.642
31.330.705
4.604.515
6.872.881
11.524.011
4.595.473
6.184.050
13.998.538
32.351.529
10.803.507
14.029.703
19.826.498
13.854.057
22.022.749
36.552.489
5.371.935
8.018.361
13.444.680
5.361.386
7.214.725
16.331.627
5.736.103
6.883.324
8.030.544
7.419.977
8.903.972
10.387.968
11.429.129
13.714.955
16.000.781
4.545.908
5.455.090
6.364.272
6.102.073
7.322.488
8.542.903
9.791.390
11.749.668
13.707.946
377 K-1-10-II
378 K-1-10-III
379 K-1-11-I
380 K-1-11-II
381 K-1-11-III
382 K-1-12-I
383 K-1-12-II
384 K-1-12-III
K-1-14-III
K-1-20-I
K-1-20-II
K-1-20-III
394 K-1-30-I
395 K-1-30-II
396 K-1-30-III
K-1-40-III
K-1-50-I
K-1-50-II
K-1-50-III
K-4-10-I
K-4-10-II
K-4-10-III
K-4-11-I
K-4-11-II
K-4-11-III
K-4-12-I
K-4-12-II
K-4-12-III
412 K-4-13-I
413 K-4-13-II
414 K-4-13-III
415 K-4-14-I
416 K-4-14-II
417 K-4-14-III
Kode INACBG
K-4-15-I
K-4-15-II
K-4-15-III
K-4-16-I
K-4-16-II
K-4-16-III
424 K-4-17-I
425 K-4-17-II
426 K-4-17-III
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
4.748.857
7.313.667
10.410.130
4.778.508
5.730.762
6.686.935
5.698.628
8.776.401
12.492.157
5.734.209
6.876.914
8.024.322
6.648.400
10.239.134
14.574.183
6.689.911
8.023.066
9.361.710
3.466.359
4.159.631
4.852.903
4.905.495
5.886.594
6.867.693
5.533.409
6.640.091
7.746.773
427 K-4-18-I
3.824.471
4.589.365
5.354.260
428 K-4-18-II
5.736.597
6.883.917
8.031.236
429 K-4-18-III
7.037.140
8.444.568
9.851.996
35.247.472
42.296.967
49.346.461
36.834.339
44.201.207
51.568.074
56.194.735
67.433.682
78.672.629
15.531.003
18.637.203
21.743.404
23.198.317
27.837.980
32.477.643
24.527.174
29.432.609
34.338.043
6.452.234
7.742.681
9.033.128
12.941.708
15.530.049
18.118.391
31.465.466
37.758.559
44.051.652
11.863.856
18.262.266
22.674.542
5.760.295
6.686.117
12.204.140
4.883.818
6.712.376
15.252.459
5.728.791
7.577.079
14.082.065
14.236.628
21.914.720
27.209.451
6.912.354
8.023.340
14.644.968
5.860.581
8.054.851
18.302.951
6.874.549
9.092.495
16.898.478
16.609.399
25.567.173
31.744.359
8.064.413
9.360.563
17.085.796
6.837.345
9.397.327
21.353.443
8.020.307
10.607.911
19.714.892
3.252.070
3.902.484
4.552.898
3.822.010
4.586.412
5.350.814
5.624.210
6.749.052
7.873.894
3.815.498
4.578.598
5.341.698
5.730.962
6.877.155
8.023.347
8.078.513
9.694.216
11.309.919
430 L-1-20-I
431 L-1-20-II
432 L-1-20-III
433 L-1-30-I
434 L-1-30-II
435 L-1-30-III
436 L-1-40-I
437 L-1-40-II
438 L-1-40-III
439
440
441
442
443
444
445
446
447
448
449
450
L-1-50-I
L-1-50-II
L-1-50-III
L-4-10-I
L-4-10-II
L-4-10-III
L-4-11-I
L-4-11-II
L-4-11-III
L-4-12-I
L-4-12-II
L-4-12-III
451 L-4-13-I
452 L-4-13-II
453 L-4-13-III
454 L-4-14-I
455 L-4-14-II
456 L-4-14-III
Kode INACBG
457 M-1-01-I
458 M-1-01-II
459 M-1-01-III
460 M-1-02-I
461 M-1-02-II
462 M-1-02-III
463 M-1-03-I
464 M-1-03-II
465 M-1-03-III
466 M-1-04-I
467 M-1-04-II
468 M-1-04-III
469 M-1-05-I
470 M-1-05-II
471 M-1-05-III
472 M-1-07-I
473 M-1-07-II
474 M-1-07-III
475 M-1-10-I
476 M-1-10-II
477 M-1-10-III
478 M-1-20-I
479 M-1-20-II
480 M-1-20-III
481 M-1-30-I
482 M-1-30-II
483 M-1-30-III
484 M-1-40-I
485 M-1-40-II
486 M-1-40-III
487 M-1-50-I
488 M-1-50-II
489 M-1-50-III
490 M-1-60-I
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
17.175.021
20.610.025
24.045.030
19.170.454
23.004.544
26.838.635
26.928.804
32.314.565
37.700.326
11.954.052
19.610.190
34.572.060
14.344.862
23.532.228
41.486.472
16.735.672
27.454.266
48.400.884
31.958.448
38.350.137
44.741.827
38.368.060
46.041.672
53.715.284
39.906.097
47.887.317
55.868.536
7.877.326
9.452.791
11.028.256
10.071.343
12.085.612
14.099.881
12.602.193
15.122.631
17.643.070
11.275.820
13.530.984
15.786.149
11.543.543
13.852.252
16.160.960
19.662.161
23.594.593
27.527.025
13.799.131
16.558.957
19.318.783
18.486.014
22.183.216
25.880.419
37.657.829
45.189.395
52.720.961
23.246.261
27.895.514
32.544.766
55.580.906
66.697.087
77.813.268
119.882.782
143.859.338
167.835.894
8.338.669
10.006.403
11.674.137
11.897.420
14.276.904
16.656.387
29.516.198
35.419.438
41.322.678
11.169.298
23.167.718
34.561.350
13.403.158
27.801.261
41.473.620
15.637.017
32.434.805
48.385.890
5.593.184
6.711.821
7.830.458
10.338.281
12.405.937
14.473.593
18.000.359
21.600.430
25.200.502
6.702.477
13.446.216
20.598.900
8.042.972
16.135.459
24.718.680
9.383.467
18.824.702
28.838.460
5.033.278
6.039.933
7.046.589
Kode INACBG
491 M-1-60-II
492 M-1-60-III
493 M-1-70-I
494 M-1-70-II
495 M-1-70-III
496
497
498
499
500
501
M-1-80-I
M-1-80-II
M-1-80-III
M-4-10-I
M-4-10-II
M-4-10-III
502 M-4-11-I
503 M-4-11-II
504 M-4-11-III
505 M-4-12-I
506 M-4-12-II
507 M-4-12-III
508 M-4-13-I
509 M-4-13-II
510 M-4-13-III
511
512
513
514
515
516
517
518
519
M-4-14-I
M-4-14-II
M-4-14-III
M-4-15-I
M-4-15-II
M-4-15-III
M-4-16-I
M-4-16-II
M-4-16-III
520 M-4-17-I
521 M-4-17-II
522 M-4-17-III
523 M-4-18-I
524 M-4-18-II
525 M-4-18-III
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
10.103.211
12.123.853
14.144.496
17.590.361
21.108.434
24.626.506
27.701.518
33.241.822
38.782.125
30.471.670
36.566.004
42.660.338
33.518.837
40.222.604
46.926.371
15.747.155
18.396.431
42.092.461
3.840.362
5.727.161
10.835.948
18.896.586
22.075.717
50.510.953
4.608.434
6.872.593
13.003.137
22.046.017
25.755.003
58.929.445
5.376.506
8.018.025
15.170.327
4.785.449
5.742.539
6.699.629
10.491.763
12.590.116
14.688.469
15.169.373
18.203.248
21.237.122
3.819.849
4.583.819
5.347.789
6.353.375
7.624.050
8.894.725
10.206.382
12.247.658
14.288.935
6.360.357
7.632.429
8.904.500
9.556.207
11.467.448
13.378.689
18.910.071
22.692.085
26.474.099
7.253.864
8.946.511
13.444.042
4.301.285
5.733.311
16.263.257
4.770.224
7.638.916
12.832.791
8.704.637
10.735.814
16.132.850
5.161.542
6.879.973
19.515.908
5.724.268
9.166.699
15.399.349
10.155.410
12.525.116
18.821.659
6.021.799
8.026.635
22.768.560
6.678.313
10.694.482
17.965.908
4.779.536
5.735.443
6.691.351
6.684.662
8.021.594
9.358.527
9.334.634
11.201.561
13.068.487
4.679.391
7.052.117
8.491.144
5.615.270
8.462.541
10.189.373
6.551.148
9.872.964
11.887.602
526 M-4-19-I
3.767.292
4.520.751
5.274.209
527 M-4-19-II
6.345.627
7.614.752
8.883.877
Kode INACBG
528 M-4-19-III
529 M-4-20-I
530 M-4-20-II
531 M-4-20-III
532 M-4-21-I
533 M-4-21-II
534 M-4-21-III
535
536
537
538
539
540
N-1-01-I
N-1-01-II
N-1-01-III
N-1-11-I
N-1-11-II
N-1-11-III
541 N-1-12-I
542 N-1-12-II
543 N-1-12-III
544 N-1-20-I
545 N-1-20-II
546 N-1-20-III
547 N-1-30-I
548 N-1-30-II
549 N-1-30-III
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
12.393.372
14.872.047
17.350.721
3.800.175
4.560.210
5.320.245
5.564.737
6.677.684
7.790.632
6.219.211
7.463.054
8.706.896
3.826.481
4.591.777
5.357.073
4.785.859
5.743.031
6.700.202
10.729.706
12.875.647
15.021.589
250.000.000
250.000.000
250.000.000
12.891.144
17.452.864
30.915.583
250.000.000
250.000.000
250.000.000
15.469.372
20.943.437
37.098.700
250.000.000
250.000.000
250.000.000
18.047.601
24.434.010
43.281.816
6.899.565
8.279.478
9.659.392
16.177.158
19.412.589
22.648.021
29.479.030
35.374.835
41.270.641
14.140.782
18.739.529
24.086.329
16.968.938
22.487.435
28.903.595
19.797.095
26.235.340
33.720.860
11.256.005
13.507.205
15.758.406
17.028.136
20.433.763
23.839.390
19.597.719
23.517.262
27.436.806
550 N-1-40-I
10.108.650
12.130.380
14.152.110
551 N-1-40-II
13.727.377
16.472.852
19.218.328
552 N-1-40-III
15.976.863
19.172.235
22.367.608
4.772.004
5.726.405
6.680.806
5.771.782
6.926.139
8.080.495
11.469.497
13.763.397
16.057.296
3.296.940
5.760.207
7.166.885
3.828.425
5.737.965
7.797.520
4.753.624
5.728.538
12.447.507
3.956.328
6.912.249
8.600.262
4.594.109
6.885.558
9.357.024
5.704.349
6.874.246
14.937.008
4.615.716
8.064.290
10.033.639
5.359.794
8.033.151
10.916.528
6.655.074
8.019.953
17.426.510
3.311.253
3.973.504
4.635.755
553 N-4-10-I
554 N-4-10-II
555 N-4-10-III
556
557
558
559
560
561
562
563
564
N-4-11-I
N-4-11-II
N-4-11-III
N-4-12-I
N-4-12-II
N-4-12-III
N-4-13-I
N-4-13-II
N-4-13-III
565 N-4-14-I
Kode INACBG
566 N-4-14-II
567 N-4-14-III
568 N-4-15-I
569 N-4-15-II
570 N-4-15-III
571 N-4-16-I
572 N-4-16-II
573 N-4-16-III
574 O-6-10-I
575 O-6-10-II
576 O-6-10-III
577 O-6-11-I
578 O-6-11-II
579 O-6-11-III
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
4.698.460
5.638.152
6.577.844
7.620.100
9.144.120
10.668.141
4.346.365
5.215.638
6.084.911
5.393.116
6.471.739
7.550.362
6.154.513
7.385.416
8.616.318
4.789.929
5.747.915
6.705.900
7.361.988
8.834.386
10.306.783
13.062.420
15.674.904
18.287.388
5.534.090
6.106.841
8.362.829
6.640.908
7.328.209
10.035.395
7.747.726
8.549.577
11.707.961
4.452.503
5.343.004
6.233.504
4.948.400
5.938.080
6.927.760
8.891.830
10.670.196
12.448.562
580 O-6-12-I
3.154.554
3.785.465
4.416.376
581 O-6-12-II
3.788.598
4.546.317
5.304.037
582 O-6-12-III
4.760.435
5.712.521
6.664.608
2.770.574
3.279.155
4.110.727
3.324.689
3.934.986
4.932.873
3.878.804
4.590.817
5.755.018
88.513.435
106.216.122
123.918.810
109.522.003
131.426.403
153.330.804
128.548.077
154.257.692
179.967.307
105.110.394
126.132.473
147.154.552
120.572.198
144.686.638
168.801.078
137.762.284
165.314.741
192.867.197
5.931.928
7.118.314
8.304.699
8.304.699
9.965.639
11.626.579
583 O-6-13-I
584 O-6-13-II
585 O-6-13-III
586 P-8-01-I
587 P-8-01-II
588 P-8-01-III
589 P-8-02-I
590 P-8-02-II
591 P-8-02-III
592 P-8-03-I
593 P-8-03-II
Kode INACBG
594 P-8-03-III
595 P-8-04-I
596 P-8-04-II
597 P-8-04-III
598 P-8-05-I
599 P-8-05-II
600 P-8-05-III
601 P-8-06-I
602 P-8-06-II
603 P-8-06-III
604 P-8-07-I
605 P-8-07-II
606 P-8-07-III
607 P-8-08-I
608 P-8-08-II
609 P-8-08-III
610 P-8-10-I
611 P-8-10-II
612 P-8-10-III
613 P-8-11-I
614 P-8-11-II
615 P-8-11-III
616 P-8-12-I
617 P-8-12-II
618 P-8-12-III
619 P-8-13-I
620 P-8-13-II
621 P-8-13-III
622 P-8-14-I
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
11.557.708
13.869.250
16.180.792
47.785.906
57.343.087
66.900.269
62.015.803
74.418.964
86.822.125
88.915.052
106.698.063
124.481.073
25.984.426
31.181.312
36.378.197
36.829.421
44.195.306
51.561.190
54.263.208
65.115.850
75.968.492
5.144.343
6.173.212
7.202.081
9.545.298
11.454.357
13.363.417
18.586.807
22.304.168
26.021.529
8.304.699
9.965.639
11.626.579
23.284.378
27.941.254
32.598.129
30.846.026
37.015.232
43.184.437
4.805.134
5.766.161
6.727.187
6.818.257
8.181.908
9.545.559
12.470.432
14.964.519
17.458.605
3.367.911
4.041.493
4.715.075
5.301.133
6.361.359
7.421.586
10.408.285
12.489.942
14.571.599
8.429.128
10.114.953
11.800.779
17.960.694
21.552.833
25.144.972
21.526.967
25.832.361
30.137.754
10.724.466
12.869.359
15.014.252
13.566.217
16.279.460
18.992.704
14.358.126
17.229.751
20.101.376
2.696.235
3.235.481
3.774.728
6.680.076
8.016.091
9.352.106
16.273.183
19.527.819
22.782.456
4.594.469
5.513.363
6.432.257
Kode INACBG
623 P-8-14-II
624 P-8-14-III
625 P-8-15-I
626 P-8-15-II
627 P-8-15-III
628 P-8-16-I
629 P-8-16-II
630 P-8-16-III
631 P-8-17-I
632 P-8-17-II
633 P-8-17-III
634 S-4-10-I
635 S-4-10-II
636 S-4-10-III
637
638
639
640
641
642
S-4-11-I
S-4-11-II
S-4-11-III
S-4-12-I
S-4-12-II
S-4-12-III
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
9.352.561
11.223.073
13.093.585
10.261.454
12.313.744
14.366.035
3.445.902
4.135.083
4.824.263
6.900.587
8.280.704
9.660.822
8.096.653
9.715.984
11.335.315
3.118.626
3.742.351
4.366.076
6.447.864
7.737.437
9.027.010
16.935.567
20.322.680
23.709.793
2.288.354
2.746.025
3.203.695
5.949.522
7.139.426
8.329.330
14.101.225
16.921.470
19.741.715
3.516.184
4.219.420
4.922.657
4.332.452
5.198.942
6.065.432
5.930.727
7.116.872
8.303.018
2.239.782
3.284.426
5.613.468
2.872.299
3.822.978
6.631.238
2.687.739
3.941.311
6.736.161
3.446.759
4.587.574
7.957.485
3.135.695
4.598.196
7.858.855
4.021.219
5.352.170
9.283.733
643 S-4-13-I
3.817.520
4.581.024
5.344.528
644 S-4-13-II
6.772.533
8.127.040
9.481.547
645 S-4-13-III
13.617.975
16.341.571
19.065.166
2.146.622
2.575.947
3.005.271
4.559.529
5.471.435
6.383.341
8.646.420
10.375.704
12.104.988
1.623.587
1.948.305
2.273.022
3.063.976
3.676.772
4.289.567
3.968.391
4.762.069
5.555.747
6.690.633
8.509.039
14.198.217
8.028.760
10.210.847
17.037.861
9.366.887
11.912.655
19.877.504
3.224.818
3.869.782
4.514.746
4.785.889
5.743.067
6.700.244
646 S-4-14-I
647 S-4-14-II
648 S-4-14-III
649 S-4-15-I
650 S-4-15-II
651 S-4-15-III
652 S-4-16-I
653 S-4-16-II
654 S-4-16-III
655 S-4-17-I
656 S-4-17-II
Kode INACBG
657 S-4-17-III
658 T-1-10-I
659 T-1-10-II
660 T-1-10-III
661 T-4-10-I
662 T-4-10-II
663 T-4-10-III
664 T-4-11-I
665 T-4-11-II
666 T-4-11-III
667 T-4-12-I
668 T-4-12-II
669 T-4-12-III
670 U-1-10-I
671 U-1-10-II
672 U-1-10-III
673 U-1-11-I
674 U-1-11-II
675 U-1-11-III
676
677
678
679
680
681
U-1-12-I
U-1-12-II
U-1-12-III
U-1-13-I
U-1-13-II
U-1-13-III
682 U-1-14-I
683 U-1-14-II
684 U-1-14-III
685 U-1-15-I
686 U-1-15-II
687 U-1-15-III
688 U-1-20-I
689 U-1-20-II
690 U-1-20-III
691 U-1-30-I
692 U-1-30-II
693 U-1-30-III
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
7.355.859
8.827.031
10.298.202
2.711.200
3.253.440
3.795.680
3.641.494
4.369.793
5.098.092
6.624.427
7.949.313
9.274.198
1.484.656
1.781.588
2.078.519
2.829.019
3.394.823
3.960.627
4.112.089
4.934.507
5.756.925
1.433.835
1.720.602
2.007.369
2.256.451
2.707.742
3.159.032
3.634.482
4.361.379
5.088.275
3.359.551
4.031.461
4.703.371
5.071.653
6.085.983
7.100.314
7.850.178
9.420.213
10.990.249
3.281.002
6.695.086
28.910.734
3.937.202
8.034.103
34.692.880
4.593.403
9.373.120
40.475.027
12.585.010
15.102.011
17.619.013
18.982.170
22.778.604
26.575.038
28.738.314
34.485.977
40.233.640
8.523.511
18.879.270
27.729.795
9.578.757
10.461.063
17.341.194
10.228.213
22.655.124
33.275.755
11.494.508
12.553.276
20.809.432
11.932.915
26.430.978
38.821.714
13.410.260
14.645.488
24.277.671
5.125.531
6.150.637
7.175.743
6.290.256
7.548.307
8.806.358
7.453.971
8.944.766
10.435.560
3.014.217
4.285.372
7.853.014
3.617.061
5.142.446
9.423.617
4.219.904
5.999.520
10.994.220
7.781.293
9.337.551
10.893.810
13.896.364
16.675.636
19.454.909
33.223.497
39.868.197
46.512.896
6.673.298
9.048.765
17.695.198
8.007.957
10.858.518
21.234.237
9.342.617
12.668.271
24.773.277
Kode INACBG
694 U-4-10-I
695 U-4-10-II
696 U-4-10-III
697
698
699
700
701
702
U-4-11-I
U-4-11-II
U-4-11-III
U-4-12-I
U-4-12-II
U-4-12-III
703 U-4-13-I
704 U-4-13-II
705 U-4-13-III
706 U-4-14-I
707 U-4-14-II
708 U-4-14-III
709 U-4-15-I
710 U-4-15-II
711 U-4-15-III
712 V-1-10-I
713 V-1-10-II
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
6.220.781
7.464.937
8.709.093
14.241.122
17.089.347
19.937.571
21.864.628
26.237.554
30.610.479
3.815.525
5.549.073
5.837.590
3.457.574
4.021.889
5.217.409
4.578.630
6.658.888
7.005.108
4.149.088
4.826.267
6.260.891
5.341.735
7.768.702
8.172.626
4.840.603
5.630.644
7.304.373
3.394.231
4.073.077
4.751.923
4.001.416
4.801.699
5.601.982
4.785.930
5.743.116
6.700.302
4.780.027
5.723.900
9.612.267
5.736.032
6.868.680
11.534.720
6.692.037
8.013.460
13.457.173
3.838.227
4.605.873
5.373.518
4.781.901
5.738.281
6.694.661
6.692.354
8.030.824
9.369.295
11.197.863
13.437.435
15.677.008
12.896.273
15.475.528
18.054.782
714 V-1-10-III
19.382.294
23.258.752
27.135.211
715 V-1-11-I
716 V-1-11-II
717 V-1-11-III
11.910.256
13.600.067
21.298.198
14.292.307
16.320.080
25.557.838
16.674.358
19.040.094
29.817.478
6.260.411
7.512.493
8.764.575
22.087.957
26.505.549
30.923.140
22.844.637
27.413.565
31.982.492
9.491.561
11.389.873
13.288.185
18.135.240
21.762.288
25.389.335
28.451.982
34.142.379
39.832.775
11.454.053
13.744.863
16.035.674
16.642.512
19.971.014
23.299.516
20.771.567
24.925.880
29.080.194
727 V-1-15-I
728 V-1-15-II
729 V-1-15-III
5.393.546
9.576.714
15.774.132
6.472.256
11.492.057
18.928.959
7.550.965
13.407.399
22.083.785
730 V-4-10-I
8.000.799
9.600.959
11.201.119
718 V-1-12-I
719 V-1-12-II
720 V-1-12-III
721 V-1-13-I
722 V-1-13-II
723 V-1-13-III
724 V-1-14-I
725 V-1-14-II
726 V-1-14-III
Kode INACBG
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
731 V-4-10-II
9.794.645
11.753.574
13.712.503
732 V-4-10-III
20.759.989
24.911.987
29.063.985
4.786.009
5.743.210
6.700.412
6.684.189
8.021.027
9.357.865
8.680.534
10.416.641
12.152.748
13.045.051
15.654.062
18.263.072
15.635.404
18.762.485
21.889.566
28.250.693
33.900.832
39.550.970
3.625.375
5.594.021
9.048.297
4.350.450
6.712.826
10.857.957
5.075.525
7.831.630
12.667.616
3.759.783
4.511.740
5.263.696
6.610.126
7.932.151
9.254.176
13.919.063
16.702.875
19.486.688
3.425.225
4.110.269
4.795.314
3.883.534
4.660.241
5.436.947
5.965.899
7.159.079
8.352.259
4.157.719
4.989.262
5.820.806
4.513.900
5.416.680
6.319.460
6.063.254
7.275.905
8.488.556
10.710.637
13.321.725
22.409.651
6.046.291
9.643.829
23.661.619
4.505.104
6.678.665
15.332.397
4.097.106
6.219.938
7.570.901
12.852.765
15.986.070
26.891.581
7.255.549
11.572.594
28.393.942
5.406.124
8.014.398
18.398.876
4.916.528
7.463.925
9.085.082
14.994.892
18.650.415
31.373.511
8.464.808
13.501.360
33.126.266
6.307.145
9.350.131
21.465.355
5.735.949
8.707.913
10.599.262
3.832.661
4.599.193
5.365.725
5.261.943
6.314.332
7.366.721
5.735.728
6.882.873
8.030.019
2.095.560
2.862.592
3.559.855
2.800.521
3.333.315
2.514.672
3.435.110
4.271.826
3.360.625
3.999.978
2.933.783
4.007.628
4.983.797
3.920.729
4.666.641
733 V-4-11-I
734 V-4-11-II
735 V-4-11-III
736 W-1-01-I
737 W-1-01-II
738 W-1-01-III
739 W-1-10-I
740 W-1-10-II
741 W-1-10-III
742 W-1-11-I
743 W-1-11-II
744 W-1-11-III
745 W-1-12-I
746 W-1-12-II
747 W-1-12-III
748 W-1-13-I
749 W-1-13-II
750 W-1-13-III
751
752
753
754
755
756
757
758
759
760
761
762
W-1-20-I
W-1-20-II
W-1-20-III
W-1-30-I
W-1-30-II
W-1-30-III
W-4-10-I
W-4-10-II
W-4-10-III
W-4-11-I
W-4-11-II
W-4-11-III
763 W-4-12-I
764 W-4-12-II
765 W-4-12-III
766
767
768
769
770
W-4-13-I
W-4-13-II
W-4-13-III
W-4-14-I
W-4-14-II
Kode INACBG
W-4-14-III
W-4-15-I
W-4-15-II
W-4-15-III
W-4-16-I
W-4-16-II
W-4-16-III
W-4-17-I
W-4-17-II
W-4-17-III
Z-4-10-I
Z-4-10-II
Z-4-10-III
Z-4-11-I
Z-4-11-II
Z-4-11-III
787 Z-4-12-I
788 Z-4-12-II
789 Z-4-12-III
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
4.264.498
2.156.499
2.395.013
3.315.991
2.869.232
3.836.955
5.200.344
2.117.186
3.822.662
7.253.847
6.044.866
8.023.273
11.398.482
4.225.042
5.074.439
10.049.373
5.117.398
2.587.798
2.874.015
3.979.189
3.443.079
4.604.346
6.240.412
2.540.623
4.587.194
8.704.616
7.253.840
9.627.928
13.678.179
5.070.051
6.089.327
12.059.248
5.970.297
3.019.098
3.353.018
4.642.387
4.016.925
5.371.737
7.280.481
2.964.060
5.351.726
10.155.385
8.462.813
11.232.582
15.957.875
5.915.059
7.104.215
14.069.123
2.863.806
3.436.567
4.009.328
5.750.123
6.900.147
8.050.172
12.131.268
14.557.522
16.983.776
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Kode INACBG
B-2-10-0
B-2-11-0
B-2-12-0
B-2-13-0
B-2-14-0
B-3-10-0
B-3-11-0
B-3-12-0
C-3-10-0
C-3-11-0
C-3-12-0
C-3-13-0
C-3-14-0
C-3-15-0
C-3-16-0
C-3-17-0
C-3-18-0
C-3-19-0
C-3-20-0
C-3-21-0
C-3-22-0
C-3-23-0
D-2-10-0
D-2-11-0
D-2-21-0
D-2-22-0
D-3-10-0
D-3-11-0
E-2-10-0
E-2-21-0
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
E-2-22-0
E-3-10-0
F-3-10-0
F-5-10-0
F-5-11-0
F-5-12-0
F-5-13-0
F-5-14-0
F-5-15-0
F-5-16-0
G-2-10-0
G-2-11-0
G-2-12-0
G-2-13-0
G-2-21-0
G-2-22-0
G-2-31-0
G-2-32-0
G-3-10-0
G-3-11-0
G-3-12-0
G-3-13-0
H-2-21-0
H-2-22-0
H-2-23-0
H-2-31-0
No
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
Kode INACBG
H-2-32-0
H-2-33-0
H-2-34-0
H-2-35-0
H-2-36-0
H-2-37-0
H-3-10-0
H-3-11-0
H-3-12-0
H-3-13-0
I-2-11-0
I-2-12-0
I-2-13-0
I-2-14-0
I-2-15-0
72
73
74
75
76
77
78
79
I-2-16-0
I-2-17-0
I-2-21-0
I-2-22-0
I-2-23-0
I-2-31-0
I-2-32-0
I-2-41-0
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
I-2-42-0
I-3-10-0
I-3-11-0
I-3-12-0
I-3-13-0
I-3-14-0
I-3-15-0
J-2-10-0
J-2-21-0
J-2-22-0
J-2-31-0
J-2-32-0
J-3-10-0
J-3-11-0
J-3-12-0
J-3-13-0
J-3-14-0
J-3-15-0
J-3-16-0
J-3-17-0
K-2-10-0
K-2-11-0
K-2-12-0
K-2-13-0
K-2-14-0
K-2-21-0
K-2-22-0
K-2-31-0
K-2-32-0
K-2-41-0
K-2-42-0
K-2-51-0
K-2-52-0
No
Kode INACBG
K-2-53-0
K-3-10-0
K-3-11-0
K-3-12-0
K-3-13-0
K-3-14-0
K-3-15-0
K-3-16-0
L-2-21-0
L-2-22-0
L-2-31-0
L-2-32-0
L-2-41-0
L-2-42-0
L-2-51-0
L-2-52-0
L-2-53-0
L-3-10-0
L-3-11-0
L-3-12-0
M-2-10-0
M-2-21-0
M-2-22-0
M-2-31-0
M-2-32-0
M-2-41-0
M-2-42-0
M-2-51-0
M-2-52-0
M-2-61-0
M-2-62-0
M-2-63-0
M-2-64-0
M-2-65-0
M-2-71-0
M-2-72-0
M-2-81-0
M-2-82-0
M-2-83-0
M-2-84-0
M-3-10-0
M-3-11-0
M-3-12-0
M-3-13-0
M-3-14-0
M-3-15-0
M-3-16-0
M-3-17-0
N-2-11-0
N-2-12-0
N-2-21-0
N-2-22-0
N-2-23-0
N-2-24-0
N-2-31-0
N-2-32-0
N-2-41-0
N-2-42-0
Kode INACBG
N-3-10-0
N-3-11-0
N-3-12-0
N-3-13-0
N-3-14-0
N-3-15-0
O-7-10-0
O-7-11-0
179 O-7-12-0
180 O-7-13-0
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224
225
226
P-9-10-0
P-9-11-0
P-9-12-0
P-9-13-0
P-9-14-0
P-9-15-0
P-9-16-0
P-9-17-0
Q-5-10-0
Q-5-11-0
Q-5-12-0
Q-5-13-0
Q-5-14-0
Q-5-15-0
Q-5-16-0
Q-5-17-0
Q-5-18-0
Q-5-19-0
Q-5-20-0
Q-5-21-0
Q-5-22-0
Q-5-23-0
Q-5-24-0
Q-5-25-0
Q-5-26-0
Q-5-27-0
Q-5-28-0
Q-5-29-0
Q-5-30-0
Q-5-31-0
Q-5-32-0
Q-5-33-0
Q-5-34-0
Q-5-35-0
Q-5-36-0
Q-5-37-0
Q-5-38-0
Q-5-39-0
Q-5-40-0
Q-5-41-0
Q-5-42-0
Q-5-43-0
Q-5-44-0
T-2-10-0
U-2-10-0
U-2-11-0
Kode INACBG
U-2-12-0
U-2-13-0
U-2-14-0
U-2-15-0
U-2-21-0
U-2-22-0
U-2-23-0
U-2-24-0
U-2-25-0
U-2-31-0
U-2-32-0
238 U-3-10-0
239 U-3-11-0
240 U-3-12-0
241
242
243
244
245
246
247
248
249
250
251
252
253
254
255
256
257
258
259
260
261
262
263
264
265
266
267
268
U-3-13-0
U-3-14-0
U-3-15-0
U-3-16-0
V-2-10-0
V-2-11-0
V-2-12-0
V-2-13-0
V-2-14-0
V-2-15-0
V-3-10-0
V-3-11-0
V-3-12-0
W-2-10-0
W-2-11-0
W-2-12-0
W-2-13-0
W-2-21-0
W-2-22-0
W-2-23-0
W-2-31-0
W-2-32-0
W-2-33-0
W-2-34-0
W-3-10-0
W-3-11-0
W-3-12-0
Z-3-10-0
269
270
271
272
273
274
275
276
277
278
279
280
281
Z-3-11-0
Z-3-12-0
Z-3-13-0
Z-3-14-0
Z-3-15-0
Z-3-16-0
Z-3-17-0
Z-3-18-0
Z-3-19-0
Z-3-20-0
Z-3-21-0
Z-3-22-0
Z-3-23-0
Kode INACBG
Z-3-24-0
Z-3-25-0
Z-3-26-0
Z-3-27-0
Z-3-28-0
Z-3-29-0
Z-3-30-0
1
2
3
4
5
6
7
8
9
10
11
12
Kode INACBG
A-4-10-I
A-4-10-II
A-4-10-III
A-4-11-I
A-4-11-II
A-4-11-III
A-4-12-I
A-4-12-II
A-4-12-III
A-4-13-I
A-4-13-II
A-4-13-III
13
A-4-14-I
14
A-4-14-II
15
A-4-14-III
16
17
18
19
20
21
22
23
24
25
26
27
A-4-15-I
A-4-15-II
A-4-15-III
B-1-01-I
B-1-01-II
B-1-01-III
B-1-10-I
B-1-10-II
B-1-10-III
B-1-11-I
B-1-11-II
B-1-11-III
28
B-1-12-I
29
B-1-12-II
30
B-1-12-III
31
B-1-13-I
32
B-1-13-II
33
B-1-13-III
34
B-1-14-I
35
B-1-14-II
36
B-1-14-III
37
38
39
B-4-10-I
B-4-10-II
B-4-10-III
40
B-4-11-I
41
B-4-11-II
42
B-4-11-III
43
44
45
B-4-12-I
B-4-12-II
B-4-12-III
46
B-4-13-I
No
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
SEPTIKEMIA RINGAN
SEPTIKEMIA SEDANG
SEPTIKEMIA BERAT
INFEKSI SESUDAH OPERASI & TRAUMA RINGAN
INFEKSI SESUDAH OPERASI & TRAUMA SEDANG
INFEKSI SESUDAH OPERASI & TRAUMA BERAT
DEMAM RINGAN
DEMAM SEDANG
DEMAM BERAT
INFEKSI NON BAKTERI RINGAN
INFEKSI NON BAKTERI SEDANG
INFEKSI NON BAKTERI BERAT
PENYAKIT INFEKSI BAKTERI DAN PARASIT LAIN-LAIN
RINGAN
PENYAKIT INFEKSI BAKTERI DAN PARASIT LAIN-LAIN
SEDANG
PENYAKIT INFEKSI BAKTERI DAN PARASIT LAIN-LAIN
BERAT
INFEKSI HIV RINGAN
INFEKSI HIV SEDANG
INFEKSI HIV BERAT
PROSEDUR PENCANGKOKAN HATI RINGAN
PROSEDUR PENCANGKOKAN HATI SEDANG
PROSEDUR PENCANGKOKAN HATI BERAT
PROSEDUR HATI DAN PANKREAS RINGAN
PROSEDUR HATI DAN PANKREAS SEDANG
PROSEDUR HATI DAN PANKREAS BERAT
PROSEDUR SALURAN EMPEDU KOMPLEK (RINGAN)
PROSEDUR SALURAN EMPEDU KOMPLEK (SEDANG)
PROSEDUR SALURAN EMPEDU KOMPLEK (BERAT)
PROSEDUR CHOLESISTEKTOMI TANPA LAPAROSKOPIK
RINGAN
PROSEDUR CHOLESISTEKTOMI TANPA LAPAROSKOPIK
SEDANG
PROSEDUR CHOLESISTEKTOMI TANPA LAPAROSKOPIK
BERAT
PROSEDUR PANKREAS DAN HEPATOBILLIARI LAIN-LAIN
(RINGAN)
PROSEDUR PANKREAS DAN HEPATOBILLIARI LAIN-LAIN
(SEDANG)
PROSEDUR PANKREAS DAN HEPATOBILLIARI LAIN-LAIN
(BERAT)
PROSEDUR CHOLESISTEKTOMI DENGAN LAPAROSKOPIK
RINGAN
PROSEDUR CHOLESISTEKTOMI DENGAN LAPAROSKOPIK
SEDANG
PROSEDUR CHOLESISTEKTOMI DENGAN LAPAROSKOPIK
BERAT
SIROSIS DAN HEPATITIS ALKOHOLIK RINGAN
SIROSIS DAN HEPATITIS ALKOHOLIK SEDANG
SIROSIS DAN HEPATITIS ALKOHOLIK BERAT
TUMOR SISTEM HEPATOBILLIARI DAN PANCREAS
RINGAN
TUMOR SISTEM HEPATOBILLIARI DAN PANCREAS
SEDANG
2.308.189
3.485.523
4.025.458
5.524.573
8.528.046
13.950.021
1.965.601
3.108.907
3.553.440
2.471.778
2.966.865
3.600.786
2.769.827
4.182.627
4.830.549
6.629.488
10.233.656
16.740.025
2.358.722
3.730.688
4.264.128
2.966.133
3.560.238
4.320.943
3.231.465
4.879.732
5.635.641
7.734.403
11.939.265
19.530.029
2.751.842
4.352.469
4.974.816
3.460.489
4.153.611
5.041.100
3.079.381
3.695.258
4.311.134
3.960.864
4.753.036
5.545.209
4.538.218
5.445.861
6.353.505
3.107.361
4.447.103
7.567.834
31.983.073
35.285.880
61.898.695
4.146.497
10.567.271
24.494.449
3.910.065
9.830.756
12.297.426
3.728.834
5.336.523
9.081.400
38.379.688
42.343.056
74.278.434
4.975.796
12.680.725
29.393.339
4.692.079
11.796.907
14.756.911
4.350.306
6.225.944
10.594.967
44.776.302
49.400.232
86.658.173
5.805.096
14.794.180
34.292.228
5.474.092
13.763.058
17.216.396
6.812.024
8.174.429
9.536.834
14.599.834
17.519.801
20.439.768
17.264.476
20.717.371
24.170.266
5.477.855
6.573.426
7.668.997
8.922.631
10.707.157
12.491.684
13.154.462
15.785.354
18.416.247
7.409.482
8.891.379
10.373.275
8.240.840
9.889.008
11.537.176
12.891.814
15.470.177
18.048.540
2.081.524
3.009.111
4.894.639
2.497.829
3.610.933
5.873.567
2.914.134
4.212.755
6.852.495
4.070.262
4.884.314
5.698.366
6.204.446
7.445.335
8.686.224
6.693.469
8.032.162
9.370.856
3.547.748
6.242.307
11.442.315
4.257.298
7.490.768
13.730.778
4.966.847
8.739.230
16.019.241
2.967.509
3.561.010
4.154.512
Kode INACBG
47
B-4-13-II
48
B-4-13-III
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
4.317.325
5.180.790
6.044.255
5.405.306
6.486.367
7.567.428
B-4-14-I
B-4-14-II
B-4-14-III
C-4-10-I
C-4-10-II
C-4-10-III
C-4-11-I
C-4-11-II
C-4-11-III
C-4-12-I
C-4-12-II
C-4-12-III
C-4-13-I
C-4-13-II
C-4-13-III
C-4-14-I
C-4-14-II
C-4-14-III
3.502.840
4.287.391
5.459.254
3.868.307
7.551.373
11.127.736
3.910.527
4.479.232
9.007.887
1.971.927
7.299.626
14.786.784
1.970.993
3.955.107
5.139.790
2.964.300
5.023.377
7.668.382
4.203.408
5.144.870
6.551.105
4.641.969
9.061.647
13.353.283
4.692.633
5.375.078
10.809.465
2.366.312
8.759.551
17.744.141
2.365.192
4.746.129
6.167.748
3.557.160
6.028.052
9.202.058
4.903.976
6.002.348
7.642.956
5.415.630
10.571.922
15.578.830
5.474.738
6.270.925
12.611.042
2.760.698
10.219.476
20.701.498
2.759.390
5.537.150
7.195.706
4.150.020
7.032.727
10.735.735
67
D-1-10-I
20.465.492
24.558.590
28.651.689
68
D-1-10-II
31.170.514
37.404.617
43.638.720
69
D-1-10-III
42.244.564
50.693.477
59.142.390
70
71
72
D-1-11-I
D-1-11-II
D-1-11-III
5.791.026
13.247.972
20.101.753
6.949.231
15.897.567
24.122.103
8.107.437
18.547.161
28.142.454
73
D-1-20-I
4.351.916
5.222.299
6.092.682
74
D-1-20-II
12.793.723
15.352.467
17.911.212
75
D-1-20-III
20.071.418
24.085.702
28.099.986
76
77
78
79
80
81
82
83
84
D-4-10-I
D-4-10-II
D-4-10-III
D-4-11-I
D-4-11-II
D-4-11-III
D-4-12-I
D-4-12-II
D-4-12-III
2.206.556
3.284.424
5.167.257
2.457.066
4.961.363
11.957.090
2.466.089
3.420.708
5.252.499
2.647.867
3.941.309
6.200.708
2.948.479
5.953.635
14.348.509
2.959.307
4.104.850
6.302.999
3.089.178
4.598.194
7.234.159
3.439.892
6.945.908
16.739.927
3.452.525
4.788.991
7.353.498
85
D-4-13-I
1.977.949
2.373.538
2.769.128
86
D-4-13-II
2.966.413
3.559.695
4.152.978
87
D-4-13-III
4.093.988
4.912.786
5.731.584
88
D-4-14-I
2.458.116
2.949.739
3.441.363
89
D-4-14-II
4.406.963
5.288.356
6.169.749
90
D-4-14-III
6.179.524
7.415.429
8.651.334
91
92
93
94
95
E-1-01-I
E-1-01-II
E-1-01-III
E-1-10-I
E-1-10-II
6.139.374
8.041.996
15.940.574
4.697.542
5.701.714
7.367.249
9.650.395
19.128.689
5.637.051
6.842.057
8.595.124
11.258.794
22.316.804
6.576.559
7.982.399
96
Kode INACBG
E-1-10-III
97
E-1-20-I
98
E-1-20-II
99
E-1-20-III
100
E-4-10-I
101
E-4-10-II
102
E-4-10-III
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
E-4-11-I
E-4-11-II
E-4-11-III
E-4-12-I
E-4-12-II
E-4-12-III
E-4-13-I
E-4-13-II
E-4-13-III
F-4-10-I
F-4-10-II
F-4-10-III
F-4-11-I
F-4-11-II
F-4-11-III
118
F-4-12-I
1.894.707
2.273.648
2.652.589
119
F-4-12-II
2.511.860
3.014.232
3.516.604
120
F-4-12-III
4.920.192
5.904.231
6.888.269
121
122
123
124
125
126
127
128
129
F-4-13-I
F-4-13-II
F-4-13-III
F-4-14-I
F-4-14-II
F-4-14-III
F-4-15-I
F-4-15-II
F-4-15-III
3.241.100
4.288.755
5.529.802
1.856.888
2.381.836
3.204.866
2.696.452
3.809.455
4.757.962
3.889.320
5.146.507
6.635.763
2.228.266
2.858.203
3.845.839
3.235.742
4.571.346
5.709.554
4.537.539
6.004.258
7.741.723
2.599.644
3.334.570
4.486.812
3.775.033
5.333.237
6.661.147
130
F-4-16-I
5.819.628
6.983.553
8.147.479
131
F-4-16-II
6.762.694
8.115.233
9.467.771
132
F-4-16-III
9.027.067
10.832.481
12.637.894
133
134
135
136
137
138
139
140
141
F-4-17-I
F-4-17-II
F-4-17-III
F-4-18-I
F-4-18-II
F-4-18-III
F-4-19-I
F-4-19-II
F-4-19-III
974.495
2.856.152
3.047.304
4.871.747
5.360.297
8.263.365
3.865.563
4.949.953
6.162.758
1.169.394
3.427.382
3.656.765
5.846.096
6.432.357
9.916.038
4.638.676
5.939.944
7.395.310
1.364.293
3.998.613
4.266.225
6.820.445
7.504.416
11.568.711
5.411.789
6.929.935
8.627.861
142
G-1-01-I
8.919.521
10.703.425
12.487.330
143
G-1-01-II
12.754.633
15.305.560
17.856.486
No
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
12.017.534
14.421.041
16.824.548
5.896.004
7.075.204
8.254.405
9.647.052
11.576.462
13.505.873
18.097.619
21.717.143
25.336.667
3.086.996
3.704.395
4.321.794
4.273.322
5.127.986
5.982.651
6.519.627
7.823.552
9.127.478
2.260.366
4.366.840
7.212.158
2.709.606
4.337.963
6.245.424
2.992.945
5.058.983
8.626.833
4.366.210
4.839.116
7.164.418
4.020.952
4.684.791
6.007.614
2.712.440
5.240.208
8.654.589
3.251.528
5.205.556
7.494.509
3.591.534
6.070.780
10.352.200
5.239.453
5.806.939
8.597.302
4.825.142
5.621.749
7.209.137
3.164.513
6.113.576
10.097.021
3.793.449
6.073.149
8.743.593
4.190.123
7.082.576
12.077.566
6.112.695
6.774.763
10.030.186
5.629.333
6.558.707
8.410.660
Kode INACBG
144
G-1-01-III
145
146
147
148
149
150
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
24.736.750
29.684.101
34.631.451
G-1-10-I
G-1-10-II
G-1-10-III
G-1-11-I
G-1-11-II
G-1-11-III
6.159.058
8.690.958
10.261.464
7.075.099
14.573.702
26.639.969
7.390.870
10.429.149
12.313.757
8.490.118
17.488.442
31.967.963
8.622.681
12.167.341
14.366.050
9.905.138
20.403.182
37.295.957
151
G-1-12-I
4.504.039
5.404.846
6.305.654
152
G-1-12-II
9.715.370
11.658.443
13.601.517
153
G-1-12-III
14.430.132
17.316.158
20.202.185
154
155
156
157
158
159
160
161
162
G-1-13-I
G-1-13-II
G-1-13-III
G-1-20-I
G-1-20-II
G-1-20-III
G-1-30-I
G-1-30-II
G-1-30-III
1.053.153
2.828.653
6.382.632
11.264.532
14.626.798
29.064.857
8.826.416
22.732.678
25.533.983
1.263.784
3.394.383
7.659.158
13.517.439
17.552.157
34.877.829
10.591.699
27.279.214
30.640.779
1.474.414
3.960.114
8.935.685
15.770.345
20.477.517
40.690.800
12.356.982
31.825.750
35.747.576
163
G-4-10-I
2.953.513
3.544.215
4.134.918
164
G-4-10-II
4.043.549
4.852.259
5.660.969
165
G-4-10-III
7.001.532
8.401.838
9.802.144
166
G-4-11-I
5.364.843
6.437.812
7.510.781
167
G-4-11-II
6.765.218
8.118.261
9.471.305
168
G-4-11-III
8.678.812
10.414.575
12.150.337
169
170
171
G-4-12-I
G-4-12-II
G-4-12-III
4.899.642
5.973.299
8.675.506
5.879.570
7.167.959
10.410.608
6.859.499
8.362.619
12.145.709
172
G-4-13-I
2.729.393
3.275.272
3.821.151
173
G-4-13-II
3.785.827
4.542.993
5.300.158
174
G-4-13-III
4.438.157
5.325.788
6.213.419
175
G-4-14-I
3.718.017
4.461.621
5.205.224
176
G-4-14-II
6.723.551
8.068.262
9.412.972
177
G-4-14-III
8.407.354
10.088.825
11.770.296
178
G-4-15-I
2.898.060
3.477.672
4.057.284
179
G-4-15-II
3.458.848
4.150.617
4.842.387
180
G-4-15-III
4.937.948
5.925.538
6.913.127
181
182
183
G-4-16-I
G-4-16-II
G-4-16-III
2.389.207
3.267.384
5.746.863
2.867.048
3.920.861
6.896.235
3.344.890
4.574.338
8.045.608
Kode INACBG
184
G-4-17-I
185
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
3.850.336
4.620.403
5.390.470
G-4-17-II
4.782.189
5.738.627
6.695.065
186
G-4-17-III
8.014.988
9.617.986
11.220.983
187
G-4-18-I
2.989.072
3.586.886
4.184.701
188
G-4-18-II
5.716.640
6.859.967
8.003.295
189
G-4-18-III
6.051.412
7.261.695
8.471.977
190
G-4-19-I
3.276.735
3.932.082
4.587.429
191
G-4-19-II
4.419.691
5.303.630
6.187.568
192
G-4-19-III
6.778.250
8.133.900
9.489.550
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
G-4-20-I
G-4-20-II
G-4-20-III
G-4-21-I
G-4-21-II
G-4-21-III
G-4-22-I
G-4-22-II
G-4-22-III
G-4-23-I
G-4-23-II
G-4-23-III
G-4-24-I
G-4-24-II
G-4-24-III
G-4-25-I
G-4-25-II
G-4-25-III
1.943.457
2.585.844
4.271.086
2.220.189
2.876.047
5.336.059
1.973.956
2.470.126
2.831.990
2.320.018
2.517.889
3.584.856
3.086.049
3.855.547
7.464.510
1.977.470
2.463.169
3.077.569
2.332.148
3.103.013
5.125.303
2.664.227
3.451.257
6.403.271
2.368.747
2.964.151
3.398.388
2.784.022
3.021.467
4.301.827
3.703.259
4.626.656
8.957.412
2.372.964
2.955.803
3.693.083
2.720.840
3.620.182
5.979.520
3.108.264
4.026.466
7.470.483
2.763.538
3.458.177
3.964.786
3.248.025
3.525.045
5.018.798
4.320.469
5.397.766
10.450.314
2.768.458
3.448.436
4.308.597
211
G-4-26-I
3.301.830
3.962.196
4.622.562
212
G-4-26-II
4.523.610
5.428.332
6.333.053
213
G-4-26-III
5.432.671
6.519.205
7.605.739
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
H-1-20-I
H-1-20-II
H-1-20-III
H-1-30-I
H-1-30-II
H-1-30-III
H-4-10-I
H-4-10-II
H-4-10-III
H-4-11-I
H-4-11-II
H-4-11-III
H-4-12-I
H-4-12-II
H-4-12-III
9.779.034
10.807.367
14.697.344
3.035.916
4.263.263
7.113.101
3.383.416
4.536.322
8.346.028
2.712.587
2.994.175
3.830.894
3.068.051
4.160.519
6.941.057
11.734.840
12.968.841
17.636.813
3.643.100
5.115.916
8.535.721
4.060.100
5.443.586
10.015.234
3.255.104
3.593.010
4.597.072
3.681.661
4.992.622
8.329.269
13.690.647
15.130.314
20.576.282
4.250.283
5.968.569
9.958.341
4.736.783
6.350.851
11.684.440
3.797.622
4.191.845
5.363.251
4.295.271
5.824.726
9.717.480
229
I-1-01-I
41.491.472
49.789.767
58.088.061
230
I-1-01-II
42.404.501
50.885.401
59.366.301
231
I-1-01-III
66.934.691
80.321.630
93.708.568
Kode INACBG
232
I-1-02-I
233
I-1-02-II
234
I-1-02-III
235
I-1-03-I
236
I-1-03-II
237
I-1-03-III
238
I-1-04-I
239
I-1-04-II
240
I-1-04-III
241
I-1-05-I
242
I-1-05-II
243
I-1-05-III
244
245
246
I-1-06-I
I-1-06-II
I-1-06-III
247
I-1-07-I
248
I-1-07-II
249
I-1-07-III
250
I-1-11-I
251
I-1-11-II
252
I-1-11-III
253
I-1-12-I
254
I-1-12-II
255
I-1-12-III
256
I-1-13-I
257
I-1-13-II
258
I-1-13-III
259
I-1-14-I
260
I-1-14-II
261
I-1-14-III
262
263
264
I-1-15-I
I-1-15-II
I-1-15-III
265
I-1-16-I
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
23.019.230
27.623.076
32.226.922
29.694.806
35.633.768
41.572.729
36.600.575
43.920.690
51.240.805
14.154.333
16.985.200
19.816.067
16.139.783
19.367.740
22.595.696
26.699.616
32.039.539
37.379.463
23.030.837
27.637.004
32.243.171
54.915.459
65.898.550
76.881.642
87.727.124
105.272.549
122.817.974
30.466.628
36.559.953
42.653.279
36.559.953
43.871.944
51.183.934
50.306.265
60.367.518
70.428.771
32.914.648
47.679.538
56.890.487
39.497.578
57.215.446
68.268.584
46.080.508
66.751.354
79.646.682
25.150.640
30.180.768
35.210.896
31.028.424
37.234.108
43.439.793
33.851.808
40.622.170
47.392.532
4.047.488
4.856.986
5.666.483
4.500.402
5.400.483
6.300.563
5.988.664
7.186.396
8.384.129
12.229.294
14.675.153
17.121.012
13.930.723
16.716.868
19.503.012
22.527.648
27.033.177
31.538.707
12.890.384
15.468.461
18.046.538
15.641.230
18.769.476
21.897.722
18.293.083
21.951.699
25.610.316
23.696.266
28.435.519
33.174.772
29.451.073
35.341.288
41.231.503
38.591.062
46.309.274
54.027.486
6.208.485
11.677.705
18.281.585
7.450.182
14.013.246
21.937.902
8.691.879
16.348.787
25.594.219
10.155.543
12.186.651
14.217.760
Kode INACBG
266
I-1-16-II
267
I-1-16-III
268
I-1-17-I
269
I-1-17-II
270
I-1-17-III
271
I-1-20-I
272
I-1-20-II
273
I-1-20-III
274
I-1-30-I
275
I-1-30-II
276
I-1-30-III
277
278
279
280
281
282
283
284
285
286
287
288
I-1-40-I
I-1-40-II
I-1-40-III
I-4-10-I
I-4-10-II
I-4-10-III
I-4-11-I
I-4-11-II
I-4-11-III
I-4-12-I
I-4-12-II
I-4-12-III
289
I-4-13-I
290
I-4-13-II
291
I-4-13-III
292
293
294
I-4-14-I
I-4-14-II
I-4-14-III
295
I-4-15-I
296
I-4-15-II
297
I-4-15-III
298
299
300
301
302
303
304
305
I-4-16-I
I-4-16-II
I-4-16-III
I-4-17-I
I-4-17-II
I-4-17-III
I-4-18-I
I-4-18-II
306
I-4-18-III
307
I-4-19-I
308
I-4-19-II
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
26.404.411
31.685.293
36.966.175
30.456.840
36.548.208
42.639.576
25.648.969
30.778.763
35.908.557
32.114.916
38.537.899
44.960.883
39.725.663
47.670.796
55.615.929
22.319.139
26.782.967
31.246.795
27.882.677
33.459.213
39.035.748
29.310.526
35.172.632
41.034.737
11.521.516
13.825.819
16.130.122
23.967.080
28.760.496
33.553.913
37.140.270
44.568.324
51.996.378
15.738.732
22.444.515
26.978.111
5.059.781
7.981.857
11.493.861
5.165.676
6.022.728
9.772.625
5.260.067
7.507.024
9.140.293
18.886.478
26.933.418
32.373.734
6.071.738
9.578.229
13.792.634
6.198.812
7.227.273
11.727.150
6.312.080
9.008.429
10.968.352
22.034.225
31.422.321
37.769.356
7.083.694
11.174.600
16.091.406
7.231.947
8.431.819
13.681.675
7.364.094
10.509.834
12.796.410
5.798.954
6.958.745
8.118.535
7.353.494
8.824.193
10.294.892
13.385.021
16.062.026
18.739.030
2.935.799
3.440.233
5.303.793
3.522.958
4.128.280
6.364.552
4.110.118
4.816.326
7.425.311
3.954.190
4.745.028
5.535.866
5.675.131
6.810.158
7.945.184
6.468.284
7.761.941
9.055.598
2.913.710
3.667.162
5.040.803
3.533.536
4.790.197
5.813.762
4.282.348
6.568.320
3.496.452
4.400.595
6.048.964
4.240.244
5.748.237
6.976.514
5.138.818
7.881.983
4.079.194
5.134.027
7.057.124
4.946.951
6.706.276
8.139.266
5.995.287
9.195.647
8.861.121
10.633.345
12.405.569
3.351.750
4.022.100
4.692.450
5.432.621
6.519.146
7.605.670
309
310
311
312
313
314
315
316
317
318
Kode INACBG
I-4-19-III
I-4-20-I
I-4-20-II
I-4-20-III
I-4-21-I
I-4-21-II
I-4-21-III
I-4-22-I
I-4-22-II
I-4-22-III
319
I-4-23-I
320
I-4-23-II
321
I-4-23-III
322
I-4-24-I
323
I-4-24-II
324
I-4-24-III
325
J-1-01-I
326
J-1-01-II
327
J-1-01-III
328
J-1-02-I
329
J-1-02-II
330
J-1-02-III
331
332
333
J-1-10-I
J-1-10-II
J-1-10-III
334
J-1-20-I
335
J-1-20-II
336
J-1-20-III
337
J-1-30-I
338
J-1-30-II
339
J-1-30-III
340
341
342
343
344
345
346
347
348
349
350
351
352
353
J-4-10-I
J-4-10-II
J-4-10-III
J-4-11-I
J-4-11-II
J-4-11-III
J-4-12-I
J-4-12-II
J-4-12-III
J-4-13-I
J-4-13-II
J-4-13-III
J-4-14-I
J-4-14-II
No
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
6.222.895
4.062.254
4.668.447
6.203.489
5.401.829
6.710.912
9.201.868
3.133.494
3.683.298
5.375.029
7.467.474
4.874.705
5.602.136
7.444.187
6.482.195
8.053.094
11.042.241
3.760.193
4.419.957
6.450.034
8.712.053
5.687.156
6.535.826
8.684.885
7.562.560
9.395.277
12.882.615
4.386.892
5.156.617
7.525.040
2.367.557
2.841.069
3.314.580
2.906.815
3.488.178
4.069.541
5.679.651
6.815.581
7.951.511
3.177.747
3.813.297
4.448.846
7.936.805
9.524.166
11.111.527
9.987.946
11.985.535
13.983.124
30.296.842
36.356.210
42.415.578
32.366.006
38.839.207
45.312.408
46.547.734
55.857.281
65.166.828
13.062.707
15.675.249
18.287.790
13.210.215
15.852.258
18.494.301
20.765.312
24.918.374
29.071.437
6.265.429
12.348.880
18.608.688
7.518.515
14.818.656
22.330.426
8.771.601
17.288.431
26.052.164
12.607.440
15.128.928
17.650.416
15.879.433
19.055.320
22.231.207
24.520.460
29.424.552
34.328.643
3.650.710
4.380.853
5.110.995
11.689.801
14.027.761
16.365.721
34.901.463
41.881.755
48.862.048
3.052.736
4.365.046
6.603.663
2.662.344
3.569.998
5.115.898
3.058.143
3.813.912
5.093.093
5.119.364
7.494.445
14.439.188
4.255.220
7.145.128
3.663.283
5.238.055
7.924.396
3.194.812
4.283.997
6.139.077
3.669.771
4.576.694
6.111.712
6.143.237
8.993.334
17.327.025
5.106.264
8.574.154
4.273.831
6.111.065
9.245.128
3.727.281
4.997.997
7.162.257
4.281.400
5.339.476
7.130.331
7.167.109
10.492.223
20.214.863
5.957.309
10.003.179
354
355
356
357
358
359
360
361
362
363
364
365
366
367
368
369
370
371
372
Kode INACBG
J-4-14-III
J-4-15-I
J-4-15-II
J-4-15-III
J-4-16-I
J-4-16-II
J-4-16-III
J-4-17-I
J-4-17-II
J-4-17-III
J-4-18-I
J-4-18-II
J-4-18-III
J-4-19-I
J-4-19-II
J-4-19-III
J-4-20-I
J-4-20-II
J-4-20-III
373
J-4-21-I
374
J-4-21-II
375
J-4-21-III
376
K-1-10-I
377
K-1-10-II
378
K-1-10-III
379
380
381
K-1-11-I
K-1-11-II
K-1-11-III
382
K-1-12-I
383
K-1-12-II
384
K-1-12-III
385
386
387
K-1-13-I
K-1-13-II
K-1-13-III
388
K-1-14-I
4.921.641
5.905.969
6.890.297
389
K-1-14-II
6.100.489
7.320.587
8.540.685
390
391
392
393
K-1-14-III
K-1-20-I
K-1-20-II
K-1-20-III
13.751.320
11.776.866
16.475.616
27.483.198
16.501.584
14.132.239
19.770.739
32.979.838
19.251.848
16.487.612
23.065.862
38.476.477
394
K-1-30-I
7.594.216
9.113.060
10.631.903
395
K-1-30-II
10.654.687
12.785.624
14.916.561
396
K-1-30-III
19.604.250
23.525.100
27.445.950
397
K-1-40-I
6.987.908
8.385.489
9.783.071
398
K-1-40-II
8.569.535
10.283.442
11.997.349
399
400
K-1-40-III
K-1-50-I
14.211.748
5.359.729
17.054.098
6.431.675
19.896.448
7.503.621
No
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
8.458.960
4.629.071
5.530.443
7.348.899
3.856.977
5.420.067
8.970.848
2.952.309
3.793.293
5.412.076
2.069.879
2.885.006
3.128.450
3.883.926
5.270.945
5.794.341
4.282.957
5.662.971
9.210.105
10.150.753
5.554.885
6.636.531
8.818.678
4.628.372
6.504.080
10.765.018
3.542.771
4.551.951
6.494.491
2.483.855
3.462.008
3.754.140
4.660.711
6.325.133
6.953.209
5.139.548
6.795.566
11.052.126
11.842.545
6.480.699
7.742.620
10.288.458
5.399.768
7.588.094
12.559.187
4.133.233
5.310.610
7.576.907
2.897.830
4.039.009
4.379.830
5.437.496
7.379.322
8.112.077
5.996.139
7.928.160
12.894.146
2.310.904
2.773.085
3.235.266
4.313.905
5.176.686
6.039.468
6.035.689
7.242.827
8.449.965
5.312.922
6.375.506
7.438.091
9.982.015
11.978.418
13.974.821
11.680.421
14.016.506
16.352.590
6.139.390
8.060.278
20.455.400
7.367.268
9.672.334
24.546.480
8.595.146
11.284.390
28.637.560
3.309.910
3.971.892
4.633.874
4.302.384
5.162.861
6.023.337
8.581.008
10.297.209
12.013.411
3.762.525
6.309.311
7.019.058
4.515.030
7.571.173
8.422.870
5.267.535
8.833.035
9.826.681
401
402
403
404
405
406
407
408
409
410
411
Kode INACBG
K-1-50-II
K-1-50-III
K-4-10-I
K-4-10-II
K-4-10-III
K-4-11-I
K-4-11-II
K-4-11-III
K-4-12-I
K-4-12-II
K-4-12-III
412
K-4-13-I
413
K-4-13-II
414
K-4-13-III
415
K-4-14-I
416
K-4-14-II
417
K-4-14-III
418
419
420
421
422
423
K-4-15-I
K-4-15-II
K-4-15-III
K-4-16-I
K-4-16-II
K-4-16-III
424
K-4-17-I
425
K-4-17-II
426
K-4-17-III
427
K-4-18-I
3.085.073
3.702.088
4.319.103
428
K-4-18-II
4.627.522
5.553.026
6.478.531
429
K-4-18-III
5.676.626
6.811.951
7.947.277
430
L-1-20-I
27.098.323
32.517.988
37.937.652
431
L-1-20-II
27.927.333
33.512.800
39.098.267
432
L-1-20-III
39.278.004
47.133.604
54.989.205
433
L-1-30-I
8.478.865
10.174.638
11.870.411
434
L-1-30-II
15.811.416
18.973.699
22.135.982
435
L-1-30-III
18.779.728
22.535.674
26.291.620
436
L-1-40-I
4.030.307
4.836.369
5.642.430
437
L-1-40-II
8.690.603
10.428.723
12.166.844
438
L-1-40-III
14.866.233
17.839.479
20.812.726
439
440
441
442
443
L-1-50-I
L-1-50-II
L-1-50-III
L-4-10-I
L-4-10-II
5.432.808
9.751.348
11.748.418
3.279.699
4.550.991
6.519.369
11.701.618
14.098.102
3.935.638
5.461.190
7.605.931
13.651.887
16.447.785
4.591.578
6.371.388
No
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
7.685.646
8.795.796
7.916.604
12.584.428
14.835.203
2.207.555
3.184.124
4.934.371
2.273.646
3.962.019
7.132.845
9.222.775
10.554.956
9.499.925
15.101.314
17.802.244
2.649.066
3.820.949
5.921.245
2.728.375
4.754.423
8.559.413
10.759.904
12.314.115
11.083.246
17.618.200
20.769.285
3.090.577
4.457.774
6.908.119
3.183.105
5.546.827
9.985.982
3.128.517
3.754.221
4.379.924
4.009.196
4.811.035
5.612.874
6.239.634
7.487.561
8.735.488
2.481.678
2.978.014
3.474.350
3.331.256
3.997.508
4.663.759
5.848.626
7.018.351
8.188.076
2.592.629
3.996.392
5.608.745
2.627.331
3.296.797
4.430.490
3.111.154
4.795.671
6.730.494
3.152.797
3.956.156
5.316.588
3.629.680
5.594.949
7.852.243
3.678.263
4.615.515
6.202.686
2.796.196
3.355.436
3.914.675
3.957.099
4.748.519
5.539.939
4.463.617
5.356.340
6.249.063
444
445
446
447
448
449
450
Kode INACBG
L-4-10-III
L-4-11-I
L-4-11-II
L-4-11-III
L-4-12-I
L-4-12-II
L-4-12-III
451
L-4-13-I
452
L-4-13-II
453
L-4-13-III
454
L-4-14-I
455
L-4-14-II
456
L-4-14-III
457
M-1-01-I
458
M-1-01-II
459
M-1-01-III
460
461
462
M-1-02-I
M-1-02-II
M-1-02-III
463
M-1-03-I
464
M-1-03-II
465
M-1-03-III
466
M-1-04-I
467
M-1-04-II
468
M-1-04-III
469
M-1-05-I
470
M-1-05-II
471
M-1-05-III
472
M-1-07-I
473
M-1-07-II
474
M-1-07-III
475
M-1-10-I
476
M-1-10-II
477
M-1-10-III
478
M-1-20-I
479
M-1-20-II
No
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
9.366.439
3.050.751
4.221.862
11.407.717
3.227.583
5.262.910
8.523.095
11.239.727
3.660.902
5.066.235
13.689.260
3.873.099
6.315.492
10.227.714
13.113.014
4.271.052
5.910.607
15.970.804
4.518.616
7.368.074
11.932.333
1.968.200
2.361.840
2.755.479
2.631.170
3.157.404
3.683.638
3.473.198
4.167.837
4.862.477
2.278.130
2.733.756
3.189.382
3.385.445
4.062.534
4.739.623
5.992.165
7.190.598
8.389.031
9.376.516
11.251.819
13.127.122
10.465.708
12.558.850
14.651.992
14.701.485
17.641.782
20.582.079
9.181.303
15.087.552
21.139.132
11.017.564
18.105.062
25.366.958
12.853.824
21.122.573
29.594.785
17.288.628
20.746.354
24.204.079
20.129.606
24.155.527
28.181.448
25.391.766
30.470.119
35.548.473
6.032.349
7.238.819
8.445.289
7.725.873
9.271.047
10.816.222
9.667.473
11.600.968
13.534.462
7.651.580
9.181.895
10.712.211
8.885.955
10.663.146
12.440.337
15.729.729
18.875.674
22.021.620
7.533.310
9.039.972
10.546.634
10.092.281
12.110.738
14.129.194
20.558.934
24.670.721
28.782.508
18.597.009
22.316.411
26.035.813
44.464.725
53.357.670
62.250.615
95.906.225
115.087.470
134.268.716
6.413.389
7.696.067
8.978.745
7.280.866
8.737.039
10.193.212
Kode INACBG
480
M-1-20-III
481
482
483
M-1-30-I
M-1-30-II
M-1-30-III
484
M-1-40-I
485
M-1-40-II
486
M-1-40-III
487
488
489
M-1-50-I
M-1-50-II
M-1-50-III
490
M-1-60-I
491
M-1-60-II
492
M-1-60-III
493
M-1-70-I
494
M-1-70-II
495
M-1-70-III
496
497
498
499
500
501
M-1-80-I
M-1-80-II
M-1-80-III
M-4-10-I
M-4-10-II
M-4-10-III
502
M-4-11-I
503
M-4-11-II
504
M-4-11-III
505
M-4-12-I
506
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
17.865.717
21.438.860
25.012.004
8.935.438
18.534.174
27.649.080
10.722.526
22.241.009
33.178.896
12.509.614
25.947.844
38.708.712
3.799.684
4.559.621
5.319.558
6.254.345
7.505.214
8.756.083
9.263.696
11.116.435
12.969.174
5.406.664
10.846.614
16.616.446
6.487.997
13.015.937
19.939.735
7.569.330
15.185.260
23.263.024
3.869.895
4.643.874
5.417.853
7.760.767
9.312.921
10.865.074
12.034.137
14.440.964
16.847.791
22.161.214
26.593.457
31.025.700
24.377.336
29.252.803
34.128.270
26.815.069
32.178.083
37.541.097
12.597.724
14.717.144
33.673.968
2.256.768
4.052.057
6.980.655
15.117.269
17.660.573
40.408.762
2.708.122
4.862.468
8.376.787
17.636.814
20.604.002
47.143.556
3.159.475
5.672.880
9.772.918
3.512.685
4.215.221
4.917.758
6.532.889
7.839.467
9.146.044
11.676.932
14.012.319
16.347.705
1.965.853
2.359.023
2.752.194
M-4-12-II
3.468.484
4.162.181
4.855.877
507
M-4-12-III
6.427.124
7.712.549
8.997.974
508
M-4-13-I
4.417.715
5.301.258
6.184.801
509
M-4-13-II
5.496.752
6.596.102
7.695.452
510
M-4-13-III
11.233.713
13.480.455
15.727.198
511
512
513
514
515
516
517
518
519
M-4-14-I
M-4-14-II
M-4-14-III
M-4-15-I
M-4-15-II
M-4-15-III
M-4-16-I
M-4-16-II
M-4-16-III
3.951.840
5.235.021
8.302.528
3.311.625
4.116.092
9.257.156
3.316.908
4.839.454
9.518.696
4.742.208
6.282.025
9.963.033
3.973.950
4.939.310
11.108.588
3.980.290
5.807.344
11.422.435
5.532.576
7.329.029
11.623.539
4.636.275
5.762.529
12.960.019
4.643.671
6.775.235
13.326.175
520
M-4-17-I
2.834.033
3.400.839
3.967.646
521
M-4-17-II
3.709.209
4.451.050
5.192.892
Kode INACBG
522
M-4-17-III
523
524
525
M-4-18-I
M-4-18-II
M-4-18-III
526
M-4-19-I
527
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
5.111.577
6.133.892
7.156.207
3.167.643
3.849.836
5.377.464
3.801.171
4.619.803
6.452.957
4.434.700
5.389.770
7.528.450
2.894.009
3.472.810
4.051.612
M-4-19-II
4.623.310
5.547.972
6.472.634
528
M-4-19-III
7.382.193
8.858.632
10.335.070
529
M-4-20-I
2.074.625
2.489.549
2.904.474
530
M-4-20-II
2.964.992
3.557.990
4.150.988
531
M-4-20-III
3.283.175
3.939.810
4.596.445
532
M-4-21-I
2.068.185
2.481.822
2.895.459
533
M-4-21-II
3.463.451
4.156.141
4.848.832
534
M-4-21-III
5.857.679
7.029.215
8.200.751
535
536
537
538
539
540
N-1-01-I
N-1-01-II
N-1-01-III
N-1-11-I
N-1-11-II
N-1-11-III
250.000.000
250.000.000
250.000.000
7.416.086
11.940.134
16.877.757
250.000.000
250.000.000
250.000.000
8.899.303
14.328.161
20.253.309
250.000.000
250.000.000
250.000.000
10.382.521
16.716.187
23.628.860
541
N-1-12-I
3.766.604
4.519.925
5.273.245
542
N-1-12-II
12.498.846
14.998.615
17.498.384
543
N-1-12-III
22.704.959
27.245.951
31.786.943
544
545
546
N-1-20-I
N-1-20-II
N-1-20-III
11.312.626
14.404.751
16.436.790
13.575.151
17.285.701
19.724.148
15.837.676
20.166.651
23.011.506
547
N-1-30-I
7.457.611
8.949.133
10.440.655
548
N-1-30-II
11.146.760
13.376.112
15.605.463
549
N-1-30-III
11.705.693
14.046.832
16.387.971
550
N-1-40-I
7.784.946
9.341.935
10.898.924
551
N-1-40-II
10.561.164
12.673.396
14.785.629
552
N-1-40-III
12.265.818
14.718.981
17.172.145
553
N-4-10-I
3.028.708
3.634.450
4.240.192
554
N-4-10-II
4.081.765
4.898.118
5.714.471
555
N-4-10-III
7.141.128
8.569.353
9.997.579
556
557
558
559
560
N-4-11-I
N-4-11-II
N-4-11-III
N-4-12-I
N-4-12-II
2.541.162
4.289.775
4.919.816
2.327.536
3.249.622
3.049.394
5.147.730
5.903.779
2.793.044
3.899.547
3.557.627
6.005.686
6.887.742
3.258.551
4.549.471
561
562
563
564
Kode INACBG
N-4-12-III
N-4-13-I
N-4-13-II
N-4-13-III
565
N-4-14-I
566
N-4-14-II
567
N-4-14-III
568
N-4-15-I
569
N-4-15-II
570
N-4-15-III
571
N-4-16-I
572
N-4-16-II
573
N-4-16-III
574
575
576
O-6-10-I
O-6-10-II
O-6-10-III
577
O-6-11-I
578
O-6-11-II
579
O-6-11-III
580
O-6-12-I
2.428.425
2.914.111
3.399.796
581
O-6-12-II
2.916.533
3.499.840
4.083.146
582
O-6-12-III
3.808.348
4.570.017
5.331.687
583
584
585
O-6-13-I
O-6-13-II
O-6-13-III
2.234.930
2.645.185
3.315.987
2.681.916
3.174.222
3.979.184
3.128.902
3.703.259
4.642.381
586
P-8-01-I
48.322.870
57.987.444
67.652.018
587
P-8-01-II
59.791.993
71.750.392
83.708.790
588
P-8-01-III
70.179.038
84.214.846
98.250.654
589
P-8-02-I
77.966.649
93.559.979
109.153.309
590
P-8-02-II
89.435.772
107.322.926
125.210.081
591
P-8-02-III
102.186.764
122.624.117
143.061.470
592
P-8-03-I
2.701.825
3.242.190
3.782.555
No
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
4.422.620
2.880.789
3.447.920
8.468.264
5.307.144
3.456.947
4.137.505
10.161.916
6.191.668
4.033.105
4.827.089
11.855.569
1.725.075
2.070.091
2.415.106
2.565.241
3.078.290
3.591.338
4.160.004
4.992.005
5.824.005
2.776.381
3.331.657
3.886.933
3.798.071
4.557.686
5.317.300
4.334.285
5.201.142
6.067.999
3.344.031
4.012.837
4.681.644
4.019.004
4.822.805
5.626.606
7.154.383
8.585.259
10.016.136
4.464.166
4.926.185
5.166.808
5.356.999
5.911.422
6.200.170
6.249.833
6.896.659
7.233.531
2.521.397
3.025.676
3.529.955
3.565.853
4.279.024
4.992.195
6.055.515
7.266.617
8.477.720
Kode INACBG
593
P-8-03-II
594
P-8-03-III
595
P-8-04-I
596
P-8-04-II
597
P-8-04-III
598
P-8-05-I
599
P-8-05-II
600
P-8-05-III
601
P-8-06-I
602
P-8-06-II
603
P-8-06-III
604
P-8-07-I
605
P-8-07-II
606
P-8-07-III
607
P-8-08-I
608
P-8-08-II
609
P-8-08-III
610
P-8-10-I
611
P-8-10-II
612
P-8-10-III
613
P-8-11-I
614
P-8-11-II
615
P-8-11-III
616
P-8-12-I
617
P-8-12-II
618
P-8-12-III
619
P-8-13-I
620
P-8-13-II
621
P-8-13-III
622
P-8-14-I
623
P-8-14-II
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
4.026.871
4.832.245
5.637.619
7.318.342
8.782.011
10.245.679
32.533.993
39.040.791
45.547.590
42.057.744
50.469.292
58.880.841
60.300.218
72.360.262
84.420.306
17.666.081
21.199.297
24.732.513
25.030.397
30.036.476
35.042.555
36.755.588
44.106.706
51.457.824
2.994.129
3.592.954
4.191.780
6.501.073
7.801.287
9.101.502
11.872.207
14.246.648
16.621.089
4.681.795
5.618.155
6.554.514
11.585.715
13.902.858
16.220.001
15.574.790
18.689.749
21.804.707
3.876.141
4.651.369
5.426.598
5.500.060
6.600.072
7.700.084
8.905.808
10.686.970
12.468.131
2.293.114
2.751.736
3.210.359
3.932.341
4.718.809
5.505.277
7.720.344
9.264.413
10.808.481
2.767.842
3.321.411
3.874.979
13.732.649
16.479.178
19.225.708
14.020.350
16.824.420
19.628.490
3.733.948
4.480.738
5.227.528
5.813.807
6.976.568
8.139.329
6.852.092
8.222.510
9.592.928
2.174.963
2.609.955
3.044.948
5.344.061
6.412.873
7.481.685
13.018.546
15.622.256
18.225.965
3.517.659
4.221.190
4.924.722
7.200.011
8.640.014
10.080.016
Kode INACBG
624
P-8-14-III
625
P-8-15-I
626
P-8-15-II
627
P-8-15-III
628
P-8-16-I
629
P-8-16-II
630
P-8-16-III
631
P-8-17-I
632
P-8-17-II
633
P-8-17-III
634
S-4-10-I
635
S-4-10-II
636
S-4-10-III
637
638
639
640
641
642
S-4-11-I
S-4-11-II
S-4-11-III
S-4-12-I
S-4-12-II
S-4-12-III
643
S-4-13-I
644
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
7.908.828
9.490.594
11.072.360
2.651.854
3.182.225
3.712.596
5.304.453
6.365.344
7.426.235
6.218.479
7.462.175
8.705.871
2.406.043
2.887.252
3.368.460
5.158.291
6.189.950
7.221.608
13.548.453
16.258.144
18.967.835
1.845.939
2.215.126
2.584.314
4.799.281
5.759.137
6.718.993
9.070.848
10.885.018
12.699.188
1.919.566
2.303.480
2.687.393
2.471.168
2.965.401
3.459.635
3.214.526
3.857.432
4.500.337
1.230.786
1.976.655
3.044.508
1.521.569
2.071.730
3.620.398
1.476.943
2.371.986
3.653.409
1.825.883
2.486.076
4.344.478
1.723.100
2.767.317
4.262.311
2.130.196
2.900.421
5.068.557
2.358.413
2.830.096
3.301.778
S-4-13-II
3.904.201
4.685.041
5.465.881
645
S-4-13-III
7.434.583
8.921.499
10.408.416
646
S-4-14-I
1.171.791
1.406.149
1.640.508
647
S-4-14-II
2.489.278
2.987.133
3.484.989
648
S-4-14-III
4.720.557
5.664.669
6.608.780
649
S-4-15-I
886.236
1.063.484
1.240.731
650
S-4-15-II
1.672.630
2.007.156
2.341.682
651
S-4-15-III
2.166.445
2.599.734
3.033.023
652
653
654
S-4-16-I
S-4-16-II
S-4-16-III
3.773.601
6.561.821
9.533.936
4.528.322
7.874.185
11.440.723
5.283.042
9.186.549
13.347.510
655
S-4-17-I
2.002.811
2.403.373
2.803.935
656
S-4-17-II
2.886.866
3.464.239
4.041.612
657
S-4-17-III
4.015.736
4.818.884
5.622.031
658
T-1-10-I
2.087.119
2.504.543
2.921.967
659
T-1-10-II
2.802.860
3.363.431
3.924.003
Kode INACBG
660
T-1-10-III
661
T-4-10-I
662
T-4-10-II
663
T-4-10-III
664
T-4-11-I
665
T-4-11-II
666
T-4-11-III
667
T-4-12-I
668
T-4-12-II
669
T-4-12-III
670
671
672
U-1-10-I
U-1-10-II
U-1-10-III
673
U-1-11-I
674
U-1-11-II
675
U-1-11-III
676
677
678
679
680
681
U-1-12-I
U-1-12-II
U-1-12-III
U-1-13-I
U-1-13-II
U-1-13-III
682
U-1-14-I
683
U-1-14-II
684
U-1-14-III
685
686
687
U-1-15-I
U-1-15-II
U-1-15-III
688
U-1-20-I
689
U-1-20-II
690
U-1-20-III
691
692
693
U-1-30-I
U-1-30-II
U-1-30-III
694
U-4-10-I
695
U-4-10-II
696
U-4-10-III
697
698
699
700
U-4-11-I
U-4-11-II
U-4-11-III
U-4-12-I
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
5.099.315
6.119.178
7.139.041
810.362
972.435
1.134.507
1.544.371
1.853.245
2.162.119
2.245.096
2.694.115
3.143.135
1.105.938
1.327.126
1.548.314
1.740.432
2.088.518
2.436.605
2.803.323
3.363.988
3.924.653
1.822.029
2.186.434
2.550.840
2.714.870
3.257.844
3.800.818
4.165.314
4.998.376
5.831.439
1.791.218
3.655.091
15.783.421
2.149.462
4.386.109
18.940.105
2.507.706
5.117.127
22.096.789
6.309.270
7.571.124
8.832.978
8.632.451
10.358.941
12.085.431
19.611.827
23.534.193
27.456.558
4.877.583
9.702.269
12.621.515
5.229.550
6.617.651
9.467.343
5.853.100
11.642.723
15.145.817
6.275.460
7.941.181
11.360.811
6.828.617
13.583.177
17.670.120
7.321.370
9.264.711
13.254.280
3.953.778
4.744.534
5.535.289
4.852.081
5.822.497
6.792.913
5.749.853
6.899.823
8.049.794
2.322.176
3.287.631
5.273.308
2.786.612
3.945.158
6.327.969
3.251.047
4.602.684
7.382.631
6.005.368
7.206.442
8.407.515
8.790.999
10.549.199
12.307.399
15.903.830
19.084.596
22.265.363
5.109.772
6.947.100
10.660.169
6.131.726
8.336.520
12.792.203
7.153.680
9.725.940
14.924.237
4.796.663
5.755.996
6.715.328
11.392.898
13.671.478
15.950.057
14.204.550
17.045.460
19.886.370
2.225.553
2.965.678
4.471.227
1.922.126
2.670.663
3.558.814
5.365.472
2.306.551
3.115.774
4.151.949
6.259.717
2.690.977
701
702
Kode INACBG
U-4-12-II
U-4-12-III
703
U-4-13-I
704
U-4-13-II
705
U-4-13-III
706
707
708
U-4-14-I
U-4-14-II
U-4-14-III
709
U-4-15-I
710
U-4-15-II
711
U-4-15-III
712
V-1-10-I
713
V-1-10-II
714
V-1-10-III
9.533.877
11.440.652
13.347.428
715
716
717
V-1-11-I
V-1-11-II
V-1-11-III
6.620.700
7.435.290
10.938.558
7.944.840
8.922.348
13.126.269
9.268.980
10.409.406
15.313.981
718
V-1-12-I
4.830.199
5.796.238
6.762.278
719
V-1-12-II
12.045.687
14.454.825
16.863.962
720
V-1-12-III
12.471.711
14.966.053
17.460.395
721
V-1-13-I
7.334.319
8.801.183
10.268.047
722
V-1-13-II
10.432.721
12.519.265
14.605.809
723
V-1-13-III
12.934.597
15.521.517
18.108.436
724
V-1-14-I
7.806.539
9.367.847
10.929.154
725
V-1-14-II
10.426.125
12.511.349
14.596.574
726
V-1-14-III
14.175.014
17.010.017
19.845.020
727
728
729
V-1-15-I
V-1-15-II
V-1-15-III
3.392.480
5.228.232
8.611.675
4.070.976
6.273.879
10.334.010
4.749.472
7.319.525
12.056.345
730
V-4-10-I
5.459.754
6.551.705
7.643.656
731
V-4-10-II
7.058.515
8.470.219
9.881.922
732
V-4-10-III
13.487.237
16.184.685
18.882.132
733
V-4-11-I
2.724.585
3.269.502
3.814.419
734
V-4-11-II
3.825.248
4.590.298
5.355.348
735
V-4-11-III
6.703.338
8.044.006
9.384.673
736
W-1-01-I
9.988.517
11.986.220
13.983.924
737
W-1-01-II
11.202.042
13.442.450
15.682.858
No
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
2.632.731
4.016.102
3.159.277
4.819.322
3.685.823
5.622.543
1.975.174
2.370.209
2.765.243
2.252.479
2.702.975
3.153.471
2.880.663
3.456.796
4.032.928
2.473.080
2.967.673
4.983.836
2.967.696
3.561.207
5.980.603
3.462.312
4.154.742
6.977.370
2.130.224
2.556.269
2.982.314
2.792.250
3.350.700
3.909.150
3.797.787
4.557.344
5.316.902
6.570.401
7.884.481
9.198.562
7.408.202
8.889.843
10.371.483
Kode INACBG
738
W-1-01-III
739
740
741
W-1-10-I
W-1-10-II
W-1-10-III
742
W-1-11-I
743
W-1-11-II
744
W-1-11-III
745
W-1-12-I
746
W-1-12-II
747
W-1-12-III
748
W-1-13-I
749
W-1-13-II
750
W-1-13-III
751
752
753
754
755
756
757
758
759
760
761
762
W-1-20-I
W-1-20-II
W-1-20-III
W-1-30-I
W-1-30-II
W-1-30-III
W-4-10-I
W-4-10-II
W-4-10-III
W-4-11-I
W-4-11-II
W-4-11-III
763
W-4-12-I
764
W-4-12-II
765
W-4-12-III
766
767
768
769
770
771
772
773
774
775
776
777
778
779
780
781
782
783
784
785
786
W-4-13-I
W-4-13-II
W-4-13-III
W-4-14-I
W-4-14-II
W-4-14-III
W-4-15-I
W-4-15-II
W-4-15-III
W-4-16-I
W-4-16-II
W-4-16-III
W-4-17-I
W-4-17-II
W-4-17-III
Z-4-10-I
Z-4-10-II
Z-4-10-III
Z-4-11-I
Z-4-11-II
Z-4-11-III
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
17.736.636
21.283.963
24.831.290
2.597.255
4.245.148
6.937.848
3.116.706
5.094.177
8.325.417
3.636.157
5.943.207
9.712.987
3.032.892
3.639.470
4.246.048
5.332.168
6.398.602
7.465.035
11.228.044
13.473.653
15.719.262
2.638.903
3.166.683
3.694.464
2.983.586
3.580.303
4.177.020
4.583.164
5.499.797
6.416.430
2.269.869
2.723.843
3.177.817
2.464.424
2.957.309
3.450.194
3.310.176
3.972.211
4.634.247
6.958.176
8.654.685
9.453.170
3.776.621
6.023.906
17.798.942
3.359.811
4.688.484
8.426.150
2.236.897
3.084.553
3.724.079
8.349.811
10.385.621
11.343.804
4.531.945
7.228.687
21.358.731
4.031.773
5.626.181
10.111.380
2.684.276
3.701.464
4.468.895
9.741.447
12.116.558
13.234.438
5.287.269
8.433.468
24.918.519
4.703.735
6.563.877
11.796.610
3.131.656
4.318.374
5.213.711
1.977.100
2.372.520
2.767.941
3.198.965
3.838.758
4.478.550
4.068.439
4.882.127
5.695.815
1.084.401
1.482.197
1.977.915
1.476.184
1.939.955
2.390.712
1.347.145
1.515.091
2.007.583
2.314.514
3.095.144
4.194.944
1.483.259
1.976.789
3.723.231
3.300.042
4.380.329
6.222.676
3.232.461
3.886.746
6.103.033
1.301.282
1.778.636
2.373.497
1.771.421
2.327.946
2.868.854
1.616.574
1.818.110
2.409.100
2.777.417
3.714.173
5.033.933
1.779.911
2.372.147
4.467.877
3.960.050
5.256.395
7.467.211
3.878.953
4.664.096
7.323.640
1.518.162
2.075.076
2.769.080
2.066.658
2.715.937
3.346.997
1.886.003
2.121.128
2.810.616
3.240.320
4.333.201
5.872.921
2.076.563
2.767.504
5.212.523
4.620.059
6.132.461
8.711.746
4.525.445
5.441.445
8.544.247
Kode INACBG
787
Z-4-12-I
788
Z-4-12-II
789
Z-4-12-III
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
1.537.471
1.844.965
2.152.460
3.993.775
4.792.530
5.591.285
5.161.898
6.194.277
7.226.657
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
B-2-10-0
B-2-11-0
B-2-12-0
B-2-13-0
B-2-14-0
B-3-10-0
B-3-11-0
B-3-12-0
C-3-10-0
C-3-11-0
C-3-12-0
C-3-13-0
C-3-14-0
C-3-15-0
C-3-16-0
C-3-17-0
C-3-18-0
C-3-19-0
C-3-20-0
C-3-21-0
C-3-22-0
C-3-23-0
D-2-10-0
D-2-11-0
D-2-21-0
D-2-22-0
D-3-10-0
D-3-11-0
E-2-10-0
E-2-21-0
31
E-2-22-0
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
E-3-10-0
F-3-10-0
F-5-10-0
F-5-11-0
F-5-12-0
F-5-13-0
F-5-14-0
F-5-15-0
F-5-16-0
G-2-10-0
G-2-11-0
G-2-12-0
G-2-13-0
G-2-21-0
G-2-22-0
G-2-31-0
G-2-32-0
G-3-10-0
G-3-11-0
G-3-12-0
G-3-13-0
H-2-21-0
H-2-22-0
H-2-23-0
H-2-31-0
H-2-32-0
H-2-33-0
H-2-34-0
H-2-35-0
H-2-36-0
H-2-37-0
H-3-10-0
H-3-11-0
H-3-12-0
H-3-13-0
I-2-11-0
I-2-12-0
I-2-13-0
I-2-14-0
I-2-15-0
72
I-2-16-0
73
74
75
76
77
78
79
I-2-17-0
I-2-21-0
I-2-22-0
I-2-23-0
I-2-31-0
I-2-32-0
I-2-41-0
80
I-2-42-0
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
I-3-10-0
I-3-11-0
I-3-12-0
I-3-13-0
I-3-14-0
I-3-15-0
J-2-10-0
J-2-21-0
J-2-22-0
J-2-31-0
J-2-32-0
J-3-10-0
J-3-11-0
J-3-12-0
J-3-13-0
J-3-14-0
J-3-15-0
J-3-16-0
J-3-17-0
K-2-10-0
K-2-11-0
K-2-12-0
K-2-13-0
K-2-14-0
K-2-21-0
K-2-22-0
K-2-31-0
K-2-32-0
K-2-41-0
K-2-42-0
K-2-51-0
K-2-52-0
K-2-53-0
K-3-10-0
K-3-11-0
K-3-12-0
K-3-13-0
K-3-14-0
K-3-15-0
K-3-16-0
L-2-21-0
L-2-22-0
L-2-31-0
L-2-32-0
L-2-41-0
L-2-42-0
L-2-51-0
L-2-52-0
L-2-53-0
L-3-10-0
L-3-11-0
L-3-12-0
M-2-10-0
M-2-21-0
M-2-22-0
M-2-31-0
M-2-32-0
M-2-41-0
M-2-42-0
M-2-51-0
M-2-52-0
M-2-61-0
M-2-62-0
M-2-63-0
M-2-64-0
M-2-65-0
M-2-71-0
M-2-72-0
M-2-81-0
M-2-82-0
M-2-83-0
M-2-84-0
M-3-10-0
M-3-11-0
M-3-12-0
M-3-13-0
M-3-14-0
M-3-15-0
M-3-16-0
M-3-17-0
N-2-11-0
N-2-12-0
N-2-21-0
N-2-22-0
N-2-23-0
N-2-24-0
N-2-31-0
N-2-32-0
N-2-41-0
N-2-42-0
N-3-10-0
N-3-11-0
N-3-12-0
N-3-13-0
N-3-14-0
N-3-15-0
O-7-10-0
O-7-11-0
179 O-7-12-0
180 O-7-13-0
181 P-9-10-0
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
229
230
231
P-9-11-0
P-9-12-0
P-9-13-0
P-9-14-0
P-9-15-0
P-9-16-0
P-9-17-0
Q-5-10-0
Q-5-11-0
Q-5-12-0
Q-5-13-0
Q-5-14-0
Q-5-15-0
Q-5-16-0
Q-5-17-0
Q-5-18-0
Q-5-19-0
Q-5-20-0
Q-5-21-0
Q-5-22-0
Q-5-23-0
Q-5-24-0
Q-5-25-0
Q-5-26-0
Q-5-27-0
Q-5-28-0
Q-5-29-0
Q-5-30-0
Q-5-31-0
Q-5-32-0
Q-5-33-0
Q-5-34-0
Q-5-35-0
Q-5-36-0
Q-5-37-0
Q-5-38-0
Q-5-39-0
Q-5-40-0
Q-5-41-0
Q-5-42-0
Q-5-43-0
Q-5-44-0
T-2-10-0
U-2-10-0
U-2-11-0
U-2-12-0
U-2-13-0
U-2-14-0
U-2-15-0
U-2-21-0
U-2-22-0
U-2-23-0
U-2-24-0
U-2-25-0
U-2-31-0
U-2-32-0
238 U-3-10-0
239 U-3-11-0
240 U-3-12-0
241 U-3-13-0
242
243
244
245
246
247
248
249
250
251
252
253
254
255
256
257
258
259
260
261
262
263
264
265
266
267
268
U-3-14-0
U-3-15-0
U-3-16-0
V-2-10-0
V-2-11-0
V-2-12-0
V-2-13-0
V-2-14-0
V-2-15-0
V-3-10-0
V-3-11-0
V-3-12-0
W-2-10-0
W-2-11-0
W-2-12-0
W-2-13-0
W-2-21-0
W-2-22-0
W-2-23-0
W-2-31-0
W-2-32-0
W-2-33-0
W-2-34-0
W-3-10-0
W-3-11-0
W-3-12-0
Z-3-10-0
269 Z-3-11-0
270
271
272
273
274
275
276
277
278
279
280
281
282
283
284
285
286
287
Z-3-12-0
Z-3-13-0
Z-3-14-0
Z-3-15-0
Z-3-16-0
Z-3-17-0
Z-3-18-0
Z-3-19-0
Z-3-20-0
Z-3-21-0
Z-3-22-0
Z-3-23-0
Z-3-24-0
Z-3-25-0
Z-3-26-0
Z-3-27-0
Z-3-28-0
Z-3-29-0
244.748
760.727
522.818
197.961
199.301
159.523
201.006
189.977
89.374
195.454
180.853
157.229
176.853
2.126.032
239.274
765.115
282.726
337.866
183.910
385.844
662.533
469.799
172.037
441.472
816.261
130.914
1.640.903
172.558
575.836
1.890.294
1.325.749
563.461
191.643
465.767
372.320
172.558
1.953.591
1.493.166
249.323
1.521.435
300.835
196.414
630.429
264.668
255.002
265.408
180.510
172.558
194.544
202.635
398.137
177.330
200.417
191.344
196.414
566.101
1
2
3
4
5
6
7
8
9
10
11
12
Kode INACBG
A-4-10-I
A-4-10-II
A-4-10-III
A-4-11-I
A-4-11-II
A-4-11-III
A-4-12-I
A-4-12-II
A-4-12-III
A-4-13-I
A-4-13-II
A-4-13-III
13
A-4-14-I
14
A-4-14-II
15
A-4-14-III
16
17
18
19
20
21
22
23
24
25
26
27
A-4-15-I
A-4-15-II
A-4-15-III
B-1-01-I
B-1-01-II
B-1-01-III
B-1-10-I
B-1-10-II
B-1-10-III
B-1-11-I
B-1-11-II
B-1-11-III
28
B-1-12-I
29
B-1-12-II
30
B-1-12-III
31
B-1-13-I
32
B-1-13-II
33
B-1-13-III
34
B-1-14-I
35
B-1-14-II
36
B-1-14-III
37
38
39
B-4-10-I
B-4-10-II
B-4-10-III
40
B-4-11-I
41
B-4-11-II
42
B-4-11-III
4.828.289
5.793.947
6.759.604
43
44
45
B-4-12-I
B-4-12-II
B-4-12-III
2.602.766
4.993.846
7.175.211
3.123.319
5.992.615
8.610.253
3.643.873
6.991.384
10.045.296
46
B-4-13-I
2.353.600
2.824.320
3.295.040
No
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
1.892.042
2.542.830
3.299.701
4.419.659
5.637.509
9.221.732
1.570.939
2.006.611
2.141.753
1.960.447
2.347.504
2.857.893
2.270.451
3.051.396
3.959.641
5.303.590
6.765.010
11.066.079
1.885.127
2.407.934
2.570.104
2.352.536
2.817.004
3.429.471
2.648.859
3.559.962
4.619.582
6.187.522
7.892.512
12.910.425
2.199.315
2.809.256
2.998.454
2.744.625
3.286.505
4.001.050
2.799.438
3.359.325
3.919.213
3.600.785
4.320.942
5.041.099
4.125.652
4.950.783
5.775.913
2.354.965
3.534.382
6.054.267
26.085.707
28.779.509
50.485.181
3.381.923
8.618.770
19.595.559
3.128.052
7.864.604
9.837.941
2.825.958
4.241.259
7.265.120
31.302.849
34.535.411
60.582.217
4.058.308
10.342.524
23.514.671
3.753.663
9.437.525
11.805.529
3.296.951
4.948.135
8.475.974
36.519.990
40.291.313
70.679.254
4.734.693
12.066.278
27.433.783
4.379.273
11.010.446
13.773.117
5.449.619
6.539.543
7.629.467
11.679.867
14.015.841
16.351.814
13.811.581
16.573.897
19.336.213
4.382.284
5.258.741
6.135.198
7.138.105
8.565.726
9.993.347
10.523.570
12.628.284
14.732.997
5.927.586
7.113.103
8.298.620
6.592.672
7.911.206
9.229.741
10.313.451
12.376.142
14.438.832
1.665.219
1.961.735
3.915.711
1.998.263
2.354.082
4.698.854
2.331.307
2.746.429
5.481.996
2.827.481
3.392.977
3.958.473
4.238.197
5.085.836
5.933.475
Kode INACBG
47
B-4-13-II
48
B-4-13-III
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
3.563.894
4.276.673
4.989.452
4.430.774
5.316.929
6.203.084
B-4-14-I
B-4-14-II
B-4-14-III
C-4-10-I
C-4-10-II
C-4-10-III
C-4-11-I
C-4-11-II
C-4-11-III
C-4-12-I
C-4-12-II
C-4-12-III
C-4-13-I
C-4-13-II
C-4-13-III
C-4-14-I
C-4-14-II
C-4-14-III
2.354.472
2.733.430
3.653.545
3.094.646
6.041.098
7.421.337
2.349.480
3.129.607
7.206.310
1.571.409
5.839.701
11.829.428
1.569.146
3.138.949
4.105.747
2.371.440
4.018.701
6.134.706
2.825.366
3.280.116
4.384.254
3.713.575
7.249.318
8.905.604
2.819.376
3.755.529
8.647.572
1.885.691
7.007.641
14.195.313
1.882.975
3.766.739
4.926.897
2.845.728
4.822.442
7.361.647
3.296.260
3.826.803
5.114.963
4.332.504
8.457.537
10.389.872
3.289.272
4.381.450
10.088.834
2.199.972
8.175.581
16.561.199
2.196.805
4.394.529
5.748.046
3.320.016
5.626.182
8.588.588
67
D-1-10-I
16.691.856
20.030.227
23.368.598
68
D-1-10-II
25.422.976
30.507.572
35.592.167
69
D-1-10-III
34.455.080
41.346.096
48.237.112
70
71
72
D-1-11-I
D-1-11-II
D-1-11-III
4.632.821
8.960.214
12.687.732
5.559.385
10.752.257
15.225.278
6.485.949
12.544.300
17.762.825
73
D-1-20-I
3.567.302
4.280.762
4.994.222
74
D-1-20-II
9.490.845
11.389.014
13.287.182
75
D-1-20-III
16.452.709
19.743.250
23.033.792
76
77
78
79
80
81
82
83
84
D-4-10-I
D-4-10-II
D-4-10-III
D-4-11-I
D-4-11-II
D-4-11-III
D-4-12-I
D-4-12-II
D-4-12-III
1.501.248
2.692.270
3.917.970
1.955.544
3.969.090
6.858.943
2.011.366
2.789.963
4.283.989
1.801.497
3.230.724
4.701.564
2.346.653
4.762.908
8.230.732
2.413.640
3.347.955
5.140.787
2.101.747
3.769.178
5.485.158
2.737.761
5.556.726
9.602.521
2.815.913
3.905.948
5.997.585
85
D-4-13-I
1.566.068
1.879.282
2.192.495
86
D-4-13-II
2.346.712
2.816.055
3.285.397
87
D-4-13-III
2.741.616
3.289.939
3.838.262
88
D-4-14-I
1.890.446
2.268.535
2.646.624
89
D-4-14-II
3.612.425
4.334.910
5.057.394
90
D-4-14-III
5.065.408
6.078.489
7.091.571
91
92
93
94
E-1-01-I
E-1-01-II
E-1-01-III
E-1-10-I
4.911.499
6.433.597
11.171.961
3.831.361
5.893.799
7.720.316
13.406.354
4.597.634
6.876.099
9.007.035
15.640.746
5.363.906
95
96
Kode INACBG
E-1-10-II
E-1-10-III
97
E-1-20-I
98
E-1-20-II
99
E-1-20-III
100
E-4-10-I
101
E-4-10-II
102
E-4-10-III
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
E-4-11-I
E-4-11-II
E-4-11-III
E-4-12-I
E-4-12-II
E-4-12-III
E-4-13-I
E-4-13-II
E-4-13-III
F-4-10-I
F-4-10-II
F-4-10-III
F-4-11-I
F-4-11-II
F-4-11-III
118
F-4-12-I
1.172.596
1.407.115
1.641.634
119
F-4-12-II
1.678.079
2.013.695
2.349.311
120
F-4-12-III
3.649.976
4.379.971
5.109.967
121
122
123
124
125
126
127
128
129
F-4-13-I
F-4-13-II
F-4-13-III
F-4-14-I
F-4-14-II
F-4-14-III
F-4-15-I
F-4-15-II
F-4-15-III
2.547.484
2.592.880
3.284.656
1.485.511
1.905.468
2.563.893
2.157.162
2.356.085
3.096.886
3.056.981
3.111.456
3.941.587
1.782.613
2.286.562
3.076.671
2.588.594
2.827.302
3.716.263
3.566.478
3.630.032
4.598.518
2.079.715
2.667.656
3.589.450
3.020.026
3.298.519
4.335.641
130
F-4-16-I
4.655.702
5.586.843
6.517.983
131
F-4-16-II
5.410.155
6.492.186
7.574.217
132
F-4-16-III
7.221.654
8.665.985
10.110.316
133
134
135
136
137
138
139
140
141
F-4-17-I
F-4-17-II
F-4-17-III
F-4-18-I
F-4-18-II
F-4-18-III
F-4-19-I
F-4-19-II
F-4-19-III
794.808
2.329.505
2.485.411
3.897.397
4.288.238
6.610.692
3.092.451
3.959.963
4.930.207
953.769
2.795.406
2.982.493
4.676.877
5.145.885
7.932.831
3.710.941
4.751.955
5.916.248
1.112.731
3.261.308
3.479.575
5.456.356
6.003.533
9.254.969
4.329.431
5.543.948
6.902.289
142
G-1-01-I
7.274.849
8.729.818
10.184.788
No
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
4.650.374
9.801.618
5.580.448
11.761.942
6.510.523
13.722.266
4.833.003
5.799.604
6.766.205
7.710.074
9.252.089
10.794.104
13.900.295
16.680.354
19.460.413
1.960.379
2.352.454
2.744.530
3.418.658
4.102.389
4.786.121
4.333.129
5.199.755
6.066.381
1.667.557
2.612.799
5.769.726
1.998.252
3.466.968
5.119.426
2.109.874
3.607.795
6.901.466
3.492.968
3.871.293
5.731.535
3.216.762
3.747.833
4.806.091
2.001.068
3.135.359
6.923.671
2.397.902
4.160.362
6.143.311
2.531.849
4.329.354
8.281.760
4.191.562
4.645.552
6.877.842
3.860.114
4.497.399
5.767.310
2.334.580
3.657.919
8.077.616
2.797.552
4.853.755
7.167.196
2.953.824
5.050.913
9.662.053
4.890.156
5.419.810
8.024.149
4.503.466
5.246.966
6.728.528
Kode INACBG
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
143
G-1-01-II
10.012.067
12.014.481
14.016.894
144
G-1-01-III
19.432.049
23.318.458
27.204.868
145
146
147
148
149
150
G-1-10-I
G-1-10-II
G-1-10-III
G-1-11-I
G-1-11-II
G-1-11-III
4.927.246
6.952.766
8.209.172
5.660.079
11.658.961
18.014.430
5.912.696
8.343.319
9.851.006
6.792.095
13.990.754
21.617.316
6.898.145
9.733.873
11.492.840
7.924.110
16.322.546
25.220.202
151
G-1-12-I
2.862.014
3.434.417
4.006.820
152
G-1-12-II
7.772.296
9.326.755
10.881.214
153
G-1-12-III
10.561.160
12.673.392
14.785.624
154
155
156
157
158
159
160
161
162
G-1-13-I
G-1-13-II
G-1-13-III
G-1-20-I
G-1-20-II
G-1-20-III
G-1-30-I
G-1-30-II
G-1-30-III
858.962
2.307.077
5.205.737
5.384.126
6.402.730
14.943.307
7.061.133
18.186.143
20.427.186
1.030.754
2.768.492
6.246.884
6.460.951
7.683.277
17.931.968
8.473.359
21.823.371
24.512.624
1.202.547
3.229.908
7.288.032
7.537.777
8.963.823
20.920.629
9.885.586
25.460.600
28.598.061
163
G-4-10-I
2.355.425
2.826.510
3.297.595
164
G-4-10-II
2.735.486
3.282.584
3.829.681
165
G-4-10-III
5.601.225
6.721.470
7.841.716
166
G-4-11-I
3.331.520
3.997.824
4.664.128
167
G-4-11-II
5.412.174
6.494.609
7.577.044
168
G-4-11-III
6.580.538
7.896.645
9.212.753
169
170
171
G-4-12-I
G-4-12-II
G-4-12-III
3.919.714
4.778.640
6.940.405
4.703.656
5.734.368
8.328.486
5.487.599
6.690.095
9.716.567
172
G-4-13-I
2.183.515
2.620.218
3.056.920
173
G-4-13-II
2.733.837
3.280.604
3.827.371
174
G-4-13-III
3.249.543
3.899.451
4.549.360
175
G-4-14-I
2.956.259
3.547.511
4.138.763
176
G-4-14-II
5.378.841
6.454.609
7.530.378
177
G-4-14-III
6.725.884
8.071.060
9.416.237
178
G-4-15-I
2.375.564
2.850.677
3.325.789
179
G-4-15-II
2.835.246
3.402.295
3.969.345
180
G-4-15-III
3.685.690
4.422.828
5.159.966
181
G-4-16-I
1.958.453
2.350.143
2.741.834
182
183
Kode INACBG
G-4-16-II
G-4-16-III
184
No
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
2.231.918
4.326.200
2.678.302
5.191.440
3.124.685
6.056.680
G-4-17-I
2.608.390
3.130.069
3.651.747
185
G-4-17-II
3.469.027
4.162.832
4.856.637
186
G-4-17-III
5.814.117
6.976.941
8.139.764
187
G-4-18-I
2.348.360
2.818.032
3.287.704
188
G-4-18-II
4.573.312
5.487.974
6.402.636
189
G-4-18-III
4.841.130
5.809.356
6.777.582
190
G-4-19-I
2.621.388
3.145.666
3.669.943
191
G-4-19-II
3.622.858
4.347.429
5.072.001
192
G-4-19-III
4.554.252
5.465.103
6.375.953
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
G-4-20-I
G-4-20-II
G-4-20-III
G-4-21-I
G-4-21-II
G-4-21-III
G-4-22-I
G-4-22-II
G-4-22-III
G-4-23-I
G-4-23-II
G-4-23-III
G-4-24-I
G-4-24-II
G-4-24-III
G-4-25-I
G-4-25-II
G-4-25-III
1.372.180
1.950.067
3.325.993
1.592.419
2.687.573
4.268.847
1.563.392
1.963.052
2.248.406
1.568.934
1.957.179
2.804.637
2.805.499
3.505.043
6.785.918
1.492.522
1.874.093
2.437.314
1.646.616
2.340.080
3.991.191
1.910.903
3.225.087
5.122.617
1.876.070
2.355.662
2.698.087
1.882.721
2.348.615
3.365.565
3.366.599
4.206.051
8.143.102
1.791.027
2.248.911
2.924.777
1.921.052
2.730.093
4.656.390
2.229.386
3.762.602
5.976.386
2.188.748
2.748.272
3.147.768
2.196.507
2.740.051
3.926.492
3.927.699
4.907.060
9.500.285
2.089.531
2.623.730
3.412.240
211
G-4-26-I
2.354.688
2.825.625
3.296.563
212
G-4-26-II
2.732.240
3.278.688
3.825.136
213
G-4-26-III
4.011.897
4.814.276
5.616.655
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
H-1-20-I
H-1-20-II
H-1-20-III
H-1-30-I
H-1-30-II
H-1-30-III
H-4-10-I
H-4-10-II
H-4-10-III
H-4-11-I
H-4-11-II
H-4-11-III
H-4-12-I
H-4-12-II
H-4-12-III
4.182.213
5.331.203
7.250.103
2.340.939
3.269.407
5.454.887
2.357.402
3.349.965
6.396.624
1.603.010
1.787.440
2.559.276
2.454.440
3.328.415
5.552.846
5.018.655
6.397.444
8.700.124
2.809.127
3.923.288
6.545.864
2.828.883
4.019.958
7.675.949
1.923.612
2.144.928
3.071.131
2.945.329
3.994.098
6.663.415
5.855.098
7.463.685
10.150.145
3.277.315
4.577.169
7.636.842
3.300.363
4.689.951
8.955.274
2.244.214
2.502.416
3.582.986
3.436.217
4.659.781
7.773.984
229
I-1-01-I
33.840.851
40.609.021
47.377.191
Kode INACBG
230
I-1-01-II
231
I-1-01-III
232
I-1-02-I
233
I-1-02-II
234
I-1-02-III
235
I-1-03-I
236
I-1-03-II
237
I-1-03-III
238
I-1-04-I
239
I-1-04-II
240
I-1-04-III
241
I-1-05-I
242
I-1-05-II
243
I-1-05-III
244
245
246
I-1-06-I
I-1-06-II
I-1-06-III
247
I-1-07-I
248
I-1-07-II
249
I-1-07-III
250
I-1-11-I
251
I-1-11-II
252
I-1-11-III
253
I-1-12-I
254
I-1-12-II
255
I-1-12-III
256
I-1-13-I
257
I-1-13-II
258
I-1-13-III
259
I-1-14-I
260
I-1-14-II
261
I-1-14-III
262
I-1-15-I
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
34.585.526
41.502.631
48.419.736
54.592.589
65.511.107
76.429.625
18.774.709
22.529.651
26.284.593
24.219.375
29.063.249
33.907.124
29.851.787
35.822.145
41.792.502
11.544.413
13.853.295
16.162.178
13.229.914
15.875.897
18.521.880
21.885.898
26.263.077
30.640.257
17.978.878
21.574.653
25.170.429
18.424.669
22.109.603
25.794.537
42.746.087
51.295.304
59.844.522
24.848.880
29.818.655
34.788.431
29.818.655
35.782.387
41.746.118
41.030.282
49.236.338
57.442.394
12.962.073
14.179.135
22.750.210
15.554.487
17.014.962
27.300.252
18.146.902
19.850.789
31.850.293
20.120.512
24.144.614
28.168.717
24.822.739
29.787.287
34.751.834
27.081.447
32.497.736
37.914.025
3.237.991
3.885.589
4.533.187
3.600.322
4.320.386
5.040.450
4.790.931
5.749.117
6.707.303
8.971.887
10.766.264
12.560.641
10.195.651
12.234.782
14.273.912
17.358.134
20.829.761
24.301.388
4.281.977
5.138.373
5.994.768
6.133.586
7.360.303
8.587.020
14.634.466
17.561.359
20.488.253
19.326.906
23.192.288
27.057.669
24.020.584
28.824.700
33.628.817
31.475.247
37.770.297
44.065.346
4.966.788
5.960.146
6.953.503
263
264
Kode INACBG
I-1-15-II
I-1-15-III
265
I-1-16-I
266
I-1-16-II
267
I-1-16-III
268
I-1-17-I
269
I-1-17-II
270
I-1-17-III
271
I-1-20-I
272
I-1-20-II
273
I-1-20-III
274
I-1-30-I
275
I-1-30-II
276
I-1-30-III
277
278
279
280
281
282
283
284
285
286
287
288
I-1-40-I
I-1-40-II
I-1-40-III
I-4-10-I
I-4-10-II
I-4-10-III
I-4-11-I
I-4-11-II
I-4-11-III
I-4-12-I
I-4-12-II
I-4-12-III
289
I-4-13-I
290
I-4-13-II
291
I-4-13-III
292
293
294
I-4-14-I
I-4-14-II
I-4-14-III
295
I-4-15-I
296
I-4-15-II
297
I-4-15-III
298
299
300
301
302
303
304
I-4-16-I
I-4-16-II
I-4-16-III
I-4-17-I
I-4-17-II
I-4-17-III
I-4-18-I
No
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
9.000.831
13.181.415
10.800.997
15.817.698
12.601.163
18.453.981
8.282.960
9.939.552
11.596.144
21.535.696
25.842.835
30.149.974
24.840.896
29.809.076
34.777.255
11.677.037
14.012.444
16.347.851
15.161.429
18.193.714
21.226.000
31.780.531
38.136.637
44.492.743
10.361.081
12.433.297
14.505.513
13.101.233
15.721.479
18.341.726
14.862.732
17.835.279
20.807.825
9.397.061
11.276.473
13.155.885
19.547.785
23.457.342
27.366.899
30.291.967
36.350.361
42.408.754
10.313.334
14.331.741
17.889.115
4.047.825
6.385.486
6.827.256
3.499.461
4.330.597
8.010.702
4.208.054
6.005.619
7.312.234
12.376.000
17.198.089
21.466.938
4.857.390
7.662.583
8.192.708
4.199.353
5.196.716
9.612.843
5.049.664
7.206.743
8.774.681
14.438.667
20.064.437
25.044.761
5.666.955
8.939.680
9.558.159
4.899.246
6.062.835
11.214.983
5.891.275
8.407.867
10.237.128
4.639.163
5.566.996
6.494.828
5.882.795
7.059.354
8.235.913
10.203.787
12.244.544
14.285.301
2.037.669
2.348.639
4.243.035
2.445.202
2.818.367
5.091.642
2.852.736
3.288.094
5.940.249
3.132.184
3.758.620
4.385.057
4.489.134
5.386.961
6.284.788
5.116.533
6.139.839
7.163.146
2.352.567
3.006.004
3.906.020
3.212.306
4.354.725
5.285.238
3.105.488
2.823.080
3.607.204
4.687.224
3.854.767
5.225.670
6.342.285
3.726.585
3.293.593
4.208.405
5.468.428
4.497.228
6.096.615
7.399.333
4.347.683
305
Kode INACBG
I-4-18-II
306
I-4-18-III
307
I-4-19-I
308
I-4-19-II
3.868.512
4.642.215
5.415.917
309
310
311
312
313
314
315
316
317
318
I-4-19-III
I-4-20-I
I-4-20-II
I-4-20-III
I-4-21-I
I-4-21-II
I-4-21-III
I-4-22-I
I-4-22-II
I-4-22-III
4.346.097
3.249.803
3.734.758
4.962.791
4.321.463
5.368.729
7.361.494
2.550.571
2.928.289
4.277.127
5.215.317
3.899.764
4.481.709
5.955.350
5.185.756
6.442.475
8.833.793
3.060.686
3.513.947
5.132.552
6.084.536
4.549.724
5.228.661
6.947.908
6.050.048
7.516.221
10.306.092
3.570.800
4.099.605
5.987.977
319
I-4-23-I
1.931.003
2.317.204
2.703.404
320
I-4-23-II
2.370.827
2.844.992
3.319.157
321
I-4-23-III
4.632.379
5.558.855
6.485.331
322
I-4-24-I
2.305.156
2.766.187
3.227.218
323
I-4-24-II
6.349.444
7.619.333
8.889.221
324
I-4-24-III
7.990.357
9.588.428
11.186.499
325
J-1-01-I
18.874.276
22.649.131
26.423.986
326
J-1-01-II
20.561.280
24.673.537
28.785.793
327
J-1-01-III
37.238.187
44.685.825
52.133.462
328
J-1-02-I
8.849.264
10.619.117
12.388.970
329
J-1-02-II
10.178.812
12.214.574
14.250.336
330
J-1-02-III
16.612.249
19.934.699
23.257.149
331
332
333
J-1-10-I
J-1-10-II
J-1-10-III
5.012.343
9.879.104
12.711.414
6.014.812
11.854.924
15.253.697
7.017.280
13.830.745
17.795.980
334
J-1-20-I
5.812.761
6.975.314
8.137.866
335
J-1-20-II
7.680.593
9.216.711
10.752.830
336
J-1-20-III
11.761.994
14.114.393
16.466.791
337
J-1-30-I
2.920.568
3.504.682
4.088.796
338
J-1-30-II
9.582.227
11.498.672
13.415.118
339
J-1-30-III
25.827.587
30.993.105
36.158.622
340
341
342
343
344
345
346
J-4-10-I
J-4-10-II
J-4-10-III
J-4-11-I
J-4-11-II
J-4-11-III
J-4-12-I
2.489.842
3.560.174
5.386.012
2.129.875
2.855.998
4.092.718
2.395.372
2.987.810
4.272.209
6.463.215
2.555.850
3.427.198
4.911.262
2.874.447
3.485.778
4.984.244
7.540.417
2.981.825
3.998.397
5.729.806
3.353.521
No
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
4.641.471
5.569.765
6.498.059
6.371.521
7.645.826
8.920.130
2.270.626
2.724.751
3.178.876
347
348
349
350
351
352
353
354
355
356
357
358
359
360
361
362
363
364
365
366
367
368
369
370
371
372
Kode INACBG
J-4-12-II
J-4-12-III
J-4-13-I
J-4-13-II
J-4-13-III
J-4-14-I
J-4-14-II
J-4-14-III
J-4-15-I
J-4-15-II
J-4-15-III
J-4-16-I
J-4-16-II
J-4-16-III
J-4-17-I
J-4-17-II
J-4-17-III
J-4-18-I
J-4-18-II
J-4-18-III
J-4-19-I
J-4-19-II
J-4-19-III
J-4-20-I
J-4-20-II
J-4-20-III
373
J-4-21-I
374
J-4-21-II
375
J-4-21-III
376
K-1-10-I
377
K-1-10-II
378
K-1-10-III
379
380
381
K-1-11-I
K-1-11-II
K-1-11-III
382
K-1-12-I
383
K-1-12-II
384
K-1-12-III
385
386
387
K-1-13-I
K-1-13-II
K-1-13-III
388
K-1-14-I
3.602.063
4.322.475
5.042.888
389
K-1-14-II
5.000.622
6.000.746
7.000.870
390
391
392
393
K-1-14-III
K-1-20-I
K-1-20-II
K-1-20-III
10.995.795
9.421.493
13.180.493
21.986.559
13.194.954
11.305.791
15.816.591
26.383.870
15.394.113
13.190.090
18.452.690
30.781.182
394
K-1-30-I
6.075.373
7.290.448
8.505.522
395
K-1-30-II
8.439.340
10.127.208
11.815.076
No
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
3.110.664
4.153.977
4.095.491
5.995.556
11.551.350
2.523.940
5.032.655
5.716.102
4.208.246
5.027.675
6.680.817
3.506.343
4.927.333
8.155.316
2.420.032
3.109.394
3.439.011
1.566.321
2.364.864
2.564.416
2.740.474
3.143.086
4.749.669
2.744.464
4.530.377
6.171.935
3.732.796
4.984.772
4.914.589
7.194.667
13.861.620
3.028.728
6.039.186
6.859.323
5.049.895
6.033.210
8.016.980
4.207.611
5.912.800
9.786.380
2.904.039
3.731.272
4.126.813
1.879.585
2.837.836
3.077.300
3.288.569
3.771.704
5.699.603
3.293.357
5.436.453
7.406.322
4.354.929
5.815.567
5.733.688
8.393.779
16.171.890
3.533.516
7.045.717
8.002.543
5.891.544
7.038.745
9.353.144
4.908.880
6.898.267
11.417.443
3.388.045
4.353.151
4.814.615
2.192.850
3.310.809
3.590.183
3.836.663
4.400.321
6.649.537
3.842.249
6.342.528
8.640.709
1.562.770
1.875.325
2.187.879
3.162.608
3.795.129
4.427.651
4.487.272
5.384.726
6.282.180
4.225.174
5.070.209
5.915.244
7.985.612
9.582.734
11.179.857
9.344.337
11.213.204
13.082.072
4.911.512
6.448.223
16.364.320
5.893.815
7.737.867
19.637.184
6.876.117
9.027.512
22.910.048
2.647.928
3.177.514
3.707.099
3.441.907
4.130.289
4.818.670
6.864.806
8.237.768
9.610.729
2.872.315
5.042.500
5.380.375
3.446.778
6.051.000
6.456.450
4.021.240
7.059.499
7.532.525
Kode INACBG
396
K-1-30-III
397
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
15.683.400
18.820.080
21.956.760
K-1-40-I
5.728.046
6.873.655
8.019.265
398
K-1-40-II
6.574.673
7.889.608
9.204.542
399
400
401
402
403
404
405
406
407
408
409
410
411
K-1-40-III
K-1-50-I
K-1-50-II
K-1-50-III
K-4-10-I
K-4-10-II
K-4-10-III
K-4-11-I
K-4-11-II
K-4-11-III
K-4-12-I
K-4-12-II
K-4-12-III
10.903.462
4.393.415
5.916.744
7.209.988
3.087.105
4.301.989
9.728.432
1.565.262
2.349.048
3.486.849
1.565.972
3.169.616
5.220.404
13.084.154
5.272.098
7.100.093
8.651.985
3.704.526
5.162.387
11.674.118
1.878.314
2.818.857
4.184.219
1.879.166
3.803.539
6.264.484
15.264.847
6.150.781
8.283.442
10.093.983
4.321.947
6.022.785
13.619.804
2.191.366
3.288.667
4.881.589
2.192.360
4.437.462
7.308.565
412
K-4-13-I
2.352.489
2.822.987
3.293.485
413
K-4-13-II
3.040.406
3.648.487
4.256.568
414
K-4-13-III
4.986.813
5.984.176
6.981.538
415
K-4-14-I
1.963.054
2.355.664
2.748.275
416
K-4-14-II
2.656.931
3.188.317
3.719.703
417
K-4-14-III
4.003.130
4.803.755
5.604.381
418
419
420
421
422
423
K-4-15-I
K-4-15-II
K-4-15-III
K-4-16-I
K-4-16-II
K-4-16-III
1.955.183
2.899.005
4.068.615
1.959.817
2.351.098
3.544.392
2.346.220
3.478.806
4.882.338
2.351.780
2.821.318
4.253.270
2.737.257
4.058.607
5.696.061
2.743.744
3.291.537
4.962.149
424
K-4-17-I
2.541.997
3.050.396
3.558.795
425
K-4-17-II
3.597.363
4.316.836
5.036.308
426
K-4-17-III
4.057.833
4.869.400
5.680.967
427
K-4-18-I
2.804.612
3.365.535
3.926.457
428
K-4-18-II
4.206.838
5.048.206
5.889.573
429
K-4-18-III
5.160.569
6.192.683
7.224.797
430
L-1-20-I
21.678.658
26.014.390
30.350.122
431
L-1-20-II
22.341.867
26.810.240
31.278.613
432
L-1-20-III
33.577.718
40.293.261
47.008.805
433
L-1-30-I
6.950.196
8.340.236
9.730.275
434
L-1-30-II
12.649.133
15.178.959
17.708.786
435
L-1-30-III
15.023.783
18.028.539
21.033.296
436
L-1-40-I
3.303.676
3.964.412
4.625.147
Kode INACBG
437
L-1-40-II
438
L-1-40-III
439
440
441
442
443
444
445
446
447
448
449
450
L-1-50-I
L-1-50-II
L-1-50-III
L-4-10-I
L-4-10-II
L-4-10-III
L-4-11-I
L-4-11-II
L-4-11-III
L-4-12-I
L-4-12-II
L-4-12-III
451
L-4-13-I
452
L-4-13-II
453
L-4-13-III
454
L-4-14-I
455
L-4-14-II
456
L-4-14-III
457
M-1-01-I
458
M-1-01-II
459
M-1-01-III
460
461
462
M-1-02-I
M-1-02-II
M-1-02-III
463
M-1-03-I
464
M-1-03-II
465
M-1-03-III
466
M-1-04-I
467
M-1-04-II
468
M-1-04-III
469
M-1-05-I
470
M-1-05-II
471
M-1-05-III
472
M-1-07-I
473
M-1-07-II
474
M-1-07-III
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
7.007.926
8.409.511
9.811.096
11.898.216
14.277.860
16.657.503
5.144.350
9.302.502
11.274.469
2.342.844
2.730.562
7.493.151
2.225.646
3.045.412
6.825.548
2.354.652
4.210.328
5.798.755
6.173.220
11.163.003
13.529.363
2.811.413
3.276.674
8.991.781
2.670.776
3.654.495
8.190.657
2.825.583
5.052.394
6.958.506
7.202.090
13.023.503
15.784.257
3.279.982
3.822.786
10.490.412
3.115.905
4.263.577
9.555.767
3.296.513
5.894.460
8.118.257
1.476.215
1.771.458
2.066.701
2.104.936
2.525.924
2.946.911
2.548.073
3.057.688
3.567.303
1.565.692
1.878.831
2.191.969
2.349.864
2.819.837
3.289.809
4.793.732
5.752.479
6.711.225
7.647.578
9.177.093
10.706.609
8.535.934
10.243.121
11.950.308
11.990.675
14.388.810
16.786.945
7.345.043
12.070.042
15.471.359
8.814.051
14.484.050
18.565.631
10.283.060
16.898.058
21.659.903
13.748.599
16.498.318
19.248.038
15.998.219
19.197.863
22.397.507
16.338.866
19.606.639
22.874.412
4.825.879
5.791.055
6.756.231
6.180.698
7.416.838
8.652.977
7.733.979
9.280.774
10.827.570
6.121.264
7.345.516
8.569.769
7.108.764
8.530.517
9.952.269
12.583.783
15.100.540
17.617.296
6.144.241
7.373.090
8.601.938
8.231.363
9.877.636
11.523.909
16.768.068
20.121.681
23.475.295
Kode INACBG
475
M-1-10-I
476
M-1-10-II
477
M-1-10-III
478
M-1-20-I
479
M-1-20-II
480
M-1-20-III
481
482
483
M-1-30-I
M-1-30-II
M-1-30-III
484
M-1-40-I
485
M-1-40-II
486
M-1-40-III
487
488
489
M-1-50-I
M-1-50-II
M-1-50-III
490
M-1-60-I
491
M-1-60-II
492
M-1-60-III
493
M-1-70-I
494
M-1-70-II
495
M-1-70-III
496
497
498
499
500
501
M-1-80-I
M-1-80-II
M-1-80-III
M-4-10-I
M-4-10-II
M-4-10-III
502
M-4-11-I
503
M-4-11-II
504
M-4-11-III
505
M-4-12-I
506
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
5.201.761
6.242.113
7.282.465
12.799.687
15.359.624
17.919.562
17.445.434
20.934.521
24.423.608
5.130.711
6.156.853
7.182.996
5.420.745
6.504.894
7.589.043
14.292.573
17.151.088
20.009.603
4.091.180
9.358.388
12.472.096
4.909.416
11.230.066
14.966.515
5.727.653
13.101.743
17.460.935
2.983.293
3.579.951
4.176.610
5.478.048
6.573.658
7.669.268
8.881.320
10.657.584
12.433.848
4.915.149
9.860.558
15.105.860
5.898.179
11.832.670
18.127.032
6.881.209
13.804.781
21.148.204
2.973.924
3.568.709
4.163.493
5.978.564
7.174.277
8.369.989
9.864.482
11.837.378
13.810.275
9.201.378
11.041.653
12.881.929
11.539.610
13.847.532
16.155.454
12.144.223
14.573.067
17.001.912
5.241.406
6.890.581
14.963.011
1.565.997
2.397.773
4.849.238
6.289.687
8.268.697
17.955.614
1.879.197
2.877.327
5.819.086
7.337.969
9.646.814
20.948.216
2.192.396
3.356.882
6.788.934
2.079.029
2.494.835
2.910.640
4.757.400
5.708.880
6.660.360
9.341.546
11.209.855
13.078.164
1.564.308
1.877.170
2.190.032
M-4-12-II
2.843.145
3.411.774
3.980.403
507
M-4-12-III
5.141.699
6.170.039
7.198.379
508
M-4-13-I
3.534.172
4.241.007
4.947.841
509
M-4-13-II
3.904.014
4.684.816
5.465.619
510
M-4-13-III
8.609.824
10.331.789
12.053.753
511
512
M-4-14-I
M-4-14-II
3.131.602
4.076.631
3.757.923
4.891.957
4.384.243
5.707.283
513
514
515
516
517
518
519
Kode INACBG
M-4-14-III
M-4-15-I
M-4-15-II
M-4-15-III
M-4-16-I
M-4-16-II
M-4-16-III
520
M-4-17-I
521
M-4-17-II
522
M-4-17-III
523
524
525
M-4-18-I
M-4-18-II
M-4-18-III
526
M-4-19-I
2.315.207
2.778.248
3.241.290
527
M-4-19-II
3.698.648
4.438.378
5.178.108
528
M-4-19-III
5.618.277
6.741.932
7.865.588
529
M-4-20-I
1.564.540
1.877.448
2.190.356
530
M-4-20-II
2.353.232
2.823.879
3.294.525
531
M-4-20-III
2.602.187
3.122.624
3.643.062
532
M-4-21-I
1.561.468
1.873.762
2.186.056
533
M-4-21-II
2.051.701
2.462.041
2.872.381
534
M-4-21-III
4.801.588
5.761.906
6.722.224
535
536
537
538
539
540
N-1-01-I
N-1-01-II
N-1-01-III
N-1-11-I
N-1-11-II
N-1-11-III
250.000.000
250.000.000
250.000.000
5.866.262
9.552.107
13.834.838
250.000.000
250.000.000
250.000.000
7.039.514
11.462.528
16.601.806
250.000.000
250.000.000
250.000.000
8.212.766
13.372.950
19.368.773
541
N-1-12-I
3.087.517
3.705.020
4.322.523
542
N-1-12-II
9.999.076
11.998.892
13.998.707
543
N-1-12-III
18.163.967
21.796.761
25.429.554
544
545
546
N-1-20-I
N-1-20-II
N-1-20-III
10.181.363
11.523.801
13.149.432
12.217.636
13.828.561
15.779.318
14.253.908
16.133.321
18.409.205
547
N-1-30-I
5.966.088
7.159.306
8.352.524
548
N-1-30-II
7.766.528
9.319.833
10.873.139
549
N-1-30-III
8.923.587
10.708.304
12.493.021
550
N-1-40-I
6.227.957
7.473.548
8.719.139
551
N-1-40-II
8.448.931
10.138.717
11.828.503
No
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
6.091.058
2.649.300
3.292.874
6.657.422
2.653.526
3.136.995
7.614.957
7.309.269
3.179.160
3.951.448
7.988.906
3.184.232
3.764.394
9.137.948
8.527.481
3.709.020
4.610.023
9.320.390
3.714.937
4.391.793
10.660.940
1.954.818
2.345.781
2.736.745
2.749.186
3.299.024
3.848.861
3.841.363
4.609.636
5.377.909
2.093.986
3.139.964
3.799.959
2.512.784
3.767.957
4.559.951
2.931.581
4.395.949
5.319.943
552
Kode INACBG
N-1-40-III
553
N-4-10-I
554
N-4-10-II
555
N-4-10-III
556
557
558
559
560
561
562
563
564
N-4-11-I
N-4-11-II
N-4-11-III
N-4-12-I
N-4-12-II
N-4-12-III
N-4-13-I
N-4-13-II
N-4-13-III
565
N-4-14-I
566
N-4-14-II
567
N-4-14-III
568
N-4-15-I
569
N-4-15-II
570
N-4-15-III
571
N-4-16-I
572
N-4-16-II
573
N-4-16-III
574
575
576
O-6-10-I
O-6-10-II
O-6-10-III
577
O-6-11-I
578
O-6-11-II
579
O-6-11-III
580
O-6-12-I
1.942.740
2.331.288
2.719.837
581
O-6-12-II
2.333.226
2.799.872
3.266.517
582
O-6-12-III
3.046.678
3.656.014
4.265.349
583
584
585
O-6-13-I
O-6-13-II
O-6-13-III
2.031.754
2.404.714
3.014.533
2.438.105
2.885.656
3.617.440
2.844.456
3.366.599
4.220.347
586
P-8-01-I
39.412.606
47.295.127
55.177.648
No
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
9.812.654
11.775.185
13.737.716
1.957.932
2.349.518
2.741.104
3.265.412
3.918.495
4.571.577
4.368.390
5.242.067
6.115.745
2.032.929
2.935.125
3.431.820
1.564.479
2.344.093
3.021.049
2.072.081
2.487.134
6.774.611
2.439.515
3.522.150
4.118.184
1.877.375
2.812.912
3.625.259
2.486.498
2.984.561
8.129.533
2.846.101
4.109.175
4.804.548
2.190.270
3.281.731
4.229.468
2.900.914
3.481.988
9.484.455
1.355.445
1.626.534
1.897.623
2.092.236
2.510.683
2.929.130
3.392.940
4.071.528
4.750.116
1.945.147
2.334.177
2.723.206
2.413.419
2.896.103
3.378.787
2.754.147
3.304.976
3.855.806
2.617.779
3.141.335
3.664.891
3.129.691
3.755.629
4.381.567
5.344.268
6.413.122
7.481.976
4.058.333
4.478.350
4.697.098
4.869.999
5.374.020
5.636.518
5.681.666
6.269.690
6.575.938
2.066.810
2.480.172
2.893.534
2.745.811
3.294.973
3.844.135
4.662.922
5.595.506
6.528.091
Kode INACBG
587
P-8-01-II
588
P-8-01-III
589
P-8-02-I
590
P-8-02-II
591
P-8-02-III
592
P-8-03-I
593
P-8-03-II
594
P-8-03-III
595
P-8-04-I
596
P-8-04-II
597
P-8-04-III
598
P-8-05-I
599
P-8-05-II
600
P-8-05-III
601
P-8-06-I
602
P-8-06-II
603
P-8-06-III
604
P-8-07-I
605
P-8-07-II
606
P-8-07-III
607
P-8-08-I
608
P-8-08-II
609
P-8-08-III
610
P-8-10-I
611
P-8-10-II
612
P-8-10-III
613
P-8-11-I
614
P-8-11-II
615
P-8-11-III
616
P-8-12-I
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
48.766.934
58.520.321
68.273.708
57.238.710
68.686.452
80.134.194
62.373.319
74.847.983
87.322.647
71.548.618
85.858.341
100.168.065
81.749.411
98.099.294
114.449.176
2.145.929
2.575.115
3.004.300
3.010.919
3.613.103
4.215.287
4.742.378
5.690.854
6.639.330
19.272.950
23.127.540
26.982.130
33.646.195
40.375.434
47.104.673
48.240.175
57.888.210
67.536.244
14.132.865
16.959.438
19.786.011
20.024.317
24.029.181
28.034.044
29.404.471
35.285.365
41.166.259
2.110.708
2.532.850
2.954.992
5.200.858
6.241.030
7.281.201
8.317.732
9.981.279
11.644.825
3.020.769
3.624.923
4.229.077
8.451.650
10.141.980
11.832.310
11.161.147
13.393.376
15.625.605
3.523.765
4.228.518
4.933.271
5.000.055
6.000.066
7.000.077
8.096.189
9.715.427
11.334.665
1.834.491
2.201.389
2.568.287
3.145.873
3.775.047
4.404.222
6.176.275
7.411.530
8.646.785
2.196.743
2.636.091
3.075.440
10.986.119
13.183.343
15.380.566
11.216.280
13.459.536
15.702.792
2.987.159
3.584.591
4.182.022
Kode INACBG
617
P-8-12-II
618
P-8-12-III
619
P-8-13-I
620
P-8-13-II
621
P-8-13-III
622
P-8-14-I
623
P-8-14-II
624
P-8-14-III
625
P-8-15-I
626
P-8-15-II
627
P-8-15-III
628
P-8-16-I
629
P-8-16-II
630
P-8-16-III
631
P-8-17-I
632
P-8-17-II
633
P-8-17-III
634
S-4-10-I
635
S-4-10-II
636
S-4-10-III
637
638
639
640
641
642
S-4-11-I
S-4-11-II
S-4-11-III
S-4-12-I
S-4-12-II
S-4-12-III
643
S-4-13-I
644
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
4.651.045
5.581.254
6.511.463
5.481.673
6.578.008
7.674.343
1.977.239
2.372.686
2.768.134
3.418.856
4.102.627
4.786.398
5.089.387
6.107.265
7.125.142
2.089.460
2.507.351
2.925.243
5.760.009
6.912.011
8.064.013
6.327.063
7.592.475
8.857.888
2.121.483
2.545.780
2.970.077
4.243.563
5.092.275
5.940.988
4.974.783
5.969.740
6.964.696
1.924.834
2.309.801
2.694.768
2.616.767
3.140.121
3.663.474
2.721.773
3.266.128
3.810.483
1.678.126
2.013.751
2.349.377
4.362.983
5.235.579
6.108.176
8.246.226
9.895.471
11.544.716
1.565.617
1.878.740
2.191.864
1.958.694
2.350.433
2.742.172
2.547.324
3.056.789
3.566.254
979.947
1.494.902
2.406.597
1.176.377
1.570.094
2.967.670
1.175.937
1.793.882
2.887.917
1.411.652
1.884.113
3.561.204
1.371.926
2.092.862
3.369.236
1.646.927
2.198.132
4.154.739
1.566.383
1.879.659
2.192.936
S-4-13-II
2.776.169
3.331.403
3.886.636
645
S-4-13-III
5.637.125
6.764.550
7.891.975
646
S-4-14-I
955.724
1.146.869
1.338.014
647
S-4-14-II
2.030.279
2.436.335
2.842.391
648
S-4-14-III
3.850.133
4.620.159
5.390.186
649
S-4-15-I
722.823
867.388
1.011.952
650
S-4-15-II
1.364.213
1.637.056
1.909.899
Kode INACBG
651
S-4-15-III
652
653
654
S-4-16-I
S-4-16-II
S-4-16-III
655
S-4-17-I
656
S-4-17-II
657
S-4-17-III
658
T-1-10-I
659
T-1-10-II
660
T-1-10-III
661
T-4-10-I
662
T-4-10-II
663
T-4-10-III
664
T-4-11-I
665
T-4-11-II
666
T-4-11-III
667
T-4-12-I
668
T-4-12-II
669
T-4-12-III
670
671
672
U-1-10-I
U-1-10-II
U-1-10-III
673
U-1-11-I
674
U-1-11-II
675
U-1-11-III
676
677
678
679
680
681
U-1-12-I
U-1-12-II
U-1-12-III
U-1-13-I
U-1-13-II
U-1-13-III
682
U-1-14-I
683
U-1-14-II
684
U-1-14-III
685
686
687
U-1-15-I
U-1-15-II
U-1-15-III
688
U-1-20-I
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
1.766.973
2.120.368
2.473.763
2.742.785
3.883.700
6.353.696
3.291.342
4.660.440
7.624.436
3.839.899
5.437.181
8.895.175
1.461.131
1.753.357
2.045.584
1.957.258
2.348.709
2.740.161
3.199.564
3.839.477
4.479.390
1.669.695
2.003.634
2.337.574
2.242.288
2.690.745
3.139.203
4.079.452
4.895.343
5.711.233
660.939
793.127
925.315
1.259.604
1.511.525
1.763.446
1.831.122
2.197.347
2.563.571
884.751
1.061.701
1.238.651
1.392.346
1.670.815
1.949.284
2.242.659
2.691.190
3.139.722
1.374.841
1.649.809
1.924.777
2.078.024
2.493.629
2.909.234
3.216.982
3.860.378
4.503.774
1.460.935
2.981.128
12.873.112
1.753.122
3.577.353
15.447.735
2.045.309
4.173.579
18.022.357
5.171.761
6.206.113
7.240.466
6.858.366
8.230.039
9.601.712
12.860.783
15.432.939
18.005.096
3.878.250
7.757.464
10.087.312
4.222.405
4.773.598
7.760.460
4.653.900
9.308.957
12.104.774
5.066.886
5.728.318
9.312.552
5.429.550
10.860.450
14.122.236
5.911.367
6.683.038
10.864.644
3.163.023
3.795.627
4.428.232
3.881.665
4.657.998
5.434.331
4.599.882
5.519.858
6.439.835
1.783.774
2.534.388
4.041.431
2.140.529
3.041.265
4.849.718
2.497.284
3.548.143
5.658.004
4.804.294
5.765.153
6.726.012
Kode INACBG
689
U-1-20-II
690
U-1-20-III
691
692
693
U-1-30-I
U-1-30-II
U-1-30-III
694
U-4-10-I
695
U-4-10-II
696
U-4-10-III
697
698
699
700
701
702
U-4-11-I
U-4-11-II
U-4-11-III
U-4-12-I
U-4-12-II
U-4-12-III
703
U-4-13-I
704
U-4-13-II
705
U-4-13-III
706
707
708
U-4-14-I
U-4-14-II
U-4-14-III
709
U-4-15-I
710
U-4-15-II
711
U-4-15-III
712
V-1-10-I
713
V-1-10-II
714
V-1-10-III
715
716
717
V-1-11-I
V-1-11-II
V-1-11-III
718
V-1-12-I
719
V-1-12-II
720
V-1-12-III
721
V-1-13-I
722
V-1-13-II
723
V-1-13-III
724
V-1-14-I
725
V-1-14-II
726
V-1-14-III
727
V-1-15-I
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
6.305.298
7.566.358
8.827.418
12.666.672
15.200.007
17.733.341
4.087.817
5.557.680
8.016.724
4.905.381
6.669.216
9.620.069
5.722.944
7.780.752
11.223.414
3.837.330
4.604.797
5.372.263
6.372.922
7.647.507
8.922.091
9.784.527
11.741.433
13.698.338
1.562.614
2.346.564
3.576.981
1.567.705
2.106.184
3.212.882
1.875.136
2.815.877
4.292.377
1.881.246
2.527.421
3.855.458
2.187.659
3.285.190
5.007.774
2.194.787
2.948.658
4.498.034
1.537.854
1.845.425
2.152.996
1.794.801
2.153.761
2.512.722
2.030.721
2.436.865
2.843.009
1.953.358
2.349.265
3.945.297
2.344.030
2.819.118
4.734.357
2.734.701
3.288.971
5.523.416
1.570.448
1.884.538
2.198.627
1.963.790
2.356.548
2.749.306
2.745.591
3.294.709
3.843.827
4.594.197
5.513.036
6.431.876
5.273.940
6.328.728
7.383.516
7.814.998
9.377.998
10.940.998
5.270.062
5.906.975
8.737.897
6.324.075
7.088.370
10.485.477
7.378.087
8.269.765
12.233.056
3.864.159
4.636.991
5.409.822
8.893.094
10.671.713
12.450.332
10.223.165
12.267.798
14.312.431
5.620.689
6.744.826
7.868.964
8.551.788
10.262.146
11.972.503
11.860.532
14.232.639
16.604.745
6.245.231
7.494.277
8.743.324
7.592.544
9.111.053
10.629.561
9.295.502
11.154.602
13.013.702
2.447.143
2.936.571
3.426.000
728
729
Kode INACBG
V-1-15-II
V-1-15-III
730
No
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
4.285.625
7.059.062
5.142.751
8.470.874
5.999.876
9.882.686
V-4-10-I
3.580.325
4.296.390
5.012.455
731
V-4-10-II
4.383.276
5.259.931
6.136.586
732
V-4-10-III
9.290.421
11.148.505
13.006.589
733
V-4-11-I
2.010.028
2.412.034
2.814.040
734
V-4-11-II
2.931.775
3.518.130
4.104.485
735
V-4-11-III
5.362.670
6.435.205
7.507.739
736
W-1-01-I
7.990.814
9.588.976
11.187.139
737
W-1-01-II
8.961.633
10.753.960
12.546.287
738
W-1-01-III
12.642.494
15.170.993
17.699.491
739
740
741
W-1-10-I
W-1-10-II
W-1-10-III
2.077.804
3.396.118
5.550.278
2.493.365
4.075.342
6.660.334
2.908.926
4.754.566
7.770.389
742
W-1-11-I
2.757.174
3.308.609
3.860.044
743
W-1-11-II
4.847.425
5.816.910
6.786.396
744
W-1-11-III
10.207.313
12.248.775
14.290.238
745
W-1-12-I
2.111.122
2.533.346
2.955.571
746
W-1-12-II
2.386.869
2.864.242
3.341.616
747
W-1-12-III
3.666.531
4.399.837
5.133.144
748
W-1-13-I
1.851.328
2.221.593
2.591.859
749
W-1-13-II
2.010.008
2.412.010
2.814.012
750
W-1-13-III
2.699.812
3.239.774
3.779.737
751
752
753
754
755
756
757
758
759
760
761
762
W-1-20-I
W-1-20-II
W-1-20-III
W-1-30-I
W-1-30-II
W-1-30-III
W-4-10-I
W-4-10-II
W-4-10-III
W-4-11-I
W-4-11-II
W-4-11-III
5.320.235
7.511.630
9.056.754
2.755.198
4.394.683
14.239.154
2.687.848
3.750.787
6.250.046
1.833.603
2.528.434
3.052.659
6.384.281
9.013.956
10.868.104
3.306.237
5.273.619
17.086.984
3.225.418
4.500.945
7.500.055
2.200.324
3.034.121
3.663.191
7.448.328
10.516.282
12.679.455
3.857.277
6.152.556
19.934.815
3.762.988
5.251.102
8.750.064
2.567.044
3.539.807
4.273.722
763
W-4-12-I
1.566.871
1.880.246
2.193.620
764
W-4-12-II
2.150.219
2.580.262
3.010.306
765
W-4-12-III
3.254.751
3.905.701
4.556.652
766
767
768
769
W-4-13-I
W-4-13-II
W-4-13-III
W-4-14-I
857.059
1.174.934
1.564.779
1.410.429
1.028.471
1.409.921
1.877.735
1.692.515
1.199.883
1.644.908
2.190.691
1.974.601
770
771
772
773
774
775
776
777
778
779
780
781
782
783
784
785
786
Kode INACBG
W-4-14-II
W-4-14-III
W-4-15-I
W-4-15-II
W-4-15-III
W-4-16-I
W-4-16-II
W-4-16-III
W-4-17-I
W-4-17-II
W-4-17-III
Z-4-10-I
Z-4-10-II
Z-4-10-III
Z-4-11-I
Z-4-11-II
Z-4-11-III
787
Z-4-12-I
788
Z-4-12-II
789
Z-4-12-III
No
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
1.590.198
2.288.634
982.797
1.092.901
1.513.225
2.104.104
2.813.767
3.813.585
1.186.607
1.565.150
2.967.186
2.691.547
3.572.640
5.075.275
2.585.969
3.109.397
3.649.934
1.908.237
2.746.361
1.179.356
1.311.481
1.815.870
2.524.924
3.376.521
4.576.302
1.423.929
1.878.180
3.560.624
3.229.856
4.287.167
6.090.330
3.103.162
3.731.276
4.379.921
2.226.277
3.204.087
1.375.915
1.530.061
2.118.515
2.945.745
3.939.274
5.339.019
1.661.250
2.191.210
4.154.061
3.768.165
5.001.695
7.105.385
3.620.356
4.353.156
5.109.908
1.176.648
1.411.978
1.647.308
3.195.020
3.834.024
4.473.028
4.129.518
4.955.422
5.781.325
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Kode INACBG
B-2-10-0
B-2-11-0
B-2-12-0
B-2-13-0
B-2-14-0
B-3-10-0
B-3-11-0
B-3-12-0
C-3-10-0
C-3-11-0
C-3-12-0
C-3-13-0
C-3-14-0
C-3-15-0
C-3-16-0
C-3-17-0
C-3-18-0
C-3-19-0
C-3-20-0
C-3-21-0
C-3-22-0
C-3-23-0
D-2-10-0
D-2-11-0
D-2-21-0
D-2-22-0
D-3-10-0
D-3-11-0
E-2-10-0
E-2-21-0
31
E-2-22-0
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
E-3-10-0
F-3-10-0
F-5-10-0
F-5-11-0
F-5-12-0
F-5-13-0
F-5-14-0
F-5-15-0
F-5-16-0
G-2-10-0
G-2-11-0
G-2-12-0
G-2-13-0
G-2-21-0
G-2-22-0
G-2-31-0
G-2-32-0
G-3-10-0
G-3-11-0
G-3-12-0
G-3-13-0
H-2-21-0
H-2-22-0
H-2-23-0
H-2-31-0
H-2-32-0
No
58
59
60
61
62
63
64
65
66
67
68
69
70
71
Kode INACBG
H-2-33-0
H-2-34-0
H-2-35-0
H-2-36-0
H-2-37-0
H-3-10-0
H-3-11-0
H-3-12-0
H-3-13-0
I-2-11-0
I-2-12-0
I-2-13-0
I-2-14-0
I-2-15-0
72
I-2-16-0
73
74
75
76
77
78
79
I-2-17-0
I-2-21-0
I-2-22-0
I-2-23-0
I-2-31-0
I-2-32-0
I-2-41-0
80
I-2-42-0
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
I-3-10-0
I-3-11-0
I-3-12-0
I-3-13-0
I-3-14-0
I-3-15-0
J-2-10-0
J-2-21-0
J-2-22-0
J-2-31-0
J-2-32-0
J-3-10-0
J-3-11-0
J-3-12-0
J-3-13-0
J-3-14-0
J-3-15-0
J-3-16-0
J-3-17-0
K-2-10-0
K-2-11-0
K-2-12-0
K-2-13-0
K-2-14-0
K-2-21-0
K-2-22-0
K-2-31-0
K-2-32-0
K-2-41-0
K-2-42-0
K-2-51-0
K-2-52-0
K-2-53-0
K-3-10-0
No
Kode INACBG
K-3-11-0
K-3-12-0
K-3-13-0
K-3-14-0
K-3-15-0
K-3-16-0
L-2-21-0
L-2-22-0
L-2-31-0
L-2-32-0
L-2-41-0
L-2-42-0
L-2-51-0
L-2-52-0
L-2-53-0
L-3-10-0
L-3-11-0
L-3-12-0
M-2-10-0
M-2-21-0
M-2-22-0
M-2-31-0
M-2-32-0
M-2-41-0
M-2-42-0
M-2-51-0
M-2-52-0
M-2-61-0
M-2-62-0
M-2-63-0
M-2-64-0
M-2-65-0
M-2-71-0
M-2-72-0
M-2-81-0
M-2-82-0
M-2-83-0
M-2-84-0
M-3-10-0
M-3-11-0
M-3-12-0
M-3-13-0
M-3-14-0
M-3-15-0
M-3-16-0
M-3-17-0
N-2-11-0
N-2-12-0
N-2-21-0
N-2-22-0
N-2-23-0
N-2-24-0
N-2-31-0
N-2-32-0
N-2-41-0
N-2-42-0
N-3-10-0
N-3-11-0
N-3-12-0
Kode INACBG
N-3-13-0
N-3-14-0
N-3-15-0
O-7-10-0
O-7-11-0
179 O-7-12-0
180 O-7-13-0
181 P-9-10-0
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
229
230
P-9-11-0
P-9-12-0
P-9-13-0
P-9-14-0
P-9-15-0
P-9-16-0
P-9-17-0
Q-5-10-0
Q-5-11-0
Q-5-12-0
Q-5-13-0
Q-5-14-0
Q-5-15-0
Q-5-16-0
Q-5-17-0
Q-5-18-0
Q-5-19-0
Q-5-20-0
Q-5-21-0
Q-5-22-0
Q-5-23-0
Q-5-24-0
Q-5-25-0
Q-5-26-0
Q-5-27-0
Q-5-28-0
Q-5-29-0
Q-5-30-0
Q-5-31-0
Q-5-32-0
Q-5-33-0
Q-5-34-0
Q-5-35-0
Q-5-36-0
Q-5-37-0
Q-5-38-0
Q-5-39-0
Q-5-40-0
Q-5-41-0
Q-5-42-0
Q-5-43-0
Q-5-44-0
T-2-10-0
U-2-10-0
U-2-11-0
U-2-12-0
U-2-13-0
U-2-14-0
U-2-15-0
Kode INACBG
U-2-21-0
U-2-22-0
U-2-23-0
U-2-24-0
U-2-25-0
U-2-31-0
U-2-32-0
238 U-3-10-0
239 U-3-11-0
240 U-3-12-0
241 U-3-13-0
242
243
244
245
246
247
248
249
250
251
252
253
254
255
256
257
258
259
260
261
262
263
264
265
266
267
268
U-3-14-0
U-3-15-0
U-3-16-0
V-2-10-0
V-2-11-0
V-2-12-0
V-2-13-0
V-2-14-0
V-2-15-0
V-3-10-0
V-3-11-0
V-3-12-0
W-2-10-0
W-2-11-0
W-2-12-0
W-2-13-0
W-2-21-0
W-2-22-0
W-2-23-0
W-2-31-0
W-2-32-0
W-2-33-0
W-2-34-0
W-3-10-0
W-3-11-0
W-3-12-0
Z-3-10-0
269 Z-3-11-0
270
271
272
273
274
275
276
277
278
279
280
281
282
283
284
285
286
Z-3-12-0
Z-3-13-0
Z-3-14-0
Z-3-15-0
Z-3-16-0
Z-3-17-0
Z-3-18-0
Z-3-19-0
Z-3-20-0
Z-3-21-0
Z-3-22-0
Z-3-23-0
Z-3-24-0
Z-3-25-0
Z-3-26-0
Z-3-27-0
Z-3-28-0
1
2
3
4
5
6
7
8
9
10
11
12
Kode INACBG
A-4-10-I
A-4-10-II
A-4-10-III
A-4-11-I
A-4-11-II
A-4-11-III
A-4-12-I
A-4-12-II
A-4-12-III
A-4-13-I
A-4-13-II
A-4-13-III
13
A-4-14-I
14
A-4-14-II
15
A-4-14-III
16
17
18
19
20
21
22
23
24
25
26
27
A-4-15-I
A-4-15-II
A-4-15-III
B-1-01-I
B-1-01-II
B-1-01-III
B-1-10-I
B-1-10-II
B-1-10-III
B-1-11-I
B-1-11-II
B-1-11-III
28
B-1-12-I
29
B-1-12-II
30
B-1-12-III
31
B-1-13-I
32
B-1-13-II
33
B-1-13-III
34
B-1-14-I
35
B-1-14-II
36
B-1-14-III
37
38
39
B-4-10-I
B-4-10-II
B-4-10-III
40
B-4-11-I
41
B-4-11-II
42
B-4-11-III
4.624.360
5.549.232
6.474.105
43
44
45
B-4-12-I
B-4-12-II
B-4-12-III
2.451.056
3.678.720
6.996.126
2.941.267
4.414.465
8.395.351
3.431.478
5.150.209
9.794.577
46
B-4-13-I
1.961.526
2.353.831
2.746.136
No
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
1.491.020
2.408.066
2.781.094
3.245.577
4.751.474
7.772.373
1.310.458
1.691.237
2.093.961
1.635.026
1.968.083
2.382.399
1.789.224
2.889.679
3.337.313
3.894.692
5.701.768
9.326.847
1.572.550
2.029.484
2.512.753
1.962.031
2.361.700
2.858.879
2.087.428
3.371.292
3.893.532
4.543.807
6.652.063
10.881.322
1.834.642
2.367.731
2.931.545
2.289.036
2.755.316
3.335.358
2.544.943
3.053.932
3.562.921
3.273.441
3.928.129
4.582.817
3.750.593
4.500.712
5.250.830
1.968.961
2.938.816
4.914.732
21.764.910
24.012.514
42.122.891
2.821.747
7.191.170
14.976.537
2.306.675
5.787.706
7.252.686
2.362.754
3.526.580
5.897.679
26.117.892
28.815.017
50.547.470
3.386.096
8.629.404
17.971.844
2.768.010
6.945.248
8.703.223
2.756.546
4.114.343
6.880.625
30.470.874
33.617.520
58.972.048
3.950.445
10.067.638
20.967.151
3.229.345
8.102.789
10.153.760
4.005.334
4.806.401
5.607.468
8.584.411
10.301.293
12.018.175
10.447.552
12.537.062
14.626.572
3.228.603
3.874.324
4.520.045
5.258.926
6.310.711
7.362.497
7.753.133
9.303.759
10.854.386
4.381.896
5.258.275
6.134.655
4.873.553
5.848.263
6.822.974
7.624.094
9.148.913
10.673.732
1.223.895
1.774.988
2.992.708
1.468.674
2.129.985
3.591.250
1.713.453
2.484.983
4.189.792
2.383.092
2.859.710
3.336.329
3.572.088
4.286.506
5.000.924
Kode INACBG
47
B-4-13-II
48
B-4-13-III
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
B-4-14-I
B-4-14-II
B-4-14-III
C-4-10-I
C-4-10-II
C-4-10-III
C-4-11-I
C-4-11-II
C-4-11-III
C-4-12-I
C-4-12-II
C-4-12-III
C-4-13-I
C-4-13-II
C-4-13-III
C-4-14-I
C-4-14-II
C-4-14-III
67
D-1-10-I
68
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
2.538.181
3.045.818
3.553.454
3.734.399
4.481.279
5.228.159
2.250.628
2.534.205
3.220.210
2.294.768
4.452.823
6.539.257
2.302.578
2.629.114
5.339.551
1.312.765
4.317.328
8.744.761
1.310.281
2.619.542
3.433.837
2.037.726
2.969.940
4.515.260
2.700.753
3.041.046
3.864.252
2.753.722
5.343.387
7.847.109
2.763.094
3.154.937
6.407.461
1.575.318
5.180.794
10.493.713
1.572.337
3.143.451
4.120.604
2.445.271
3.563.927
5.418.312
3.150.879
3.547.888
4.508.293
3.212.676
6.233.952
9.154.960
3.223.609
3.680.759
7.475.371
1.837.871
6.044.260
12.242.666
1.834.394
3.667.359
4.807.372
2.852.816
4.157.915
6.321.364
13.927.042
16.712.450
19.497.858
D-1-10-II
21.211.953
25.454.343
29.696.734
69
D-1-10-III
28.747.992
34.497.590
40.247.188
70
71
72
D-1-11-I
D-1-11-II
D-1-11-III
3.423.437
8.842.890
12.290.729
4.108.124
10.611.467
14.748.875
4.792.812
12.380.045
17.207.021
73
D-1-20-I
3.006.636
3.607.964
4.209.291
74
D-1-20-II
8.662.105
10.394.526
12.126.948
75
D-1-20-III
13.866.872
16.640.247
19.413.621
76
77
78
79
80
81
82
83
84
D-4-10-I
D-4-10-II
D-4-10-III
D-4-11-I
D-4-11-II
D-4-11-III
D-4-12-I
D-4-12-II
D-4-12-III
1.349.145
2.269.132
3.284.341
1.636.983
3.307.720
4.078.576
1.678.207
2.327.838
3.574.396
1.618.974
2.722.958
3.941.210
1.964.380
3.969.264
4.894.291
2.013.848
2.793.405
4.289.275
1.888.803
3.176.784
4.598.078
2.291.776
4.630.808
5.710.006
2.349.489
3.258.973
5.004.154
85
D-4-13-I
1.312.168
1.574.602
1.837.035
86
D-4-13-II
1.967.364
2.360.837
2.754.309
87
D-4-13-III
2.413.096
2.895.715
3.378.334
88
D-4-14-I
1.641.905
1.970.286
2.298.668
89
D-4-14-II
3.044.668
3.653.601
4.262.535
90
D-4-14-III
4.269.288
5.123.146
5.977.004
91
92
93
94
E-1-01-I
E-1-01-II
E-1-01-III
E-1-10-I
3.753.771
4.917.083
9.746.478
3.196.740
4.504.526
5.900.500
11.695.773
3.836.089
5.255.280
6.883.917
13.645.069
4.475.437
95
96
Kode INACBG
E-1-10-II
E-1-10-III
97
E-1-20-I
98
E-1-20-II
99
E-1-20-III
100
E-4-10-I
101
E-4-10-II
102
E-4-10-III
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
E-4-11-I
E-4-11-II
E-4-11-III
E-4-12-I
E-4-12-II
E-4-12-III
E-4-13-I
E-4-13-II
E-4-13-III
F-4-10-I
F-4-10-II
F-4-10-III
F-4-11-I
F-4-11-II
F-4-11-III
118
F-4-12-I
1.158.472
1.390.167
1.621.861
119
F-4-12-II
1.535.816
1.842.979
2.150.142
120
F-4-12-III
3.042.325
3.650.790
4.259.255
121
122
123
124
125
126
127
128
129
F-4-13-I
F-4-13-II
F-4-13-III
F-4-14-I
F-4-14-II
F-4-14-III
F-4-15-I
F-4-15-II
F-4-15-III
1.910.278
2.533.580
3.266.728
1.091.813
1.400.472
1.884.397
1.595.553
2.251.488
2.814.074
2.292.333
3.040.296
3.920.074
1.310.176
1.680.566
2.261.277
1.914.663
2.701.785
3.376.888
2.674.389
3.547.012
4.573.419
1.528.539
1.960.660
2.638.156
2.233.774
3.152.083
3.939.703
130
F-4-16-I
3.447.373
4.136.848
4.826.322
131
F-4-16-II
3.993.397
4.792.077
5.590.756
132
F-4-16-III
5.330.519
6.396.622
7.462.726
133
134
135
136
137
138
139
140
141
F-4-17-I
F-4-17-II
F-4-17-III
F-4-18-I
F-4-18-II
F-4-18-III
F-4-19-I
F-4-19-II
F-4-19-III
663.157
1.943.650
2.073.731
2.978.711
3.277.424
5.052.434
2.278.935
2.918.235
3.633.242
795.788
2.332.379
2.488.477
3.574.453
3.932.908
6.062.921
2.734.722
3.501.882
4.359.890
928.420
2.721.109
2.903.224
4.170.196
4.588.393
7.073.408
3.190.509
4.085.529
5.086.538
142
G-1-01-I
6.069.854
7.283.824
8.497.795
No
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
3.880.093
8.178.093
4.656.111
9.813.712
5.432.130
11.449.330
4.073.411
4.888.093
5.702.775
5.931.780
7.118.137
8.304.493
9.845.056
11.814.067
13.783.078
1.815.323
2.178.388
2.541.452
2.789.959
3.347.951
3.905.943
3.865.140
4.638.168
5.411.196
1.561.634
2.576.517
4.237.632
1.796.470
2.952.042
4.314.817
2.067.756
3.495.133
5.085.932
2.575.560
2.863.725
4.239.807
2.369.073
2.760.195
3.539.579
1.873.961
3.091.820
5.085.159
2.155.764
3.542.451
5.177.780
2.481.307
4.194.159
6.103.119
3.090.673
3.436.469
5.087.769
2.842.888
3.312.234
4.247.494
2.186.288
3.607.124
5.932.685
2.515.058
4.132.859
6.040.744
2.894.858
4.893.186
7.120.305
3.605.785
4.009.214
5.935.730
3.316.702
3.864.273
4.955.410
Kode INACBG
143
G-1-01-II
144
G-1-01-III
145
146
147
148
149
150
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
8.363.815
10.036.578
11.709.342
16.259.275
19.511.130
22.762.985
G-1-10-I
G-1-10-II
G-1-10-III
G-1-11-I
G-1-11-II
G-1-11-III
3.630.412
5.125.689
6.078.484
4.194.340
8.617.853
17.682.805
4.356.495
6.150.827
7.294.181
5.033.208
10.341.424
21.219.366
5.082.577
7.175.965
8.509.878
5.872.076
12.064.995
24.755.927
151
G-1-12-I
2.412.197
2.894.637
3.377.076
152
G-1-12-II
6.056.049
7.267.259
8.478.469
153
G-1-12-III
8.901.285
10.681.542
12.461.800
154
155
156
157
158
159
160
161
162
G-1-13-I
G-1-13-II
G-1-13-III
G-1-20-I
G-1-20-II
G-1-20-III
G-1-30-I
G-1-30-II
G-1-30-III
716.685
1.924.936
4.343.466
3.347.754
5.529.370
11.086.547
5.232.576
13.663.763
17.552.626
860.022
2.309.923
5.212.160
4.017.305
6.635.244
13.303.856
6.279.091
16.396.515
21.063.151
1.003.359
2.694.910
6.080.853
4.686.855
7.741.119
15.521.165
7.325.607
19.129.268
24.573.676
163
G-4-10-I
1.960.098
2.352.118
2.744.138
164
G-4-10-II
2.389.700
2.867.640
3.345.580
165
G-4-10-III
4.184.173
5.021.007
5.857.842
166
G-4-11-I
3.144.862
3.773.834
4.402.807
167
G-4-11-II
4.510.343
5.412.411
6.314.480
168
G-4-11-III
5.995.988
7.195.185
8.394.383
169
170
171
G-4-12-I
G-4-12-II
G-4-12-III
2.908.667
3.652.229
5.304.428
3.490.401
4.382.675
6.365.314
4.072.134
5.113.121
7.426.199
172
G-4-13-I
1.609.990
1.931.989
2.253.987
173
G-4-13-II
2.288.597
2.746.316
3.204.035
174
G-4-13-III
2.707.339
3.248.806
3.790.274
175
G-4-14-I
2.568.691
3.082.429
3.596.167
176
G-4-14-II
3.968.368
4.762.042
5.555.715
177
G-4-14-III
4.962.181
5.954.617
6.947.053
178
G-4-15-I
1.962.158
2.354.589
2.747.021
179
G-4-15-II
2.389.637
2.867.564
3.345.491
180
G-4-15-III
3.078.682
3.694.418
4.310.155
181
G-4-16-I
1.634.141
1.960.969
2.287.797
182
183
Kode INACBG
G-4-16-II
G-4-16-III
184
No
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
1.881.132
3.626.004
2.257.359
4.351.204
2.633.585
5.076.405
G-4-17-I
2.198.435
2.638.122
3.077.810
185
G-4-17-II
2.923.807
3.508.569
4.093.330
186
G-4-17-III
4.900.325
5.880.390
6.860.455
187
G-4-18-I
1.959.252
2.351.102
2.742.952
188
G-4-18-II
3.359.437
4.031.325
4.703.212
189
G-4-18-III
3.566.418
4.279.701
4.992.985
190
G-4-19-I
1.958.204
2.349.845
2.741.485
191
G-4-19-II
3.053.461
3.664.153
4.274.846
192
G-4-19-III
3.838.470
4.606.165
5.373.859
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
G-4-20-I
G-4-20-II
G-4-20-III
G-4-21-I
G-4-21-II
G-4-21-III
G-4-22-I
G-4-22-II
G-4-22-III
G-4-23-I
G-4-23-II
G-4-23-III
G-4-24-I
G-4-24-II
G-4-24-III
G-4-25-I
G-4-25-II
G-4-25-III
1.145.235
1.625.714
2.773.746
1.533.876
1.986.994
3.153.283
1.310.476
1.633.712
1.882.723
1.434.547
1.638.862
2.333.337
2.550.454
3.186.402
6.169.016
1.309.141
1.640.646
2.039.252
1.374.281
1.950.857
3.328.495
1.840.652
2.384.392
3.783.939
1.572.572
1.960.454
2.259.268
1.721.457
1.966.635
2.800.005
3.060.545
3.823.683
7.402.820
1.570.969
1.968.775
2.447.103
1.603.328
2.276.000
3.883.244
2.147.427
2.781.791
4.414.596
1.834.667
2.287.196
2.635.812
2.008.366
2.294.407
3.266.672
3.570.635
4.460.963
8.636.623
1.832.798
2.296.904
2.854.953
211
G-4-26-I
2.281.157
2.737.388
3.193.620
212
G-4-26-II
2.668.347
3.202.016
3.735.686
213
G-4-26-III
3.381.356
4.057.627
4.733.898
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
H-1-20-I
H-1-20-II
H-1-20-III
H-1-30-I
H-1-30-II
H-1-30-III
H-4-10-I
H-4-10-II
H-4-10-III
H-4-11-I
H-4-11-II
H-4-11-III
H-4-12-I
H-4-12-II
H-4-12-III
1.824.068
4.098.293
5.573.423
1.777.494
2.510.622
4.188.883
1.998.582
2.823.458
5.333.620
1.594.215
1.759.707
2.342.307
1.810.207
2.452.825
4.074.534
2.188.882
4.917.952
6.688.108
2.132.993
3.012.747
5.026.659
2.398.299
3.388.150
6.400.344
1.913.058
2.111.649
2.810.768
2.172.248
2.943.391
4.889.441
2.553.695
5.737.611
7.802.792
2.488.492
3.514.871
5.864.436
2.798.015
3.952.841
7.467.068
2.231.901
2.463.590
3.279.230
2.534.290
3.433.956
5.704.348
229
I-1-01-I
28.235.503
33.882.603
39.529.704
Kode INACBG
230
I-1-01-II
231
I-1-01-III
232
I-1-02-I
233
I-1-02-II
234
I-1-02-III
235
I-1-03-I
236
I-1-03-II
237
I-1-03-III
238
I-1-04-I
239
I-1-04-II
240
I-1-04-III
241
I-1-05-I
242
I-1-05-II
243
I-1-05-III
244
245
246
I-1-06-I
I-1-06-II
I-1-06-III
247
I-1-07-I
248
I-1-07-II
249
I-1-07-III
250
I-1-11-I
251
I-1-11-II
252
I-1-11-III
253
I-1-12-I
254
I-1-12-II
255
I-1-12-III
256
I-1-13-I
257
I-1-13-II
258
I-1-13-III
259
I-1-14-I
260
I-1-14-II
261
I-1-14-III
262
I-1-15-I
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
28.856.831
34.628.197
40.399.563
45.549.954
54.659.945
63.769.936
15.664.894
18.797.873
21.930.852
20.207.714
24.249.256
28.290.799
24.907.182
29.888.618
34.870.055
9.681.108
11.617.330
13.553.551
11.150.597
13.380.717
15.610.836
18.446.139
22.135.366
25.824.594
14.081.646
16.897.976
19.714.305
15.153.177
18.183.812
21.214.447
31.425.363
37.710.436
43.995.508
20.732.948
24.879.538
29.026.128
24.879.538
29.855.446
34.831.353
34.234.087
41.080.905
47.927.722
9.537.736
13.982.238
18.950.344
11.445.284
16.778.686
22.740.413
13.352.831
19.575.133
26.530.482
15.377.749
18.453.298
21.528.848
18.971.577
22.765.892
26.560.208
20.697.867
24.837.441
28.977.014
2.379.842
2.855.811
3.331.779
2.646.147
3.175.376
3.704.605
3.521.215
4.225.458
4.929.700
7.519.550
9.023.460
10.527.370
8.593.223
10.311.868
12.030.512
14.552.175
17.462.610
20.373.045
3.730.299
4.476.358
5.222.418
5.136.231
6.163.478
7.190.724
11.184.862
13.421.834
15.658.806
16.125.626
19.350.752
22.575.877
20.041.850
24.050.220
28.058.590
26.261.734
31.514.081
36.766.428
3.774.581
4.529.497
5.284.414
263
264
Kode INACBG
I-1-15-II
I-1-15-III
265
I-1-16-I
266
I-1-16-II
267
I-1-16-III
268
I-1-17-I
269
I-1-17-II
270
I-1-17-III
271
I-1-20-I
272
I-1-20-II
273
I-1-20-III
274
I-1-30-I
275
I-1-30-II
276
I-1-30-III
277
278
279
280
281
282
283
284
285
286
287
288
I-1-40-I
I-1-40-II
I-1-40-III
I-4-10-I
I-4-10-II
I-4-10-III
I-4-11-I
I-4-11-II
I-4-11-III
I-4-12-I
I-4-12-II
I-4-12-III
289
I-4-13-I
290
I-4-13-II
291
I-4-13-III
292
293
294
I-4-14-I
I-4-14-II
I-4-14-III
295
I-4-15-I
296
I-4-15-II
297
I-4-15-III
298
299
300
301
302
303
304
I-4-16-I
I-4-16-II
I-4-16-III
I-4-17-I
I-4-17-II
I-4-17-III
I-4-18-I
No
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
7.525.982
11.034.144
9.031.178
13.240.973
10.536.375
15.447.802
6.910.983
8.293.179
9.675.376
17.968.555
21.562.266
25.155.977
20.726.287
24.871.545
29.016.802
2.649.278
3.179.134
3.708.990
4.468.963
5.362.756
6.256.549
26.026.634
31.231.961
36.437.288
3.212.519
3.855.023
4.497.526
5.316.931
6.380.317
7.443.703
9.301.328
11.161.594
13.021.860
7.840.546
9.408.655
10.976.764
16.309.919
19.571.903
22.833.887
25.274.451
30.329.341
35.384.232
7.809.377
10.236.928
12.804.528
2.984.121
4.711.399
6.789.993
3.450.866
3.649.966
6.751.678
3.117.978
4.413.980
5.370.543
9.371.252
12.284.314
15.365.434
3.580.945
5.653.678
8.147.992
4.141.040
4.379.959
8.102.013
3.741.573
5.296.776
6.444.651
10.933.128
14.331.700
17.926.340
4.177.769
6.595.958
9.505.990
4.831.213
5.109.953
9.452.349
4.365.169
6.179.572
7.518.760
3.418.829
4.102.595
4.786.361
4.978.749
5.974.499
6.970.249
8.507.606
10.209.127
11.910.648
1.740.104
2.024.093
3.146.490
2.088.125
2.428.912
3.775.788
2.436.146
2.833.731
4.405.086
2.625.074
3.150.089
3.675.104
3.920.815
4.704.978
5.489.141
4.468.786
5.362.543
6.256.300
1.962.689
2.533.557
3.264.912
2.920.278
3.958.841
4.804.762
2.665.382
2.355.226
3.040.268
3.917.894
3.504.334
4.750.609
5.765.714
3.198.458
2.747.764
3.546.979
4.570.877
4.088.389
5.542.377
6.726.666
3.731.535
305
Kode INACBG
I-4-18-II
306
I-4-18-III
307
I-4-19-I
308
I-4-19-II
3.199.097
3.838.916
4.478.735
309
310
311
312
313
314
315
316
317
318
I-4-19-III
I-4-20-I
I-4-20-II
I-4-20-III
I-4-21-I
I-4-21-II
I-4-21-III
I-4-22-I
I-4-22-II
I-4-22-III
3.664.463
2.403.079
2.764.560
3.680.500
3.173.748
3.968.768
5.438.801
2.132.385
2.452.727
3.583.184
4.397.356
2.883.695
3.317.473
4.416.600
3.808.498
4.762.522
6.526.562
2.558.862
2.943.272
4.299.820
5.130.248
3.364.311
3.870.385
5.152.700
4.443.247
5.556.276
7.614.322
2.985.339
3.433.817
5.016.457
319
I-4-23-I
1.611.154
1.933.385
2.255.616
320
I-4-23-II
1.978.126
2.373.752
2.769.377
321
I-4-23-III
3.865.079
4.638.094
5.411.110
322
I-4-24-I
1.942.859
2.331.431
2.720.003
323
I-4-24-II
4.665.659
5.598.791
6.531.923
324
I-4-24-III
5.921.652
7.105.982
8.290.313
325
J-1-01-I
18.524.269
22.229.123
25.933.976
326
J-1-01-II
19.789.409
23.747.291
27.705.173
327
J-1-01-III
27.531.581
33.037.898
38.544.214
328
J-1-02-I
7.458.445
8.950.134
10.441.823
329
J-1-02-II
9.126.628
10.951.953
12.777.279
330
J-1-02-III
12.268.532
14.722.238
17.175.944
331
332
333
J-1-10-I
J-1-10-II
J-1-10-III
3.688.205
7.260.895
12.320.627
4.425.846
8.713.074
14.784.752
5.163.488
10.165.253
17.248.878
334
J-1-20-I
3.195.211
3.834.253
4.473.295
335
J-1-20-II
3.941.907
4.730.289
5.518.670
336
J-1-20-III
5.584.058
6.700.870
7.817.681
337
J-1-30-I
2.154.536
2.585.443
3.016.350
338
J-1-30-II
8.076.209
9.691.451
11.306.693
339
J-1-30-III
21.656.689
25.988.027
30.319.365
340
341
342
343
344
345
346
J-4-10-I
J-4-10-II
J-4-10-III
J-4-11-I
J-4-11-II
J-4-11-III
J-4-12-I
2.077.428
2.970.472
4.493.881
1.571.305
2.182.788
3.127.992
2.007.159
2.492.913
3.564.567
5.392.657
1.885.566
2.619.346
3.753.590
2.408.591
2.908.399
4.158.661
6.291.434
2.199.826
3.055.904
4.379.188
2.810.023
No
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
3.911.981
4.694.377
5.476.773
5.370.123
6.444.148
7.518.173
1.913.757
2.296.508
2.679.259
347
348
349
350
351
352
353
354
355
356
357
358
359
360
361
362
363
364
365
366
367
368
369
370
371
372
Kode INACBG
J-4-12-II
J-4-12-III
J-4-13-I
J-4-13-II
J-4-13-III
J-4-14-I
J-4-14-II
J-4-14-III
J-4-15-I
J-4-15-II
J-4-15-III
J-4-16-I
J-4-16-II
J-4-16-III
J-4-17-I
J-4-17-II
J-4-17-III
J-4-18-I
J-4-18-II
J-4-18-III
J-4-19-I
J-4-19-II
J-4-19-III
J-4-20-I
J-4-20-II
J-4-20-III
373
J-4-21-I
374
J-4-21-II
375
J-4-21-III
376
K-1-10-I
377
K-1-10-II
378
K-1-10-III
379
380
381
K-1-11-I
K-1-11-II
K-1-11-III
382
K-1-12-I
383
K-1-12-II
384
K-1-12-III
385
386
387
K-1-13-I
K-1-13-II
K-1-13-III
388
K-1-14-I
3.035.934
3.643.121
4.250.308
389
K-1-14-II
4.214.685
5.057.622
5.900.559
390
391
392
393
K-1-14-III
K-1-20-I
K-1-20-II
K-1-20-III
8.475.905
6.954.543
9.711.126
16.934.795
10.171.085
8.345.451
11.653.351
20.321.754
11.866.266
9.736.360
13.595.576
23.708.712
394
K-1-30-I
4.590.833
5.508.999
6.427.166
395
K-1-30-II
7.071.593
8.485.911
9.900.230
No
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
2.595.418
3.465.918
3.008.144
4.433.631
8.828.491
2.510.548
4.226.978
5.003.011
3.825.678
4.570.614
6.073.470
3.187.584
4.479.394
7.413.924
1.805.118
2.450.352
2.898.509
1.312.515
1.873.592
1.956.042
2.295.502
3.096.829
4.003.174
2.523.406
3.346.415
5.434.134
3.114.501
4.159.102
3.609.773
5.320.357
10.594.189
3.012.657
5.072.374
6.003.614
4.590.814
5.484.736
7.288.164
3.825.101
5.375.273
8.896.709
2.166.141
2.940.422
3.478.211
1.575.018
2.248.311
2.347.251
2.754.602
3.716.194
4.803.809
3.028.088
4.015.699
6.520.960
3.633.585
4.852.286
4.211.402
6.207.083
12.359.888
3.514.767
5.917.770
7.004.216
5.355.949
6.398.859
8.502.858
4.462.618
6.271.152
10.379.494
2.527.165
3.430.492
4.057.912
1.837.521
2.623.029
2.738.459
3.213.703
4.335.560
5.604.444
3.532.769
4.684.982
7.607.787
1.404.963
1.685.956
1.966.949
2.623.570
3.148.285
3.672.999
3.757.773
4.509.328
5.260.882
3.539.221
4.247.065
4.954.909
5.869.226
7.043.071
8.216.916
6.883.891
8.260.669
9.637.447
3.630.998
4.767.062
12.097.865
4.357.198
5.720.474
14.517.438
5.083.397
6.673.887
16.937.011
1.954.743
2.345.692
2.736.640
2.545.527
3.054.632
3.563.737
5.062.836
6.075.403
7.087.970
2.214.847
3.879.470
4.141.567
2.657.816
4.655.364
4.969.880
3.100.786
5.431.258
5.798.193
Kode INACBG
396
K-1-30-III
397
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
13.137.793
15.765.352
18.392.910
K-1-40-I
4.610.531
5.532.638
6.454.744
398
K-1-40-II
5.067.415
6.080.898
7.094.381
399
400
401
402
403
404
405
406
407
408
409
410
411
K-1-40-III
K-1-50-I
K-1-50-II
K-1-50-III
K-4-10-I
K-4-10-II
K-4-10-III
K-4-11-I
K-4-11-II
K-4-11-III
K-4-12-I
K-4-12-II
K-4-12-III
8.403.820
3.517.766
4.533.475
6.076.809
2.652.681
3.180.388
8.199.435
1.311.627
2.133.842
2.915.318
1.338.441
2.338.561
4.399.924
10.084.584
4.221.319
5.440.170
7.292.171
3.183.217
3.816.465
9.839.322
1.573.953
2.560.610
3.498.382
1.606.129
2.806.273
5.279.909
11.765.348
4.924.872
6.346.865
8.507.533
3.713.753
4.452.543
11.479.209
1.836.278
2.987.378
4.081.445
1.873.817
3.273.985
6.159.894
412
K-4-13-I
1.960.965
2.353.158
2.745.351
413
K-4-13-II
2.548.155
3.057.786
3.567.417
414
K-4-13-III
4.159.938
4.991.926
5.823.914
415
K-4-14-I
1.637.379
1.964.855
2.292.331
416
K-4-14-II
2.220.935
2.665.122
3.109.309
417
K-4-14-III
3.576.000
4.291.200
5.006.400
418
419
420
421
422
423
K-4-15-I
K-4-15-II
K-4-15-III
K-4-16-I
K-4-16-II
K-4-16-III
1.638.935
2.443.375
3.429.159
1.633.645
2.141.019
2.877.266
1.966.723
2.932.050
4.114.991
1.960.374
2.569.223
3.452.719
2.294.510
3.420.725
4.800.823
2.287.103
2.997.426
4.028.173
424
K-4-17-I
2.310.906
2.773.087
3.235.268
425
K-4-17-II
3.270.330
3.924.396
4.578.462
426
K-4-17-III
3.688.939
4.426.727
5.164.515
427
K-4-18-I
2.549.647
3.059.577
3.569.506
428
K-4-18-II
3.824.398
4.589.278
5.354.158
429
K-4-18-III
4.691.427
5.629.712
6.567.997
430
L-1-20-I
15.986.981
19.184.377
22.381.773
431
L-1-20-II
16.619.620
19.943.544
23.267.467
432
L-1-20-III
28.099.669
33.719.602
39.339.536
433
L-1-30-I
5.857.849
7.029.419
8.200.989
434
L-1-30-II
10.541.406
12.649.687
14.757.968
435
L-1-30-III
11.131.945
13.358.334
15.584.723
436
L-1-40-I
2.784.445
3.341.334
3.898.223
Kode INACBG
437
L-1-40-II
438
L-1-40-III
439
440
441
442
443
444
445
446
447
448
449
450
L-1-50-I
L-1-50-II
L-1-50-III
L-4-10-I
L-4-10-II
L-4-10-III
L-4-11-I
L-4-11-II
L-4-11-III
L-4-12-I
L-4-12-II
L-4-12-III
451
L-4-13-I
452
L-4-13-II
453
L-4-13-III
454
L-4-14-I
455
L-4-14-II
456
L-4-14-III
457
M-1-01-I
458
M-1-01-II
459
M-1-01-III
460
461
462
M-1-02-I
M-1-02-II
M-1-02-III
463
M-1-03-I
464
M-1-03-II
465
M-1-03-III
466
M-1-04-I
467
M-1-04-II
468
M-1-04-III
469
M-1-05-I
470
M-1-05-II
471
M-1-05-III
472
M-1-07-I
473
M-1-07-II
474
M-1-07-III
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
4.881.409
5.857.691
6.833.973
8.262.227
9.914.673
11.567.118
3.591.615
6.446.591
7.852.748
1.968.800
2.703.341
5.563.771
2.107.693
2.916.786
6.730.766
2.196.413
3.454.220
5.593.986
4.309.938
7.735.909
9.423.298
2.362.559
3.244.009
6.676.526
2.529.231
3.500.143
8.076.919
2.635.696
4.145.064
6.712.783
5.028.261
9.025.227
10.993.848
2.756.319
3.784.677
7.789.280
2.950.770
4.083.500
9.423.072
3.074.979
4.835.908
7.831.580
1.359.783
1.631.740
1.903.696
1.699.656
2.039.587
2.379.518
2.399.551
2.879.461
3.359.371
1.348.512
1.618.215
1.887.917
1.999.403
2.399.284
2.799.164
3.684.463
4.421.356
5.158.249
6.380.845
7.657.013
8.933.182
7.122.055
8.546.466
9.970.877
10.004.557
12.005.469
14.006.380
5.414.882
8.910.008
13.039.759
6.497.858
10.692.010
15.647.711
7.580.834
12.474.011
18.255.663
11.450.628
13.740.754
16.030.879
13.403.193
16.083.832
18.764.471
15.525.179
18.630.215
21.735.251
3.562.633
4.275.160
4.987.686
4.581.461
5.497.753
6.414.045
5.732.834
6.879.401
8.025.968
4.527.373
5.432.848
6.338.322
5.224.764
6.269.717
7.314.670
8.899.196
10.679.035
12.458.875
5.126.518
6.151.822
7.177.126
6.867.933
8.241.519
9.615.106
13.990.630
16.788.756
19.586.882
Kode INACBG
475
M-1-10-I
476
M-1-10-II
477
M-1-10-III
478
M-1-20-I
479
M-1-20-II
480
M-1-20-III
481
482
483
M-1-30-I
M-1-30-II
M-1-30-III
484
M-1-40-I
485
M-1-40-II
486
M-1-40-III
487
488
489
M-1-50-I
M-1-50-II
M-1-50-III
490
M-1-60-I
491
M-1-60-II
492
M-1-60-III
493
M-1-70-I
494
M-1-70-II
495
M-1-70-III
496
497
498
499
500
501
M-1-80-I
M-1-80-II
M-1-80-III
M-4-10-I
M-4-10-II
M-4-10-III
502
M-4-11-I
503
M-4-11-II
504
M-4-11-III
505
M-4-12-I
506
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
3.842.401
4.610.881
5.379.361
10.787.988
12.945.585
15.103.183
15.895.755
19.074.906
22.254.057
3.791.287
4.549.544
5.307.801
4.306.413
5.167.695
6.028.978
10.506.023
12.607.228
14.708.433
2.276.176
4.700.940
7.012.811
2.731.411
5.641.127
8.415.373
3.186.646
6.581.315
9.817.935
2.245.578
2.694.694
3.143.809
3.688.642
4.426.370
5.164.098
6.175.506
7.410.608
8.645.709
4.468.318
8.964.144
13.732.600
5.361.981
10.756.973
16.479.120
6.255.645
12.549.801
19.225.640
2.297.642
2.757.171
3.216.699
4.598.020
5.517.624
6.437.228
7.981.539
9.577.846
11.174.154
3.072.965
3.687.558
4.302.151
6.265.443
7.518.531
8.771.620
8.762.532
10.515.039
12.267.545
2.474.529
3.745.372
8.359.219
1.330.164
2.385.348
4.087.094
2.969.435
4.494.447
10.031.063
1.596.197
2.862.418
4.904.513
3.464.340
5.243.521
11.702.907
1.862.230
3.339.487
5.721.932
2.068.472
2.482.166
2.895.861
4.029.839
4.835.807
5.641.775
6.865.803
8.238.964
9.612.124
1.310.507
1.572.608
1.834.710
M-4-12-II
2.384.313
2.861.175
3.338.038
507
M-4-12-III
4.261.303
5.113.564
5.965.824
508
M-4-13-I
2.899.491
3.479.389
4.059.287
509
M-4-13-II
3.278.353
3.934.024
4.589.695
510
M-4-13-III
7.761.109
9.313.330
10.865.552
511
512
M-4-14-I
M-4-14-II
2.625.225
3.616.753
3.150.270
4.340.104
3.675.315
5.063.454
513
514
515
516
517
518
519
Kode INACBG
M-4-14-III
M-4-15-I
M-4-15-II
M-4-15-III
M-4-16-I
M-4-16-II
M-4-16-III
520
M-4-17-I
521
M-4-17-II
522
M-4-17-III
523
524
525
M-4-18-I
M-4-18-II
M-4-18-III
526
M-4-19-I
1.703.586
2.044.303
2.385.021
527
M-4-19-II
2.869.385
3.443.262
4.017.138
528
M-4-19-III
4.909.036
5.890.843
6.872.650
529
M-4-20-I
1.311.478
1.573.774
1.836.069
530
M-4-20-II
1.962.392
2.354.870
2.747.348
531
M-4-20-III
2.181.478
2.617.774
3.054.070
532
M-4-21-I
1.307.103
1.568.524
1.829.944
533
M-4-21-II
2.038.534
2.446.241
2.853.948
534
M-4-21-III
4.046.933
4.856.320
5.665.706
535
536
537
538
539
540
N-1-01-I
N-1-01-II
N-1-01-III
N-1-11-I
N-1-11-II
N-1-11-III
250.000.000
250.000.000
250.000.000
5.123.600
7.919.192
11.660.447
250.000.000
250.000.000
250.000.000
6.148.320
9.503.030
13.992.536
250.000.000
250.000.000
250.000.000
7.173.040
11.086.869
16.324.625
541
N-1-12-I
2.602.258
3.122.710
3.643.162
542
N-1-12-II
7.363.994
8.836.792
10.309.591
543
N-1-12-III
13.419.225
16.103.070
18.786.915
544
545
546
N-1-20-I
N-1-20-II
N-1-20-III
4.286.032
8.481.737
9.733.537
5.143.238
10.178.084
11.680.244
6.000.445
11.874.432
13.626.951
547
N-1-30-I
5.100.765
6.120.918
7.141.071
548
N-1-30-II
7.701.035
9.241.242
10.781.449
549
N-1-30-III
8.087.189
9.704.627
11.322.065
550
N-1-40-I
4.601.551
5.521.861
6.442.172
551
N-1-40-II
6.240.901
7.489.081
8.737.261
No
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
5.736.022
1.956.921
2.606.215
5.567.508
1.955.661
2.852.146
5.819.976
6.883.226
2.348.305
3.127.458
6.681.009
2.346.793
3.422.576
6.983.971
8.030.431
2.739.689
3.648.701
7.794.511
2.737.925
3.993.005
8.147.966
1.668.843
2.002.611
2.336.380
2.289.518
2.747.422
3.205.325
3.210.912
3.853.094
4.495.276
1.764.879
2.659.761
3.202.728
2.117.855
3.191.714
3.843.273
2.470.831
3.723.666
4.483.819
552
Kode INACBG
N-1-40-III
553
N-4-10-I
554
N-4-10-II
555
N-4-10-III
556
557
558
559
560
561
562
563
564
N-4-11-I
N-4-11-II
N-4-11-III
N-4-12-I
N-4-12-II
N-4-12-III
N-4-13-I
N-4-13-II
N-4-13-III
565
N-4-14-I
566
N-4-14-II
567
N-4-14-III
568
N-4-15-I
569
N-4-15-II
570
N-4-15-III
571
N-4-16-I
572
N-4-16-II
573
N-4-16-III
574
575
576
O-6-10-I
O-6-10-II
O-6-10-III
577
O-6-11-I
578
O-6-11-II
579
O-6-11-III
580
O-6-12-I
1.427.866
1.713.439
1.999.012
581
O-6-12-II
1.714.863
2.057.836
2.400.808
582
O-6-12-III
2.154.480
2.585.376
3.016.272
583
584
585
O-6-13-I
O-6-13-II
O-6-13-III
1.847.050
2.186.103
2.740.485
2.216.459
2.623.324
3.288.582
2.585.869
3.060.545
3.836.679
586
P-8-01-I
32.884.361
39.461.233
46.038.105
No
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
7.235.253
8.682.303
10.129.354
1.793.226
2.151.871
2.510.516
2.622.596
3.147.115
3.671.635
4.197.274
5.036.729
5.876.184
1.503.664
2.536.217
2.896.177
1.447.236
2.043.030
2.546.237
1.793.036
2.382.087
5.018.978
1.804.397
3.043.460
3.475.412
1.736.684
2.451.636
3.055.485
2.151.643
2.858.505
6.022.774
2.105.129
3.550.704
4.054.647
2.026.131
2.860.242
3.564.732
2.510.250
3.334.922
7.026.569
1.134.694
1.361.632
1.588.571
1.745.681
2.094.817
2.443.954
2.830.938
3.397.126
3.963.314
1.639.433
1.967.319
2.295.206
2.257.859
2.709.431
3.161.003
2.576.625
3.091.950
3.607.275
2.021.524
2.425.828
2.830.133
2.623.921
3.148.705
3.673.489
4.504.321
5.405.186
6.306.050
3.689.394
4.071.227
4.270.089
4.427.272
4.885.473
5.124.107
5.165.151
5.699.718
5.978.125
1.741.974
2.090.369
2.438.763
2.108.960
2.530.753
2.952.545
3.570.862
4.285.034
4.999.206
Kode INACBG
587
P-8-01-II
588
P-8-01-III
589
P-8-02-I
590
P-8-02-II
591
P-8-02-III
592
P-8-03-I
593
P-8-03-II
594
P-8-03-III
595
P-8-04-I
596
P-8-04-II
597
P-8-04-III
598
P-8-05-I
599
P-8-05-II
600
P-8-05-III
601
P-8-06-I
602
P-8-06-II
603
P-8-06-III
604
P-8-07-I
605
P-8-07-II
606
P-8-07-III
607
P-8-08-I
608
P-8-08-II
609
P-8-08-III
610
P-8-10-I
611
P-8-10-II
612
P-8-10-III
613
P-8-11-I
614
P-8-11-II
615
P-8-11-III
616
P-8-12-I
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
40.689.252
48.827.103
56.964.953
47.757.776
57.309.331
66.860.886
47.670.817
57.204.980
66.739.143
54.683.333
65.620.000
76.556.667
62.479.618
74.975.542
87.471.466
1.797.064
2.156.477
2.515.889
2.518.902
3.022.682
3.526.463
4.338.655
5.206.387
6.074.118
19.124.315
22.949.178
26.774.041
24.953.280
29.943.936
34.934.593
35.776.723
42.932.068
50.087.412
10.418.972
12.502.766
14.586.560
14.805.973
17.767.168
20.728.362
21.814.614
26.177.537
30.540.459
1.799.659
2.159.590
2.519.522
4.317.352
5.180.822
6.044.293
7.921.811
9.506.173
11.090.535
2.770.178
3.324.213
3.878.249
7.047.810
8.457.373
9.866.935
9.340.960
11.209.152
13.077.344
3.203.423
3.844.107
4.484.792
4.545.504
5.454.605
6.363.706
7.360.172
8.832.206
10.304.241
1.357.215
1.628.658
1.900.101
2.404.334
2.885.201
3.366.068
4.720.417
5.664.500
6.608.584
1.837.021
2.204.425
2.571.829
8.097.667
9.717.200
11.336.734
8.267.314
9.920.777
11.574.240
2.204.721
2.645.665
3.086.610
Kode INACBG
617
P-8-12-II
618
P-8-12-III
619
P-8-13-I
620
P-8-13-II
621
P-8-13-III
622
P-8-14-I
623
P-8-14-II
624
P-8-14-III
625
P-8-15-I
626
P-8-15-II
627
P-8-15-III
628
P-8-16-I
629
P-8-16-II
630
P-8-16-III
631
P-8-17-I
632
P-8-17-II
633
P-8-17-III
634
S-4-10-I
635
S-4-10-II
636
S-4-10-III
637
638
639
640
641
642
S-4-11-I
S-4-11-II
S-4-11-III
S-4-12-I
S-4-12-II
S-4-12-III
643
S-4-13-I
644
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
3.428.200
4.113.840
4.799.480
4.052.508
4.863.010
5.673.512
1.797.490
2.156.988
2.516.486
3.108.051
3.729.661
4.351.271
4.626.716
5.552.059
6.477.402
2.078.055
2.493.666
2.909.277
4.237.128
5.084.553
5.931.979
4.648.215
5.577.858
6.507.501
1.567.839
1.881.407
2.194.975
3.123.343
3.748.011
4.372.680
3.666.821
4.400.186
5.133.550
1.419.256
1.703.107
1.986.958
2.006.169
2.407.403
2.808.637
2.602.759
3.123.310
3.643.862
1.525.569
1.830.683
2.135.797
3.966.348
4.759.617
5.552.887
7.496.569
8.995.883
10.495.196
1.312.921
1.575.506
1.838.090
1.640.402
1.968.482
2.296.563
2.123.881
2.548.657
2.973.434
820.388
1.308.723
2.014.465
979.542
1.312.739
2.501.248
984.466
1.570.468
2.417.358
1.175.451
1.575.287
3.001.498
1.148.543
1.832.213
2.820.250
1.371.359
1.837.835
3.501.747
1.399.184
1.679.021
1.958.857
S-4-13-II
2.307.347
2.768.816
3.230.285
645
S-4-13-III
4.725.469
5.670.562
6.615.656
646
S-4-14-I
797.420
956.904
1.116.387
647
S-4-14-II
1.693.987
2.032.784
2.371.581
648
S-4-14-III
3.212.402
3.854.883
4.497.363
649
S-4-15-I
603.096
723.715
844.334
650
S-4-15-II
1.138.247
1.365.897
1.593.546
Kode INACBG
651
S-4-15-III
652
653
654
S-4-16-I
S-4-16-II
S-4-16-III
655
S-4-17-I
656
S-4-17-II
657
S-4-17-III
658
T-1-10-I
659
T-1-10-II
660
T-1-10-III
661
T-4-10-I
662
T-4-10-II
663
T-4-10-III
664
T-4-11-I
665
T-4-11-II
666
T-4-11-III
667
T-4-12-I
668
T-4-12-II
669
T-4-12-III
670
671
672
U-1-10-I
U-1-10-II
U-1-10-III
673
U-1-11-I
674
U-1-11-II
675
U-1-11-III
676
677
678
679
680
681
U-1-12-I
U-1-12-II
U-1-12-III
U-1-13-I
U-1-13-II
U-1-13-III
682
U-1-14-I
683
U-1-14-II
684
U-1-14-III
685
686
687
U-1-15-I
U-1-15-II
U-1-15-III
688
U-1-20-I
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
1.474.295
1.769.154
2.064.012
2.295.654
3.863.980
5.355.100
2.754.785
4.636.776
6.426.120
3.213.916
5.409.572
7.497.140
1.383.695
1.660.434
1.937.173
1.702.854
2.043.425
2.383.996
2.677.275
3.212.730
3.748.185
1.227.184
1.472.621
1.718.058
1.648.025
1.977.631
2.307.236
2.998.296
3.597.955
4.197.614
551.462
661.755
772.047
1.050.965
1.261.158
1.471.351
1.527.818
1.833.382
2.138.945
652.991
783.589
914.187
1.027.622
1.233.146
1.438.671
1.655.196
1.986.236
2.317.275
1.142.087
1.370.505
1.598.922
1.726.583
2.071.899
2.417.216
2.694.741
3.233.690
3.772.638
1.218.948
2.487.338
10.740.829
1.462.738
2.984.806
12.888.995
1.706.527
3.482.274
15.037.161
4.358.927
5.230.712
6.102.497
5.734.575
6.881.490
8.028.405
10.839.481
13.007.378
15.175.274
3.369.808
6.483.297
8.429.245
3.522.649
4.411.961
6.540.765
4.043.770
7.779.957
10.115.094
4.227.179
5.294.353
7.848.918
4.717.731
9.076.616
11.800.943
4.931.709
6.176.745
9.157.071
2.328.490
2.794.187
3.259.885
2.857.525
3.429.030
4.000.535
3.386.248
4.063.497
4.740.747
1.369.556
1.946.191
2.961.955
1.643.467
2.335.429
3.554.346
1.917.379
2.724.668
4.146.737
3.535.568
4.242.682
4.949.795
Kode INACBG
689
U-1-20-II
690
U-1-20-III
691
692
693
U-1-30-I
U-1-30-II
U-1-30-III
694
U-4-10-I
695
U-4-10-II
696
U-4-10-III
697
698
699
700
701
702
U-4-11-I
U-4-11-II
U-4-11-III
U-4-12-I
U-4-12-II
U-4-12-III
703
U-4-13-I
704
U-4-13-II
705
U-4-13-III
706
707
708
U-4-14-I
U-4-14-II
U-4-14-III
709
U-4-15-I
710
U-4-15-II
711
U-4-15-III
712
V-1-10-I
713
V-1-10-II
714
V-1-10-III
715
716
717
V-1-11-I
V-1-11-II
V-1-11-III
718
V-1-12-I
719
V-1-12-II
720
V-1-12-III
721
V-1-13-I
722
V-1-13-II
723
V-1-13-III
724
V-1-14-I
725
V-1-14-II
726
V-1-14-III
727
V-1-15-I
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
6.073.495
7.288.194
8.502.893
10.597.953
12.717.543
14.837.134
3.035.990
4.088.538
7.057.053
3.643.188
4.906.246
8.468.464
4.250.386
5.723.954
9.879.875
2.831.819
3.398.182
3.964.546
5.371.304
6.445.565
7.519.825
8.246.714
9.896.057
11.545.400
1.309.087
1.967.296
2.650.900
1.308.033
1.818.892
2.361.388
1.570.904
2.360.755
3.181.080
1.569.639
2.182.670
2.833.665
1.832.722
2.754.214
3.711.260
1.831.246
2.546.448
3.305.943
1.310.716
1.572.860
1.835.003
1.495.329
1.794.394
2.093.460
1.990.183
2.388.219
2.786.256
1.636.314
1.964.068
3.298.407
1.963.577
2.356.882
3.958.089
2.290.840
2.749.695
4.617.770
1.305.112
1.566.134
1.827.157
1.655.145
1.986.174
2.317.203
2.296.272
2.755.526
3.214.780
3.872.137
4.646.564
5.420.992
4.413.296
5.295.955
6.178.614
6.586.732
7.904.078
9.221.425
4.410.276
4.928.227
7.307.930
5.292.331
5.913.873
8.769.516
6.174.386
6.899.518
10.231.102
2.849.153
3.418.984
3.988.815
7.991.404
9.589.685
11.187.966
8.616.412
10.339.695
12.062.977
4.317.537
5.181.044
6.044.551
7.207.722
8.649.267
10.090.811
8.633.287
10.359.945
12.086.602
5.204.587
6.245.505
7.286.422
6.431.397
7.717.677
9.003.956
7.834.548
9.401.457
10.968.367
2.343.785
2.812.542
3.281.299
728
729
Kode INACBG
V-1-15-II
V-1-15-III
730
No
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
3.612.063
5.949.604
4.334.476
7.139.525
5.056.888
8.329.446
V-4-10-I
3.017.613
3.621.135
4.224.658
731
V-4-10-II
4.174.633
5.009.560
5.844.487
732
V-4-10-III
7.830.265
9.396.319
10.962.372
733
V-4-11-I
1.882.352
2.258.822
2.635.293
734
V-4-11-II
2.642.774
3.171.329
3.699.884
735
V-4-11-III
3.952.726
4.743.271
5.533.816
736
W-1-01-I
5.900.211
7.080.254
8.260.296
737
W-1-01-II
7.120.090
8.544.107
9.968.125
738
W-1-01-III
11.827.606
14.193.127
16.558.648
739
740
741
W-1-10-I
W-1-10-II
W-1-10-III
1.650.832
2.510.877
4.108.454
1.980.999
3.013.052
4.930.145
2.311.165
3.515.228
5.751.835
742
W-1-11-I
2.506.522
3.007.826
3.509.131
743
W-1-11-II
4.406.750
5.288.100
6.169.450
744
W-1-11-III
9.279.375
11.135.250
12.991.125
745
W-1-12-I
1.557.518
1.869.021
2.180.525
746
W-1-12-II
1.761.667
2.114.001
2.466.334
747
W-1-12-III
2.706.143
3.247.372
3.788.600
748
W-1-13-I
1.544.677
1.853.612
2.162.547
749
W-1-13-II
1.677.074
2.012.488
2.347.903
750
W-1-13-III
2.252.619
2.703.143
3.153.667
751
752
753
754
755
756
757
758
759
760
761
762
W-1-20-I
W-1-20-II
W-1-20-III
W-1-30-I
W-1-30-II
W-1-30-III
W-4-10-I
W-4-10-II
W-4-10-III
W-4-11-I
W-4-11-II
W-4-11-III
4.039.698
5.728.087
6.224.559
2.609.179
4.161.775
11.682.028
2.054.275
2.768.671
5.229.289
1.545.420
2.131.045
2.572.879
4.847.638
6.873.704
7.469.471
3.131.015
4.994.130
14.018.434
2.465.130
3.322.405
6.275.147
1.854.503
2.557.254
3.087.455
5.655.577
8.019.321
8.714.383
3.652.850
5.826.485
16.354.839
2.875.985
3.876.139
7.321.005
2.163.587
2.983.464
3.602.031
763
W-4-12-I
1.312.795
1.575.354
1.837.913
764
W-4-12-II
1.989.081
2.386.897
2.784.713
765
W-4-12-III
2.400.224
2.880.269
3.360.314
766
767
768
769
W-4-13-I
W-4-13-II
W-4-13-III
W-4-14-I
717.197
982.937
1.310.337
980.885
860.637
1.179.525
1.572.405
1.177.062
1.004.076
1.376.112
1.834.472
1.373.239
770
771
772
773
774
775
776
777
778
779
780
781
782
783
784
785
786
Kode INACBG
W-4-14-II
W-4-14-III
W-4-15-I
W-4-15-II
W-4-15-III
W-4-16-I
W-4-16-II
W-4-16-III
W-4-17-I
W-4-17-II
W-4-17-III
Z-4-10-I
Z-4-10-II
Z-4-10-III
Z-4-11-I
Z-4-11-II
Z-4-11-III
787
Z-4-12-I
788
Z-4-12-II
789
Z-4-12-III
No
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
1.313.464
1.592.698
930.711
1.046.741
1.333.367
1.912.822
2.557.970
3.466.896
961.023
1.311.399
2.471.068
2.245.723
2.980.873
4.234.614
1.914.198
2.304.374
3.592.581
1.576.157
1.911.238
1.116.853
1.256.089
1.600.041
2.295.386
3.069.564
4.160.275
1.153.228
1.573.678
2.965.282
2.694.867
3.577.047
5.081.537
2.297.038
2.765.248
4.311.097
1.838.850
2.229.777
1.302.995
1.465.437
1.866.714
2.677.950
3.581.158
4.853.654
1.345.432
1.835.958
3.459.495
3.144.012
4.173.222
5.928.460
2.679.878
3.226.123
5.029.614
985.160
1.182.192
1.379.224
2.400.509
2.880.611
3.360.712
3.044.346
3.653.215
4.262.084
Kode INACBG
B-2-10-0
B-2-11-0
B-2-12-0
B-2-13-0
B-2-14-0
B-3-10-0
B-3-11-0
B-3-12-0
C-3-10-0
C-3-11-0
C-3-12-0
C-3-13-0
C-3-14-0
C-3-15-0
C-3-16-0
C-3-17-0
C-3-18-0
C-3-19-0
C-3-20-0
C-3-21-0
C-3-22-0
C-3-23-0
D-2-10-0
D-2-11-0
D-2-21-0
D-2-22-0
D-3-10-0
D-3-11-0
E-2-10-0
E-2-21-0
E-2-22-0
E-3-10-0
F-3-10-0
F-5-10-0
F-5-11-0
F-5-12-0
F-5-13-0
F-5-14-0
F-5-15-0
F-5-16-0
G-2-10-0
G-2-11-0
G-2-12-0
G-2-13-0
G-2-21-0
G-2-22-0
G-2-31-0
G-2-32-0
G-3-10-0
G-3-11-0
G-3-12-0
G-3-13-0
H-2-21-0
H-2-22-0
H-2-23-0
H-2-31-0
H-2-32-0
H-2-33-0
H-2-34-0
H-2-35-0
H-2-36-0
H-2-37-0
H-3-10-0
H-3-11-0
Kode INACBG
H-3-12-0
H-3-13-0
I-2-11-0
I-2-12-0
I-2-13-0
I-2-14-0
I-2-15-0
I-2-16-0
I-2-17-0
I-2-21-0
I-2-22-0
I-2-23-0
I-2-31-0
I-2-32-0
I-2-41-0
I-2-42-0
I-3-10-0
I-3-11-0
I-3-12-0
I-3-13-0
I-3-14-0
I-3-15-0
J-2-10-0
J-2-21-0
J-2-22-0
J-2-31-0
J-2-32-0
J-3-10-0
J-3-11-0
J-3-12-0
J-3-13-0
J-3-14-0
J-3-15-0
J-3-16-0
J-3-17-0
K-2-10-0
K-2-11-0
K-2-12-0
K-2-13-0
K-2-14-0
K-2-21-0
K-2-22-0
K-2-31-0
K-2-32-0
K-2-41-0
K-2-42-0
K-2-51-0
K-2-52-0
K-2-53-0
K-3-10-0
K-3-11-0
K-3-12-0
K-3-13-0
K-3-14-0
K-3-15-0
K-3-16-0
L-2-21-0
L-2-22-0
L-2-31-0
L-2-32-0
L-2-41-0
L-2-42-0
L-2-51-0
L-2-52-0
L-2-53-0
Kode INACBG
L-3-10-0
L-3-11-0
L-3-12-0
M-2-10-0
M-2-21-0
M-2-22-0
M-2-31-0
M-2-32-0
M-2-41-0
M-2-42-0
M-2-51-0
M-2-52-0
M-2-61-0
M-2-62-0
M-2-63-0
M-2-64-0
M-2-65-0
M-2-71-0
M-2-72-0
M-2-81-0
M-2-82-0
M-2-83-0
M-2-84-0
M-3-10-0
M-3-11-0
M-3-12-0
M-3-13-0
M-3-14-0
M-3-15-0
M-3-16-0
M-3-17-0
N-2-11-0
N-2-12-0
N-2-21-0
N-2-22-0
N-2-23-0
N-2-24-0
N-2-31-0
N-2-32-0
N-2-41-0
N-2-42-0
N-3-10-0
N-3-11-0
N-3-12-0
N-3-13-0
N-3-14-0
N-3-15-0
O-7-10-0
O-7-11-0
O-7-12-0
O-7-13-0
P-9-10-0
P-9-11-0
P-9-12-0
P-9-13-0
P-9-14-0
P-9-15-0
P-9-16-0
P-9-17-0
Q-5-10-0
Q-5-11-0
Q-5-12-0
Q-5-13-0
Q-5-14-0
Q-5-15-0
Kode INACBG
Q-5-16-0
Q-5-17-0
Q-5-18-0
Q-5-19-0
Q-5-20-0
Q-5-21-0
Q-5-22-0
Q-5-23-0
Q-5-24-0
Q-5-25-0
Q-5-26-0
Q-5-27-0
Q-5-28-0
Q-5-29-0
Q-5-30-0
Q-5-31-0
Q-5-32-0
Q-5-33-0
Q-5-34-0
Q-5-35-0
Q-5-36-0
Q-5-37-0
Q-5-38-0
Q-5-39-0
Q-5-40-0
Q-5-41-0
Q-5-42-0
Q-5-43-0
Q-5-44-0
T-2-10-0
U-2-10-0
U-2-11-0
U-2-12-0
U-2-13-0
U-2-14-0
U-2-15-0
U-2-21-0
U-2-22-0
U-2-23-0
U-2-24-0
U-2-25-0
U-2-31-0
U-2-32-0
U-3-10-0
U-3-11-0
U-3-12-0
U-3-13-0
U-3-14-0
U-3-15-0
U-3-16-0
V-2-10-0
V-2-11-0
V-2-12-0
V-2-13-0
V-2-14-0
V-2-15-0
V-3-10-0
V-3-11-0
V-3-12-0
W-2-10-0
W-2-11-0
W-2-12-0
W-2-13-0
W-2-21-0
W-2-22-0
Kode INACBG
W-2-23-0
W-2-31-0
W-2-32-0
W-2-33-0
W-2-34-0
W-3-10-0
W-3-11-0
W-3-12-0
Z-3-10-0
Z-3-11-0
Z-3-12-0
Z-3-13-0
Z-3-14-0
Z-3-15-0
Z-3-16-0
Z-3-17-0
Z-3-18-0
Z-3-19-0
Z-3-20-0
Z-3-21-0
Z-3-22-0
Z-3-23-0
Z-3-24-0
Z-3-25-0
Z-3-26-0
Z-3-27-0
Z-3-28-0
Z-3-29-0
Z-3-30-0
Kode INACBG
A-4-10-I
A-4-10-II
A-4-10-III
A-4-11-I
A-4-11-II
A-4-11-III
A-4-12-I
A-4-12-II
A-4-12-III
A-4-13-I
A-4-13-II
A-4-13-III
13 A-4-14-I
14 A-4-14-II
15 A-4-14-III
16
17
18
19
20
21
22
23
24
25
26
27
A-4-15-I
A-4-15-II
A-4-15-III
B-1-01-I
B-1-01-II
B-1-01-III
B-1-10-I
B-1-10-II
B-1-10-III
B-1-11-I
B-1-11-II
B-1-11-III
28 B-1-12-I
29 B-1-12-II
30 B-1-12-III
31 B-1-13-I
32 B-1-13-II
33 B-1-13-III
34 B-1-14-I
35 B-1-14-II
36 B-1-14-III
37 B-4-10-I
38 B-4-10-II
39 B-4-10-III
40 B-4-11-I
41 B-4-11-II
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
SEPTIKEMIA RINGAN
SEPTIKEMIA SEDANG
SEPTIKEMIA BERAT
INFEKSI SESUDAH OPERASI & TRAUMA RINGAN
INFEKSI SESUDAH OPERASI & TRAUMA SEDANG
INFEKSI SESUDAH OPERASI & TRAUMA BERAT
DEMAM RINGAN
DEMAM SEDANG
DEMAM BERAT
INFEKSI NON BAKTERI RINGAN
INFEKSI NON BAKTERI SEDANG
INFEKSI NON BAKTERI BERAT
PENYAKIT INFEKSI BAKTERI DAN PARASIT LAIN-LAIN
RINGAN
PENYAKIT INFEKSI BAKTERI DAN PARASIT LAIN-LAIN
SEDANG
PENYAKIT INFEKSI BAKTERI DAN PARASIT LAIN-LAIN
BERAT
INFEKSI HIV RINGAN
INFEKSI HIV SEDANG
INFEKSI HIV BERAT
PROSEDUR PENCANGKOKAN HATI RINGAN
PROSEDUR PENCANGKOKAN HATI SEDANG
PROSEDUR PENCANGKOKAN HATI BERAT
PROSEDUR HATI DAN PANKREAS RINGAN
PROSEDUR HATI DAN PANKREAS SEDANG
PROSEDUR HATI DAN PANKREAS BERAT
PROSEDUR SALURAN EMPEDU KOMPLEK (RINGAN)
PROSEDUR SALURAN EMPEDU KOMPLEK (SEDANG)
PROSEDUR SALURAN EMPEDU KOMPLEK (BERAT)
PROSEDUR CHOLESISTEKTOMI TANPA LAPAROSKOPIK
RINGAN
PROSEDUR CHOLESISTEKTOMI TANPA LAPAROSKOPIK
SEDANG
PROSEDUR CHOLESISTEKTOMI TANPA LAPAROSKOPIK
BERAT
PROSEDUR PANKREAS DAN HEPATOBILLIARI LAIN-LAIN
(RINGAN)
PROSEDUR PANKREAS DAN HEPATOBILLIARI LAIN-LAIN
(SEDANG)
PROSEDUR PANKREAS DAN HEPATOBILLIARI LAIN-LAIN
(BERAT)
PROSEDUR CHOLESISTEKTOMI DENGAN LAPAROSKOPIK
RINGAN
PROSEDUR CHOLESISTEKTOMI DENGAN LAPAROSKOPIK
SEDANG
PROSEDUR CHOLESISTEKTOMI DENGAN LAPAROSKOPIK
BERAT
SIROSIS DAN HEPATITIS ALKOHOLIK RINGAN
SIROSIS DAN HEPATITIS ALKOHOLIK SEDANG
SIROSIS DAN HEPATITIS ALKOHOLIK BERAT
TUMOR SISTEM HEPATOBILLIARI DAN PANCREAS
RINGAN
TUMOR SISTEM HEPATOBILLIARI DAN PANCREAS
SEDANG
3.294.818
5.628.840
7.950.151
7.173.639
12.635.241
20.668.025
3.611.337
4.497.266
4.799.862
4.601.091
5.433.998
6.831.998
3.953.782
6.754.608
9.540.181
8.608.367
15.162.290
24.801.630
4.333.605
5.396.719
5.759.834
5.521.309
6.520.798
8.198.397
4.612.746
7.880.376
11.130.211
10.043.095
17.689.338
28.935.235
5.055.872
6.296.173
6.719.806
6.441.528
7.607.597
9.564.797
3.828.765
4.594.518
5.360.271
4.924.761
5.909.713
6.894.665
5.642.617
6.771.140
7.899.664
5.750.820
8.608.293
10.802.631
58.758.175
64.825.796
113.717.855
7.617.484
19.413.927
33.119.988
5.111.422
12.776.145
16.048.983
6.900.984
10.329.951
12.963.158
70.509.811
77.790.955
136.461.426
9.140.980
23.296.713
39.743.986
6.133.707
15.331.374
19.258.780
8.051.147
12.051.610
15.123.684
82.261.446
90.756.115
159.204.997
10.664.477
27.179.498
46.367.983
7.155.991
17.886.603
22.468.577
8.875.680
10.650.816
12.425.952
19.022.534
22.827.041
26.631.548
23.151.631
27.781.957
32.412.283
7.141.353
8.569.623
9.997.894
11.632.152
13.958.582
16.285.012
17.149.027
20.578.832
24.008.637
9.713.901
11.656.681
13.599.461
10.803.615
12.964.338
15.125.061
16.901.079
20.281.294
23.661.510
3.005.460
4.797.657
6.618.468
3.606.552
5.757.188
7.942.161
4.207.644
6.716.719
9.265.855
6.336.746
7.604.096
8.871.445
9.498.630
11.398.357
13.298.083
10.747.689
12.897.226
15.046.764
5.729.109
6.874.930
8.020.752
42 B-4-11-III
43 B-4-12-I
No
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
8.157.977
17.531.653
9.789.572
21.037.984
11.421.167
24.544.315
5.752.665
6.903.197
8.053.730
6.701.682
8.042.018
9.382.355
9.930.324
11.916.389
13.902.454
5.746.551
6.704.067
8.980.277
5.050.730
10.547.737
18.296.284
5.755.572
7.701.833
11.985.832
3.832.210
9.567.030
19.385.456
3.731.935
7.023.560
9.697.613
4.787.066
6.715.208
10.005.546
6.895.861
8.044.881
10.776.332
6.060.876
12.657.284
21.955.541
6.906.686
9.242.200
14.382.998
4.598.652
11.480.436
23.262.547
4.478.322
8.428.272
11.637.135
5.744.479
8.058.250
12.006.655
8.045.171
9.385.694
12.572.388
7.071.023
14.766.831
25.614.798
8.057.800
10.782.567
16.780.164
5.365.095
13.393.842
27.139.639
5.224.709
9.832.984
13.576.658
6.701.892
9.401.291
14.007.765
67 D-1-10-I
37.598.347
45.118.016
52.637.686
68 D-1-10-II
57.265.007
68.718.008
80.171.009
69 D-1-10-III
77.609.945
93.131.933
108.653.922
70 D-1-11-I
71 D-1-11-II
72 D-1-11-III
7.743.573
19.772.845
30.984.534
9.292.288
23.727.414
37.181.441
10.841.002
27.681.983
43.378.347
8.434.953
10.121.943
11.808.934
23.245.545
27.894.654
32.543.763
36.874.304
44.249.164
51.624.025
3.676.942
6.034.151
9.493.166
6.684.649
13.640.333
18.738.503
4.530.736
6.284.151
9.649.587
4.412.330
7.240.981
11.391.799
8.021.579
16.368.399
22.486.203
5.436.883
7.540.981
11.579.504
5.147.719
8.447.811
13.290.432
9.358.509
19.096.466
26.233.904
6.343.030
8.797.811
13.509.421
3.707.929
4.449.515
5.191.101
5.248.057
6.297.668
7.347.280
6.712.416
8.054.900
9.397.383
4.164.332
4.997.198
5.830.065
46 B-4-13-I
47 B-4-13-II
48 B-4-13-III
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
B-4-14-I
B-4-14-II
B-4-14-III
C-4-10-I
C-4-10-II
C-4-10-III
C-4-11-I
C-4-11-II
C-4-11-III
C-4-12-I
C-4-12-II
C-4-12-III
C-4-13-I
C-4-13-II
C-4-13-III
C-4-14-I
C-4-14-II
C-4-14-III
73 D-1-20-I
74 D-1-20-II
75 D-1-20-III
76
77
78
79
80
81
82
83
84
D-4-10-I
D-4-10-II
D-4-10-III
D-4-11-I
D-4-11-II
D-4-11-III
D-4-12-I
D-4-12-II
D-4-12-III
85 D-4-13-I
86 D-4-13-II
87 D-4-13-III
88 D-4-14-I
Kode INACBG
89 D-4-14-II
90 D-4-14-III
91
92
93
94
95
96
E-1-01-I
E-1-01-II
E-1-01-III
E-1-10-I
E-1-10-II
E-1-10-III
97 E-1-20-I
98 E-1-20-II
99 E-1-20-III
100 E-4-10-I
101 E-4-10-II
102 E-4-10-III
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
E-4-11-I
E-4-11-II
E-4-11-III
E-4-12-I
E-4-12-II
E-4-12-III
E-4-13-I
E-4-13-II
E-4-13-III
F-4-10-I
F-4-10-II
F-4-10-III
F-4-11-I
F-4-11-II
F-4-11-III
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
8.784.495
10.541.394
12.298.293
11.352.455
13.622.946
15.893.437
8.301.112
11.553.725
27.323.379
8.630.461
10.474.723
22.077.861
9.961.334
13.864.470
32.788.055
10.356.554
12.569.668
26.493.433
11.621.556
16.175.215
38.252.731
12.082.646
14.664.612
30.909.005
9.770.431
11.724.517
13.678.603
13.150.729
15.780.875
18.411.020
26.179.635
31.415.562
36.651.489
4.792.796
5.751.355
6.709.915
6.696.980
8.036.376
9.375.772
12.006.687
14.408.025
16.809.362
3.840.897
5.855.872
11.461.729
4.413.189
7.642.520
11.474.040
4.805.804
7.974.591
11.253.059
5.703.010
6.311.735
9.344.663
5.264.165
6.133.331
7.865.205
4.609.076
7.027.047
13.754.075
5.295.827
9.171.024
13.768.847
5.766.965
9.569.510
13.503.671
6.843.612
7.574.082
11.213.596
6.316.998
7.359.997
9.438.247
5.377.256
8.198.221
16.046.420
6.178.465
10.699.528
16.063.655
6.728.126
11.164.428
15.754.283
7.984.214
8.836.428
13.082.529
7.369.831
8.586.664
11.011.288
118 F-4-12-I
2.885.644
3.462.773
4.039.901
119 F-4-12-II
4.102.515
4.923.018
5.743.521
120 F-4-12-III
8.912.386
10.694.863
12.477.341
121
122
123
124
125
126
127
128
129
4.240.410
5.595.336
7.243.891
2.419.398
3.103.141
4.175.545
3.852.982
5.741.484
7.580.614
5.088.492
6.714.403
8.692.669
2.903.278
3.723.769
5.010.654
4.623.579
6.889.781
9.096.737
5.936.574
7.833.471
10.141.447
3.387.157
4.344.397
5.845.763
5.394.175
8.038.078
10.612.860
7.580.948
9.097.138
10.613.327
8.814.166
10.576.999
12.339.833
11.765.406
14.118.487
16.471.568
F-4-13-I
F-4-13-II
F-4-13-III
F-4-14-I
F-4-14-II
F-4-14-III
F-4-15-I
F-4-15-II
F-4-15-III
130 F-4-16-I
131 F-4-16-II
132 F-4-16-III
Kode INACBG
F-4-17-I
F-4-17-II
F-4-17-III
F-4-18-I
F-4-18-II
F-4-18-III
F-4-19-I
F-4-19-II
F-4-19-III
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
1.790.300
5.247.266
5.598.359
6.587.298
7.247.888
11.173.220
5.034.271
6.446.565
8.025.985
2.148.360
6.296.719
6.718.030
7.904.758
8.697.466
13.407.864
6.041.126
7.735.878
9.631.182
2.506.420
7.346.172
7.837.702
9.222.217
10.147.043
15.642.508
7.047.980
9.025.191
11.236.379
16.386.606
19.663.927
22.941.249
143 G-1-01-II
24.544.385
29.453.261
34.362.138
144 G-1-01-III
53.694.372
64.433.246
75.172.121
145
146
147
148
149
150
18.459.010
21.856.846
23.297.981
9.265.865
18.992.649
39.685.576
22.150.812
26.228.215
27.957.577
11.119.039
22.791.179
47.622.691
25.842.614
30.599.584
32.617.173
12.972.212
26.589.708
55.559.806
133
134
135
136
137
138
139
140
141
142 G-1-01-I
G-1-10-I
G-1-10-II
G-1-10-III
G-1-11-I
G-1-11-II
G-1-11-III
151 G-1-12-I
6.414.615
7.697.538
8.980.461
152 G-1-12-II
13.420.077
16.104.093
18.788.108
153 G-1-12-III
23.670.073
28.404.088
33.138.103
154
155
156
157
158
159
160
161
162
1.935.109
5.196.719
11.726.089
14.122.530
18.337.858
36.439.093
11.559.537
30.195.116
38.888.240
2.322.130
6.236.063
14.071.306
16.947.036
22.005.430
43.726.911
13.871.444
36.234.139
46.665.888
2.709.152
7.275.407
16.416.524
19.771.542
25.673.002
51.014.730
16.183.352
42.273.163
54.443.536
5.506.277
6.607.532
7.708.787
6.730.500
8.076.600
9.422.700
9.235.419
11.082.503
12.929.586
7.466.527
8.959.833
10.453.138
9.918.308
11.901.969
13.885.631
14.573.425
17.488.110
20.402.795
6.394.670
8.076.893
11.730.750
7.673.604
9.692.272
14.076.900
8.952.538
11.307.651
16.423.050
3.841.413
4.609.695
5.377.978
6.698.562
8.038.274
9.377.986
7.944.631
9.533.557
11.122.483
G-1-13-I
G-1-13-II
G-1-13-III
G-1-20-I
G-1-20-II
G-1-20-III
G-1-30-I
G-1-30-II
G-1-30-III
163 G-4-10-I
164 G-4-10-II
165 G-4-10-III
166 G-4-11-I
167 G-4-11-II
168 G-4-11-III
169 G-4-12-I
170 G-4-12-II
171 G-4-12-III
172 G-4-13-I
173 G-4-13-II
174 G-4-13-III
Kode INACBG
175 G-4-14-I
176 G-4-14-II
177 G-4-14-III
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
6.516.391
7.819.669
9.122.948
8.712.046
10.454.455
12.196.864
10.934.610
13.121.532
15.308.454
178 G-4-15-I
5.324.452
6.389.342
7.454.232
179 G-4-15-II
6.354.506
7.625.407
8.896.308
180 G-4-15-III
8.968.827
10.762.593
12.556.358
181 G-4-16-I
182 G-4-16-II
183 G-4-16-III
4.389.343
5.827.385
11.987.053
5.267.211
6.992.862
14.384.463
6.145.080
8.158.339
16.781.874
184 G-4-17-I
5.846.309
7.015.571
8.184.833
185 G-4-17-II
7.665.743
9.198.892
10.732.040
186 G-4-17-III
12.848.303
15.417.963
17.987.624
5.757.645
6.909.174
8.060.703
7.696.325
9.235.590
10.774.855
8.611.553
10.333.863
12.056.174
4.803.806
5.764.567
6.725.328
8.119.533
9.743.439
11.367.346
11.789.043
14.146.851
16.504.660
3.360.458
4.750.681
7.846.992
3.499.396
5.922.768
6.960.622
3.633.943
4.643.153
5.425.305
3.827.540
4.802.334
6.837.280
3.837.055
4.793.815
9.281.038
3.278.716
4.146.235
5.494.585
4.032.549
5.700.818
9.416.390
4.199.276
7.107.321
8.352.746
4.360.731
5.571.783
6.510.366
4.593.048
5.762.801
8.204.736
4.604.466
5.752.577
11.137.245
3.934.459
4.975.482
6.593.502
4.704.641
6.650.954
10.985.788
4.899.155
8.291.875
9.744.871
5.087.520
6.500.414
7.595.427
5.358.555
6.723.268
9.572.192
5.371.877
6.711.340
12.993.453
4.590.202
5.804.729
7.692.419
5.756.876
6.908.251
8.059.626
6.697.040
8.036.448
9.375.856
187 G-4-18-I
188 G-4-18-II
189 G-4-18-III
190 G-4-19-I
191 G-4-19-II
192 G-4-19-III
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
G-4-20-I
G-4-20-II
G-4-20-III
G-4-21-I
G-4-21-II
G-4-21-III
G-4-22-I
G-4-22-II
G-4-22-III
G-4-23-I
G-4-23-II
G-4-23-III
G-4-24-I
G-4-24-II
G-4-24-III
G-4-25-I
G-4-25-II
G-4-25-III
211 G-4-26-I
212 G-4-26-II
Kode INACBG
213 G-4-26-III
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
H-1-20-I
H-1-20-II
H-1-20-III
H-1-30-I
H-1-30-II
H-1-30-III
H-4-10-I
H-4-10-II
H-4-10-III
H-4-11-I
H-4-11-II
H-4-11-III
H-4-12-I
H-4-12-II
H-4-12-III
229 I-1-01-I
230 I-1-01-II
231 I-1-01-III
232 I-1-02-I
233 I-1-02-II
234 I-1-02-III
235 I-1-03-I
236 I-1-03-II
237 I-1-03-III
238 I-1-04-I
239 I-1-04-II
240 I-1-04-III
241 I-1-05-I
242 I-1-05-II
243 I-1-05-III
244 I-1-06-I
245 I-1-06-II
246 I-1-06-III
247 I-1-07-I
248 I-1-07-II
249 I-1-07-III
250 I-1-11-I
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
10.475.447
12.570.536
14.665.626
12.260.136
13.549.375
18.426.304
4.726.774
8.316.430
9.250.712
5.749.656
7.801.014
15.333.328
3.830.627
4.369.666
6.257.003
4.516.340
5.396.269
9.043.146
14.712.164
16.259.250
22.111.564
5.672.129
9.979.716
11.100.854
6.899.588
9.361.216
18.399.993
4.596.752
5.243.599
7.508.404
5.419.608
6.475.522
10.851.775
17.164.191
18.969.125
25.796.825
6.617.484
11.643.003
12.950.997
8.049.519
10.921.419
21.466.659
5.362.878
6.117.532
8.759.804
6.322.875
7.554.776
12.660.404
76.226.748
91.472.098
106.717.448
77.903.660
93.484.392
109.065.124
122.969.901
147.563.881
172.157.861
42.290.285
50.748.342
59.206.399
54.553.942
65.464.730
76.375.519
67.241.096
80.689.315
94.137.534
26.004.089
31.204.907
36.405.725
31.578.984
37.894.781
44.210.578
49.051.212
58.861.454
68.671.696
43.622.753
52.347.303
61.071.854
68.848.419
82.618.103
96.387.787
109.984.947
131.981.937
153.978.926
55.971.974
67.166.369
78.360.764
67.166.642
80.599.971
94.033.299
92.420.732
110.904.878
129.389.024
41.265.639
59.776.626
71.324.545
49.518.767
71.731.952
85.589.454
57.771.895
83.687.277
99.854.363
34.007.310
40.808.772
47.610.234
41.955.001
50.346.001
58.737.002
45.772.748
54.927.298
64.081.848
5.273.905
6.328.686
7.383.467
Kode INACBG
251 I-1-11-II
252 I-1-11-III
253 I-1-12-I
254 I-1-12-II
255 I-1-12-III
256 I-1-13-I
257 I-1-13-II
258 I-1-13-III
259 I-1-14-I
260 I-1-14-II
261 I-1-14-III
262 I-1-15-I
263 I-1-15-II
264 I-1-15-III
265 I-1-16-I
266 I-1-16-II
267 I-1-16-III
268 I-1-17-I
269 I-1-17-II
270 I-1-17-III
271 I-1-20-I
272 I-1-20-II
273 I-1-20-III
274 I-1-30-I
275 I-1-30-II
276 I-1-30-III
277
278
279
280
281
282
283
I-1-40-I
I-1-40-II
I-1-40-III
I-4-10-I
I-4-10-II
I-4-10-III
I-4-11-I
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
5.864.069
7.036.883
8.209.696
7.803.276
9.363.931
10.924.586
21.927.992
26.313.590
30.699.189
24.793.427
29.752.112
34.710.798
41.386.597
49.663.916
57.941.236
16.160.888
19.393.065
22.625.243
19.609.669
23.531.602
27.453.536
24.734.920
29.681.904
34.628.888
43.534.137
52.240.965
60.947.792
54.106.538
64.927.845
75.749.153
70.898.198
85.077.838
99.257.478
10.137.109
13.465.169
28.807.316
12.164.531
16.158.203
34.568.779
14.191.953
18.851.236
40.330.243
18.657.097
22.388.516
26.119.936
48.508.862
58.210.635
67.912.407
55.954.215
67.145.058
78.335.901
32.156.537
38.587.845
45.019.152
40.263.002
48.315.602
56.368.203
49.804.722
59.765.666
69.726.610
27.981.874
33.578.249
39.174.624
34.956.974
41.948.369
48.939.763
36.747.092
44.096.510
51.445.929
21.166.659
25.399.991
29.633.323
44.031.405
52.837.686
61.643.967
68.232.899
81.879.479
95.526.058
19.534.590
48.292.837
64.502.817
6.603.256
11.790.972
17.009.506
7.842.893
23.441.508
57.951.405
77.403.380
7.923.907
14.149.167
20.411.408
9.411.472
27.348.426
67.609.972
90.303.944
9.244.558
16.507.361
23.813.309
10.980.051
Kode INACBG
I-4-11-II
I-4-11-III
I-4-12-I
I-4-12-II
I-4-12-III
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
9.705.598
17.954.228
6.838.601
11.066.930
13.671.296
11.646.717
21.545.074
8.206.322
13.280.316
16.405.555
13.587.837
25.135.920
9.574.042
15.493.702
19.139.814
7.582.807
9.099.369
10.615.930
10.983.271
13.179.925
15.376.579
24.590.155
29.508.186
34.426.217
4.332.506
4.481.576
7.856.307
5.199.007
5.377.891
9.427.568
6.065.509
6.274.207
10.998.829
7.666.448
9.199.738
10.733.027
9.894.488
11.873.386
13.852.284
11.277.150
13.532.580
15.788.009
5.353.140
7.606.095
10.821.085
4.393.441
5.955.917
7.228.571
6.832.282
10.402.319
6.423.768
9.127.314
12.985.302
5.272.129
7.147.101
8.674.285
8.198.738
12.482.782
7.494.396
10.648.533
15.149.519
6.150.817
8.338.284
10.120.000
9.565.194
14.563.246
14.122.969
16.947.563
19.772.156
307 I-4-19-I
5.088.796
6.106.555
7.124.314
308 I-4-19-II
7.943.929
9.532.715
11.121.500
309
310
311
312
313
314
315
316
317
318
9.483.595
5.299.004
6.120.317
9.151.108
7.959.145
9.928.518
13.544.604
5.756.829
7.166.489
10.475.103
11.380.314
6.358.804
7.344.380
10.981.330
9.550.975
11.914.221
16.253.524
6.908.194
8.599.787
12.570.123
13.277.033
7.418.605
8.568.443
12.811.551
11.142.804
13.899.925
18.962.445
8.059.560
10.033.085
14.665.144
4.349.725
5.219.670
6.089.615
5.340.162
6.408.194
7.476.227
10.434.422
12.521.307
14.608.191
5.073.665
6.088.398
7.103.131
11.683.471
14.020.165
16.356.859
14.771.638
17.725.966
20.680.294
74.001.539
88.801.847
103.602.155
284
285
286
287
288
289 I-4-13-I
290 I-4-13-II
291 I-4-13-III
292 I-4-14-I
293 I-4-14-II
294 I-4-14-III
295 I-4-15-I
296 I-4-15-II
297 I-4-15-III
298
299
300
301
302
303
304
305
I-4-16-I
I-4-16-II
I-4-16-III
I-4-17-I
I-4-17-II
I-4-17-III
I-4-18-I
I-4-18-II
306 I-4-18-III
I-4-19-III
I-4-20-I
I-4-20-II
I-4-20-III
I-4-21-I
I-4-21-II
I-4-21-III
I-4-22-I
I-4-22-II
I-4-22-III
319 I-4-23-I
320 I-4-23-II
321 I-4-23-III
322 I-4-24-I
323 I-4-24-II
324 I-4-24-III
325 J-1-01-I
Kode INACBG
326 J-1-01-II
327 J-1-01-III
328 J-1-02-I
329 J-1-02-II
330 J-1-02-III
331 J-1-10-I
332 J-1-10-II
333 J-1-10-III
334 J-1-20-I
335 J-1-20-II
336 J-1-20-III
337 J-1-30-I
338 J-1-30-II
339 J-1-30-III
340
341
342
343
344
345
346
347
348
349
350
351
352
353
354
355
356
357
358
359
360
361
362
363
364
365
366
367
368
369
370
371
372
J-4-10-I
J-4-10-II
J-4-10-III
J-4-11-I
J-4-11-II
J-4-11-III
J-4-12-I
J-4-12-II
J-4-12-III
J-4-13-I
J-4-13-II
J-4-13-III
J-4-14-I
J-4-14-II
J-4-14-III
J-4-15-I
J-4-15-II
J-4-15-III
J-4-16-I
J-4-16-II
J-4-16-III
J-4-17-I
J-4-17-II
J-4-17-III
J-4-18-I
J-4-18-II
J-4-18-III
J-4-19-I
J-4-19-II
J-4-19-III
J-4-20-I
J-4-20-II
J-4-20-III
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
82.223.933
98.668.719
115.113.506
91.359.925
109.631.910
127.903.895
39.269.985
47.123.982
54.977.980
53.685.197
64.422.236
75.159.276
87.069.488
104.483.386
121.897.283
12.270.916
20.112.698
28.489.061
14.725.099
24.135.237
34.186.873
17.179.282
28.157.777
39.884.685
15.806.156
18.967.387
22.128.619
19.908.309
23.889.970
27.871.632
30.741.706
36.890.047
43.038.389
9.503.111
11.403.734
13.304.356
21.476.085
25.771.302
30.066.519
71.774.509
86.129.411
100.484.313
5.608.605
8.019.123
12.131.826
3.465.767
4.827.233
6.917.593
5.886.662
7.006.828
9.356.554
7.518.060
9.778.016
19.524.102
5.738.445
9.338.050
11.047.859
5.755.579
6.876.305
10.628.869
4.795.593
6.739.069
11.153.951
4.794.974
5.742.107
8.640.273
3.826.749
5.263.441
5.540.364
6.703.060
7.659.355
10.644.805
6.702.255
9.599.310
15.141.597
6.730.325
9.622.947
14.558.191
4.158.921
5.792.680
8.301.112
7.063.995
8.408.194
11.227.865
9.021.672
11.733.619
23.428.923
6.886.134
11.205.660
13.257.430
6.906.695
8.251.566
12.754.642
5.754.711
8.086.882
13.384.741
5.753.968
6.890.529
10.368.327
4.592.099
6.316.129
6.648.437
8.043.672
9.191.226
12.773.766
8.042.706
11.519.172
18.169.916
7.852.046
11.226.772
16.984.557
4.852.074
6.758.127
9.684.630
8.241.327
9.809.559
13.099.176
10.525.284
13.689.222
27.333.743
8.033.822
13.073.270
15.467.002
8.057.811
9.626.827
14.880.416
6.713.830
9.434.696
15.615.532
6.712.963
8.038.950
12.096.382
5.357.449
7.368.817
7.756.510
9.384.285
10.723.097
14.902.727
9.383.157
13.439.034
21.198.236
Kode INACBG
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
3.829.186
4.595.023
5.360.860
8.717.275
10.460.730
12.204.186
12.433.686
14.920.423
17.407.161
10.323.485
12.388.182
14.452.879
12.973.673
15.568.407
18.163.142
15.205.587
18.246.704
21.287.821
8.019.508
10.528.638
26.719.966
9.623.410
12.634.366
32.063.959
11.227.311
14.740.094
37.407.952
4.331.607
5.197.928
6.064.250
5.633.764
6.760.517
7.887.270
11.161.239
13.393.487
15.625.735
4.885.162
8.531.363
9.131.073
5.862.195
10.237.636
10.957.287
6.839.227
11.943.908
12.783.502
385 K-1-13-I
386 K-1-13-II
387 K-1-13-III
388 K-1-14-I
7.927.769
9.513.323
11.098.877
389 K-1-14-II
9.291.139
11.149.366
13.007.594
390
391
392
393
21.085.412
15.350.599
21.441.334
37.492.852
25.302.495
18.420.719
25.729.601
44.991.422
29.519.577
21.490.839
30.017.868
52.489.993
10.086.933
12.104.319
14.121.706
19.750.472
23.700.567
27.650.661
29.029.203
34.835.043
40.640.884
397 K-1-40-I
10.129.269
12.155.123
14.180.976
398 K-1-40-II
11.167.865
13.401.438
15.635.011
399
400
401
402
403
404
405
406
407
408
409
410
411
23.176.941
7.739.735
10.051.012
14.203.890
9.925.178
15.777.306
26.186.549
3.848.505
5.744.430
9.631.896
3.840.947
5.168.697
11.700.132
27.812.330
9.287.682
12.061.214
17.044.668
11.910.213
18.932.767
31.423.858
4.618.206
6.893.316
11.558.275
4.609.137
6.202.436
14.040.159
32.447.718
10.835.629
14.071.417
19.885.446
13.895.249
22.088.228
36.661.168
5.387.907
8.042.201
13.484.654
5.377.326
7.236.176
16.380.185
5.753.158
6.903.789
8.054.421
373 J-4-21-I
374 J-4-21-II
375 J-4-21-III
376 K-1-10-I
377 K-1-10-II
378 K-1-10-III
379 K-1-11-I
380 K-1-11-II
381 K-1-11-III
382 K-1-12-I
383 K-1-12-II
384 K-1-12-III
K-1-14-III
K-1-20-I
K-1-20-II
K-1-20-III
394 K-1-30-I
395 K-1-30-II
396 K-1-30-III
K-1-40-III
K-1-50-I
K-1-50-II
K-1-50-III
K-4-10-I
K-4-10-II
K-4-10-III
K-4-11-I
K-4-11-II
K-4-11-III
K-4-12-I
K-4-12-II
K-4-12-III
412 K-4-13-I
Kode INACBG
413 K-4-13-II
414 K-4-13-III
415 K-4-14-I
416 K-4-14-II
417 K-4-14-III
418
419
420
421
422
423
K-4-15-I
K-4-15-II
K-4-15-III
K-4-16-I
K-4-16-II
K-4-16-III
424 K-4-17-I
425 K-4-17-II
426 K-4-17-III
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
7.442.038
8.930.446
10.418.854
11.463.111
13.755.733
16.048.355
4.559.425
5.471.309
6.383.194
6.120.216
7.344.260
8.568.303
9.820.502
11.784.602
13.748.703
4.762.976
7.335.413
10.441.082
4.792.715
5.747.801
6.706.817
5.715.572
8.802.495
12.529.299
5.751.259
6.897.361
8.048.181
6.668.167
10.269.578
14.617.515
6.709.802
8.046.921
9.389.544
3.476.665
4.171.998
4.867.332
4.920.080
5.904.096
6.888.112
5.549.861
6.659.834
7.769.806
427 K-4-18-I
3.835.842
4.603.011
5.370.179
428 K-4-18-II
5.753.654
6.904.384
8.055.115
429 K-4-18-III
7.058.063
8.469.676
9.881.288
35.352.271
42.422.726
49.493.180
36.943.856
44.332.627
51.721.399
56.361.816
67.634.179
78.906.542
15.577.180
18.692.616
21.808.052
23.267.291
27.920.749
32.574.207
24.600.099
29.520.119
34.440.139
6.471.418
7.765.702
9.059.986
12.980.187
15.576.224
18.172.261
31.559.020
37.870.824
44.182.628
11.899.130
18.316.564
22.741.959
5.777.421
6.705.996
12.240.426
4.898.338
6.732.334
15.297.809
5.745.824
7.599.608
14.123.935
14.278.956
21.979.877
27.290.351
6.932.906
8.047.195
14.688.511
5.878.006
8.078.800
18.357.370
6.894.988
9.119.529
16.948.722
16.658.783
25.643.190
31.838.743
8.088.390
9.388.395
17.136.596
6.857.674
9.425.267
21.416.932
8.044.153
10.639.451
19.773.509
430 L-1-20-I
431 L-1-20-II
432 L-1-20-III
433 L-1-30-I
434 L-1-30-II
435 L-1-30-III
436 L-1-40-I
437 L-1-40-II
438 L-1-40-III
439
440
441
442
443
444
445
446
447
448
449
450
L-1-50-I
L-1-50-II
L-1-50-III
L-4-10-I
L-4-10-II
L-4-10-III
L-4-11-I
L-4-11-II
L-4-11-III
L-4-12-I
L-4-12-II
L-4-12-III
Kode INACBG
451 L-4-13-I
452 L-4-13-II
453 L-4-13-III
454 L-4-14-I
455 L-4-14-II
456 L-4-14-III
457 M-1-01-I
458 M-1-01-II
459 M-1-01-III
460 M-1-02-I
461 M-1-02-II
462 M-1-02-III
463 M-1-03-I
464 M-1-03-II
465 M-1-03-III
466 M-1-04-I
467 M-1-04-II
468 M-1-04-III
469 M-1-05-I
470 M-1-05-II
471 M-1-05-III
472 M-1-07-I
473 M-1-07-II
474 M-1-07-III
475 M-1-10-I
476 M-1-10-II
477 M-1-10-III
478 M-1-20-I
479 M-1-20-II
480 M-1-20-III
481 M-1-30-I
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
3.261.739
3.914.087
4.566.435
3.833.374
4.600.048
5.366.723
5.640.932
6.769.119
7.897.305
3.826.843
4.592.211
5.357.580
5.748.002
6.897.602
8.047.203
8.102.533
9.723.039
11.343.546
17.226.087
20.671.304
24.116.521
19.227.452
23.072.942
26.918.433
27.008.870
32.410.644
37.812.418
11.989.594
19.668.496
34.674.851
14.387.513
23.602.195
41.609.821
16.785.432
27.535.894
48.544.791
32.053.468
38.464.161
44.874.855
38.482.138
46.178.565
53.874.993
40.024.748
48.029.697
56.034.647
7.900.747
9.480.897
11.061.046
10.101.288
12.121.546
14.141.803
12.639.662
15.167.595
17.695.527
11.309.346
13.571.215
15.833.085
11.577.865
13.893.438
16.209.011
19.720.621
23.664.746
27.608.870
13.840.159
16.608.191
19.376.222
18.540.977
22.249.172
25.957.368
37.769.795
45.323.754
52.877.713
23.315.378
27.978.454
32.641.529
55.746.161
66.895.394
78.044.626
120.239.222
144.287.067
168.334.911
8.363.462
10.036.155
11.708.847
11.932.793
14.319.352
16.705.911
29.603.957
35.524.749
41.445.540
11.202.507
13.443.008
15.683.510
484 M-1-40-I
485 M-1-40-II
486 M-1-40-III
487 M-1-50-I
488 M-1-50-II
489 M-1-50-III
490 M-1-60-I
491 M-1-60-II
492 M-1-60-III
493 M-1-70-I
494 M-1-70-II
495 M-1-70-III
496
497
498
499
500
501
M-1-80-I
M-1-80-II
M-1-80-III
M-4-10-I
M-4-10-II
M-4-10-III
502 M-4-11-I
503 M-4-11-II
504 M-4-11-III
505 M-4-12-I
506 M-4-12-II
507 M-4-12-III
508 M-4-13-I
509 M-4-13-II
510 M-4-13-III
511
512
513
514
515
516
517
518
519
M-4-14-I
M-4-14-II
M-4-14-III
M-4-15-I
M-4-15-II
M-4-15-III
M-4-16-I
M-4-16-II
M-4-16-III
520 M-4-17-I
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
23.236.601
34.664.109
27.883.921
41.596.931
32.531.241
48.529.753
5.609.814
6.731.777
7.853.740
10.369.019
12.442.823
14.516.626
18.053.878
21.664.654
25.275.429
6.722.405
13.486.195
20.660.146
8.066.886
16.183.433
24.792.175
9.411.367
18.880.672
28.924.204
5.048.243
6.057.891
7.067.540
10.133.250
12.159.901
14.186.551
17.642.662
21.171.194
24.699.726
27.783.881
33.340.658
38.897.434
30.562.269
36.674.723
42.787.177
33.618.496
40.342.196
47.065.895
15.793.975
18.451.128
42.217.612
3.851.780
5.744.189
10.868.165
18.952.770
22.141.353
50.661.134
4.622.136
6.893.027
13.041.799
22.111.565
25.831.579
59.104.656
5.392.492
8.041.865
15.215.432
4.799.677
5.759.613
6.719.548
10.522.958
12.627.550
14.732.141
15.214.475
18.257.370
21.300.266
3.831.206
4.597.448
5.363.689
6.372.265
7.646.719
8.921.172
10.236.728
12.284.073
14.331.419
6.379.268
7.655.122
8.930.975
9.584.619
11.501.543
13.418.467
18.966.295
22.759.554
26.552.813
7.275.432
8.973.112
13.484.014
4.314.074
5.750.357
16.311.612
4.784.407
7.661.628
12.870.946
8.730.518
10.767.734
16.180.817
5.176.888
6.900.429
19.573.934
5.741.288
9.193.954
15.445.135
10.185.605
12.562.356
18.877.620
6.039.703
8.050.500
22.836.256
6.698.169
10.726.280
18.019.325
4.793.747
5.752.496
6.711.246
Kode INACBG
521 M-4-17-II
522 M-4-17-III
523 M-4-18-I
524 M-4-18-II
525 M-4-18-III
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
6.704.537
8.045.445
9.386.352
9.362.388
11.234.866
13.107.343
4.693.304
7.073.085
8.516.390
5.631.965
8.487.702
10.219.668
6.570.626
9.902.319
11.922.946
526 M-4-19-I
3.778.493
4.534.192
5.289.890
527 M-4-19-II
6.364.494
7.637.392
8.910.291
528 M-4-19-III
12.430.221
14.916.265
17.402.309
3.811.474
4.573.769
5.336.064
5.581.282
6.697.539
7.813.795
6.237.703
7.485.243
8.732.784
3.837.858
4.605.429
5.373.001
4.800.088
5.760.106
6.720.124
10.761.608
12.913.930
15.066.251
250.000.000
250.000.000
250.000.000
12.929.472
17.504.756
31.007.502
250.000.000
250.000.000
250.000.000
15.515.367
21.005.707
37.209.003
250.000.000
250.000.000
250.000.000
18.101.261
24.506.658
43.410.503
6.920.079
8.304.095
9.688.111
16.225.256
19.470.308
22.715.359
29.566.678
35.480.013
41.393.349
14.182.826
18.795.246
24.157.943
17.019.391
22.554.295
28.989.532
19.855.956
26.313.344
33.821.121
11.289.471
13.547.366
15.805.260
17.078.764
20.494.517
23.910.270
19.655.987
23.587.185
27.518.382
529 M-4-20-I
530 M-4-20-II
531 M-4-20-III
532 M-4-21-I
533 M-4-21-II
534 M-4-21-III
535
536
537
538
539
540
N-1-01-I
N-1-01-II
N-1-01-III
N-1-11-I
N-1-11-II
N-1-11-III
541 N-1-12-I
542 N-1-12-II
543 N-1-12-III
544 N-1-20-I
545 N-1-20-II
546 N-1-20-III
547 N-1-30-I
548 N-1-30-II
549 N-1-30-III
550 N-1-40-I
10.138.705
12.166.446
14.194.187
551 N-1-40-II
13.768.192
16.521.830
19.275.468
552 N-1-40-III
16.024.366
19.229.239
22.434.112
4.786.192
5.743.431
6.700.669
5.788.943
6.946.732
8.104.521
553 N-4-10-I
554 N-4-10-II
Kode INACBG
555 N-4-10-III
556
557
558
559
560
561
562
563
564
N-4-11-I
N-4-11-II
N-4-11-III
N-4-12-I
N-4-12-II
N-4-12-III
N-4-13-I
N-4-13-II
N-4-13-III
565 N-4-14-I
566 N-4-14-II
567 N-4-14-III
568 N-4-15-I
569 N-4-15-II
570 N-4-15-III
571 N-4-16-I
572 N-4-16-II
573 N-4-16-III
574 O-6-10-I
575 O-6-10-II
576 O-6-10-III
577 O-6-11-I
578 O-6-11-II
579 O-6-11-III
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
11.503.599
13.804.319
16.105.039
3.306.743
5.777.334
7.188.194
3.839.807
5.755.025
7.820.704
4.767.758
5.745.570
12.484.516
3.968.091
6.932.801
8.625.833
4.607.769
6.906.030
9.384.845
5.721.309
6.894.684
14.981.420
4.629.440
8.088.268
10.063.472
5.375.730
8.057.035
10.948.986
6.674.861
8.043.798
17.478.323
3.321.099
3.985.318
4.649.538
4.712.430
5.654.916
6.597.402
7.642.757
9.171.308
10.699.860
4.359.288
5.231.146
6.103.003
5.409.151
6.490.981
7.572.811
6.172.812
7.407.374
8.641.937
4.804.170
5.765.004
6.725.839
7.383.877
8.860.653
10.337.428
13.101.258
15.721.509
18.341.761
5.550.544
6.124.998
8.387.694
6.660.653
7.349.997
10.065.233
7.770.762
8.574.997
11.742.771
4.465.742
5.358.890
6.252.038
4.963.113
5.955.736
6.948.358
8.918.268
10.701.921
12.485.575
580 O-6-12-I
3.163.933
3.796.720
4.429.507
581 O-6-12-II
3.799.862
4.559.834
5.319.807
582 O-6-12-III
4.774.588
5.729.506
6.684.424
2.778.812
3.288.905
4.122.949
3.334.574
3.946.685
4.947.539
3.890.337
4.604.466
5.772.129
88.776.607
106.531.929
124.287.250
583 O-6-13-I
584 O-6-13-II
585 O-6-13-III
586 P-8-01-I
Kode INACBG
587 P-8-01-II
588 P-8-01-III
589 P-8-02-I
590 P-8-02-II
591 P-8-02-III
592 P-8-03-I
593 P-8-03-II
594 P-8-03-III
595 P-8-04-I
596 P-8-04-II
597 P-8-04-III
598 P-8-05-I
599 P-8-05-II
600 P-8-05-III
601 P-8-06-I
602 P-8-06-II
603 P-8-06-III
604 P-8-07-I
605 P-8-07-II
606 P-8-07-III
607 P-8-08-I
608 P-8-08-II
609 P-8-08-III
610 P-8-10-I
611 P-8-10-II
612 P-8-10-III
613 P-8-11-I
614 P-8-11-II
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
109.847.638
131.817.165
153.786.693
128.930.281
154.716.337
180.502.394
105.422.913
126.507.495
147.592.078
120.930.688
145.116.826
169.302.964
138.171.884
165.806.261
193.440.638
5.949.565
7.139.478
8.329.391
8.329.391
9.995.270
11.661.148
11.592.072
13.910.487
16.228.901
47.927.985
57.513.582
67.099.179
62.200.191
74.640.230
87.080.268
89.179.418
107.015.302
124.851.186
26.061.684
31.274.021
36.486.358
36.938.924
44.326.709
51.714.494
54.424.546
65.309.455
76.194.364
5.159.639
6.191.567
7.223.494
9.573.678
11.488.414
13.403.150
18.642.070
22.370.484
26.098.898
8.329.391
9.995.270
11.661.148
23.353.608
28.024.330
32.695.051
30.937.739
37.125.287
43.312.835
4.819.421
5.783.305
6.747.189
6.838.529
8.206.235
9.573.941
12.507.510
15.009.012
17.510.514
3.377.924
4.053.509
4.729.094
5.316.894
6.380.273
7.443.652
10.439.231
12.527.077
14.614.924
8.454.190
10.145.027
11.835.865
18.014.096
21.616.915
25.219.734
Kode INACBG
615 P-8-11-III
616 P-8-12-I
617 P-8-12-II
618 P-8-12-III
619 P-8-13-I
620 P-8-13-II
621 P-8-13-III
622 P-8-14-I
623 P-8-14-II
624 P-8-14-III
625 P-8-15-I
626 P-8-15-II
627 P-8-15-III
628 P-8-16-I
629 P-8-16-II
630 P-8-16-III
631 P-8-17-I
632 P-8-17-II
633 P-8-17-III
634 S-4-10-I
635 S-4-10-II
636 S-4-10-III
637
638
639
640
641
642
S-4-11-I
S-4-11-II
S-4-11-III
S-4-12-I
S-4-12-II
S-4-12-III
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
21.590.972
25.909.167
30.227.361
10.756.352
12.907.622
15.058.893
13.606.552
16.327.863
19.049.173
14.400.816
17.280.979
20.161.142
2.704.251
3.245.101
3.785.951
6.699.938
8.039.925
9.379.913
16.321.567
19.585.880
22.850.194
4.608.129
5.529.755
6.451.381
9.380.368
11.256.442
13.132.515
10.291.963
12.350.356
14.408.749
3.456.148
4.147.377
4.838.607
6.921.104
8.305.325
9.689.546
8.120.727
9.744.872
11.369.017
3.127.898
3.753.478
4.379.058
6.467.035
7.760.442
9.053.849
16.985.920
20.383.104
23.780.288
2.295.158
2.754.189
3.213.221
5.967.211
7.160.653
8.354.095
14.143.152
16.971.782
19.800.412
3.526.638
4.231.966
4.937.293
4.345.333
5.214.400
6.083.466
5.948.361
7.138.033
8.327.705
2.246.442
3.294.191
5.630.158
2.880.839
3.834.345
6.650.954
2.695.730
3.953.030
6.756.189
3.457.007
4.601.214
7.981.145
3.145.019
4.611.868
7.882.221
4.033.175
5.368.083
9.311.335
643 S-4-13-I
3.828.870
4.594.644
5.360.418
644 S-4-13-II
6.792.670
8.151.204
9.509.738
645 S-4-13-III
13.658.465
16.390.158
19.121.851
2.153.005
2.583.606
3.014.207
646 S-4-14-I
Kode INACBG
647 S-4-14-II
648 S-4-14-III
649 S-4-15-I
650 S-4-15-II
651 S-4-15-III
652 S-4-16-I
653 S-4-16-II
654 S-4-16-III
655 S-4-17-I
656 S-4-17-II
657 S-4-17-III
658 T-1-10-I
659 T-1-10-II
660 T-1-10-III
661 T-4-10-I
662 T-4-10-II
663 T-4-10-III
664 T-4-11-I
665 T-4-11-II
666 T-4-11-III
667 T-4-12-I
668 T-4-12-II
669 T-4-12-III
670 U-1-10-I
671 U-1-10-II
672 U-1-10-III
673 U-1-11-I
674 U-1-11-II
675 U-1-11-III
676
677
678
679
680
681
U-1-12-I
U-1-12-II
U-1-12-III
U-1-13-I
U-1-13-II
U-1-13-III
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
4.573.086
5.487.703
6.402.320
8.672.128
10.406.554
12.140.979
1.628.415
1.954.098
2.279.781
3.073.086
3.687.704
4.302.321
3.980.190
4.776.228
5.572.266
6.710.526
8.534.338
14.240.432
8.052.632
10.241.206
17.088.518
9.394.737
11.948.074
19.936.605
3.234.407
3.881.288
4.528.169
4.800.118
5.760.142
6.720.166
7.377.730
8.853.275
10.328.821
2.719.261
3.263.114
3.806.966
3.652.321
4.382.785
5.113.250
6.644.123
7.972.948
9.301.773
1.489.070
1.786.885
2.084.699
2.837.431
3.404.917
3.972.403
4.124.315
4.949.179
5.774.042
1.438.098
1.725.717
2.013.337
2.263.160
2.715.792
3.168.425
3.645.288
4.374.346
5.103.404
3.369.540
4.043.448
4.717.356
5.086.732
6.104.078
7.121.424
7.873.518
9.448.222
11.022.926
3.290.757
6.714.992
28.996.692
3.948.909
8.057.990
34.796.031
4.607.060
9.400.989
40.595.369
12.622.428
15.146.913
17.671.399
19.038.609
22.846.330
26.654.052
28.823.760
34.588.512
40.353.264
8.548.853
18.935.403
27.812.243
9.607.237
10.492.166
17.392.753
10.258.624
22.722.484
33.374.691
11.528.684
12.590.600
20.871.304
11.968.395
26.509.564
38.937.140
13.450.132
14.689.033
24.349.855
Kode INACBG
682 U-1-14-I
683 U-1-14-II
684 U-1-14-III
685 U-1-15-I
686 U-1-15-II
687 U-1-15-III
688 U-1-20-I
689 U-1-20-II
690 U-1-20-III
691 U-1-30-I
692 U-1-30-II
693 U-1-30-III
694 U-4-10-I
695 U-4-10-II
696 U-4-10-III
697
698
699
700
701
702
U-4-11-I
U-4-11-II
U-4-11-III
U-4-12-I
U-4-12-II
U-4-12-III
703 U-4-13-I
704 U-4-13-II
705 U-4-13-III
706 U-4-14-I
707 U-4-14-II
708 U-4-14-III
709 U-4-15-I
710 U-4-15-II
711 U-4-15-III
712 V-1-10-I
713 V-1-10-II
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
5.140.770
6.168.924
7.197.078
6.308.958
7.570.750
8.832.541
7.476.134
8.971.361
10.466.587
3.023.179
4.298.113
7.876.363
3.627.815
5.157.736
9.451.636
4.232.451
6.017.358
11.026.909
7.804.428
9.365.314
10.926.199
13.937.681
16.725.217
19.512.753
33.322.279
39.986.734
46.651.190
6.693.139
9.075.669
17.747.810
8.031.767
10.890.803
21.297.372
9.370.395
12.705.936
24.846.934
6.239.276
7.487.132
8.734.987
14.283.465
17.140.158
19.996.851
21.929.637
26.315.564
30.701.492
3.826.870
5.565.572
5.854.947
3.467.854
4.033.847
5.232.922
4.592.243
6.678.686
7.025.936
4.161.425
4.840.616
6.279.506
5.357.617
7.791.800
8.196.925
4.854.996
5.647.386
7.326.090
3.404.323
4.085.187
4.766.052
4.013.313
4.815.975
5.618.638
4.800.159
5.760.191
6.720.223
4.794.239
5.740.919
9.640.846
5.753.086
6.889.102
11.569.015
6.711.934
8.037.286
13.497.185
3.849.639
4.619.567
5.389.495
4.796.118
5.755.342
6.714.566
6.712.252
8.054.702
9.397.152
11.231.156
13.477.388
15.723.619
12.934.617
15.521.540
18.108.464
714 V-1-10-III
19.439.922
23.327.906
27.215.890
715 V-1-11-I
716 V-1-11-II
717 V-1-11-III
11.945.668
13.640.503
21.361.523
14.334.801
16.368.604
25.633.828
16.723.935
19.096.705
29.906.132
6.279.024
7.534.829
8.790.634
22.153.630
26.584.356
31.015.082
718 V-1-12-I
719 V-1-12-II
Kode INACBG
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
22.912.560
27.495.072
32.077.584
9.519.781
11.423.738
13.327.694
18.189.160
21.826.992
25.464.824
28.536.577
34.243.892
39.951.208
11.488.109
13.785.730
16.083.352
16.691.994
20.030.393
23.368.792
20.833.326
24.999.991
29.166.656
5.409.583
9.605.188
15.821.033
6.491.499
11.526.225
18.985.239
7.573.416
13.447.263
22.149.446
727 V-1-15-I
728 V-1-15-II
729 V-1-15-III
730 V-4-10-I
8.024.587
9.629.505
11.234.422
731 V-4-10-II
9.823.767
11.788.520
13.753.274
732 V-4-10-III
20.821.714
24.986.057
29.150.399
4.800.239
5.760.286
6.720.334
6.704.063
8.044.876
9.385.688
8.706.344
10.447.612
12.188.881
13.083.837
15.700.605
18.317.372
15.681.892
18.818.270
21.954.649
28.334.689
34.001.627
39.668.565
3.636.154
5.610.654
9.075.200
4.363.385
6.732.784
10.890.240
5.090.616
7.854.915
12.705.280
3.770.962
4.525.154
5.279.346
6.629.779
7.955.735
9.281.691
13.960.448
16.752.537
19.544.627
3.435.409
4.122.490
4.809.572
3.895.081
4.674.097
5.453.113
5.983.637
7.180.365
8.377.092
4.170.080
5.004.097
5.838.113
4.527.321
5.432.785
6.338.249
6.081.282
7.297.538
8.513.795
10.742.482
13.361.334
22.476.280
12.890.979
16.033.601
26.971.536
15.039.475
18.705.868
31.466.792
720 V-1-12-III
721 V-1-13-I
722 V-1-13-II
723 V-1-13-III
724 V-1-14-I
725 V-1-14-II
726 V-1-14-III
733 V-4-11-I
734 V-4-11-II
735 V-4-11-III
736 W-1-01-I
737 W-1-01-II
738 W-1-01-III
739 W-1-10-I
740 W-1-10-II
741 W-1-10-III
742 W-1-11-I
743 W-1-11-II
744 W-1-11-III
745 W-1-12-I
746 W-1-12-II
747 W-1-12-III
748 W-1-13-I
749 W-1-13-II
750 W-1-13-III
751 W-1-20-I
752 W-1-20-II
753 W-1-20-III
Kode INACBG
W-1-30-I
W-1-30-II
W-1-30-III
W-4-10-I
W-4-10-II
W-4-10-III
W-4-11-I
W-4-11-II
W-4-11-III
763 W-4-12-I
764 W-4-12-II
765 W-4-12-III
766
767
768
769
770
771
772
773
774
775
776
777
778
779
780
781
782
783
784
785
786
W-4-13-I
W-4-13-II
W-4-13-III
W-4-14-I
W-4-14-II
W-4-14-III
W-4-15-I
W-4-15-II
W-4-15-III
W-4-16-I
W-4-16-II
W-4-16-III
W-4-17-I
W-4-17-II
W-4-17-III
Z-4-10-I
Z-4-10-II
Z-4-10-III
Z-4-11-I
Z-4-11-II
Z-4-11-III
787 Z-4-12-I
788 Z-4-12-II
789 Z-4-12-III
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
6.064.268
9.672.502
23.731.970
4.518.498
6.698.522
15.377.983
4.109.288
6.238.431
7.593.411
7.277.122
11.607.002
28.478.364
5.422.198
8.038.227
18.453.580
4.931.146
7.486.117
9.112.094
8.489.976
13.541.503
33.224.758
6.325.898
9.377.931
21.529.177
5.753.003
8.733.804
10.630.776
3.844.056
4.612.867
5.381.678
5.277.588
6.333.106
7.388.624
5.752.781
6.903.338
8.053.894
2.101.790
2.871.103
3.570.439
2.808.847
3.343.226
4.277.177
2.162.910
2.402.134
3.325.850
2.877.763
3.848.363
5.215.805
2.123.481
3.834.027
7.275.414
6.062.839
8.047.128
11.432.373
4.237.604
5.089.527
10.079.253
2.522.148
3.445.323
4.284.527
3.370.617
4.011.871
5.132.613
2.595.493
2.882.560
3.991.020
3.453.316
4.618.036
6.258.967
2.548.177
4.600.833
8.730.497
7.275.407
9.656.554
13.718.847
5.085.125
6.107.432
12.095.103
2.942.506
4.019.544
4.998.615
3.932.386
4.680.516
5.988.048
3.028.075
3.362.987
4.656.190
4.028.869
5.387.709
7.302.128
2.972.873
5.367.638
10.185.580
8.487.975
11.265.980
16.005.322
5.932.646
7.125.338
14.110.954
2.872.321
3.446.785
4.021.249
5.767.219
6.920.663
8.074.107
12.167.338
14.600.805
17.034.273
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Kode INACBG
B-2-10-0
B-2-11-0
B-2-12-0
B-2-13-0
B-2-14-0
B-3-10-0
B-3-11-0
B-3-12-0
C-3-10-0
C-3-11-0
C-3-12-0
C-3-13-0
C-3-14-0
C-3-15-0
C-3-16-0
C-3-17-0
C-3-18-0
C-3-19-0
C-3-20-0
C-3-21-0
C-3-22-0
C-3-23-0
D-2-10-0
D-2-11-0
D-2-21-0
D-2-22-0
D-3-10-0
D-3-11-0
E-2-10-0
E-2-21-0
31
E-2-22-0
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
E-3-10-0
F-3-10-0
F-5-10-0
F-5-11-0
F-5-12-0
F-5-13-0
F-5-14-0
F-5-15-0
F-5-16-0
G-2-10-0
G-2-11-0
G-2-12-0
G-2-13-0
G-2-21-0
G-2-22-0
G-2-31-0
G-2-32-0
G-3-10-0
G-3-11-0
G-3-12-0
G-3-13-0
H-2-21-0
H-2-22-0
H-2-23-0
H-2-31-0
H-2-32-0
No
58
59
60
61
62
63
64
65
66
67
68
69
70
71
Kode INACBG
H-2-33-0
H-2-34-0
H-2-35-0
H-2-36-0
H-2-37-0
H-3-10-0
H-3-11-0
H-3-12-0
H-3-13-0
I-2-11-0
I-2-12-0
I-2-13-0
I-2-14-0
I-2-15-0
72
I-2-16-0
73
74
75
76
77
78
79
I-2-17-0
I-2-21-0
I-2-22-0
I-2-23-0
I-2-31-0
I-2-32-0
I-2-41-0
80
I-2-42-0
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
I-3-10-0
I-3-11-0
I-3-12-0
I-3-13-0
I-3-14-0
I-3-15-0
J-2-10-0
J-2-21-0
J-2-22-0
J-2-31-0
J-2-32-0
J-3-10-0
J-3-11-0
J-3-12-0
J-3-13-0
J-3-14-0
J-3-15-0
J-3-16-0
J-3-17-0
K-2-10-0
K-2-11-0
K-2-12-0
K-2-13-0
K-2-14-0
K-2-21-0
K-2-22-0
K-2-31-0
K-2-32-0
K-2-41-0
K-2-42-0
K-2-51-0
K-2-52-0
K-2-53-0
K-3-10-0
No
Kode INACBG
K-3-11-0
K-3-12-0
K-3-13-0
K-3-14-0
K-3-15-0
K-3-16-0
L-2-21-0
L-2-22-0
L-2-31-0
L-2-32-0
L-2-41-0
L-2-42-0
L-2-51-0
L-2-52-0
L-2-53-0
L-3-10-0
L-3-11-0
L-3-12-0
M-2-10-0
M-2-21-0
M-2-22-0
M-2-31-0
M-2-32-0
M-2-41-0
M-2-42-0
M-2-51-0
M-2-52-0
M-2-61-0
M-2-62-0
M-2-63-0
M-2-64-0
M-2-65-0
M-2-71-0
M-2-72-0
M-2-81-0
M-2-82-0
M-2-83-0
M-2-84-0
M-3-10-0
M-3-11-0
M-3-12-0
M-3-13-0
M-3-14-0
M-3-15-0
M-3-16-0
M-3-17-0
N-2-11-0
N-2-12-0
N-2-21-0
N-2-22-0
N-2-23-0
N-2-24-0
N-2-31-0
N-2-32-0
N-2-41-0
N-2-42-0
N-3-10-0
N-3-11-0
N-3-12-0
Kode INACBG
N-3-13-0
N-3-14-0
N-3-15-0
O-7-10-0
O-7-11-0
179 O-7-12-0
180 O-7-13-0
181 P-9-10-0
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
229
230
P-9-11-0
P-9-12-0
P-9-13-0
P-9-14-0
P-9-15-0
P-9-16-0
P-9-17-0
Q-5-10-0
Q-5-11-0
Q-5-12-0
Q-5-13-0
Q-5-14-0
Q-5-15-0
Q-5-16-0
Q-5-17-0
Q-5-18-0
Q-5-19-0
Q-5-20-0
Q-5-21-0
Q-5-22-0
Q-5-23-0
Q-5-24-0
Q-5-25-0
Q-5-26-0
Q-5-27-0
Q-5-28-0
Q-5-29-0
Q-5-30-0
Q-5-31-0
Q-5-32-0
Q-5-33-0
Q-5-34-0
Q-5-35-0
Q-5-36-0
Q-5-37-0
Q-5-38-0
Q-5-39-0
Q-5-40-0
Q-5-41-0
Q-5-42-0
Q-5-43-0
Q-5-44-0
T-2-10-0
U-2-10-0
U-2-11-0
U-2-12-0
U-2-13-0
U-2-14-0
U-2-15-0
Kode INACBG
U-2-21-0
U-2-22-0
U-2-23-0
U-2-24-0
U-2-25-0
U-2-31-0
U-2-32-0
238 U-3-10-0
462.009
239 U-3-11-0
240 U-3-12-0
437.264
204.881
241 U-3-13-0
450.015
242
243
244
245
246
247
248
249
250
251
252
253
254
255
256
257
258
259
260
261
262
263
264
265
266
267
268
U-3-14-0
U-3-15-0
U-3-16-0
V-2-10-0
V-2-11-0
V-2-12-0
V-2-13-0
V-2-14-0
V-2-15-0
V-3-10-0
V-3-11-0
V-3-12-0
W-2-10-0
W-2-11-0
W-2-12-0
W-2-13-0
W-2-21-0
W-2-22-0
W-2-23-0
W-2-31-0
W-2-32-0
W-2-33-0
W-2-34-0
W-3-10-0
W-3-11-0
W-3-12-0
Z-3-10-0
269 Z-3-11-0
270
271
272
273
274
275
276
277
278
279
280
281
282
283
284
285
286
Z-3-12-0
Z-3-13-0
Z-3-14-0
Z-3-15-0
Z-3-16-0
Z-3-17-0
Z-3-18-0
Z-3-19-0
Z-3-20-0
Z-3-21-0
Z-3-22-0
Z-3-23-0
Z-3-24-0
Z-3-25-0
Z-3-26-0
Z-3-27-0
Z-3-28-0
413.382
360.794
408.075
4.879.637
548.266
1.756.082
629.873
775.465
368.777
885.585
1.525.012
1.081.149
395.377
1.008.371
1.873.471
300.471
3.766.176
396.054
1.321.650
4.338.576
3.042.840
1.293.247
439.856
1.069.021
854.544
396.054
4.483.855
3.427.094
572.242
3.491.976
690.472
450.807
1.446.952
607.462
585.278
609.160
414.305
396.054
446.515
465.084
913.798
407.004
459.995
439.171
450.807
1
2
3
4
5
6
7
8
9
10
11
12
Kode INACBG
A-4-10-I
A-4-10-II
A-4-10-III
A-4-11-I
A-4-11-II
A-4-11-III
A-4-12-I
A-4-12-II
A-4-12-III
A-4-13-I
A-4-13-II
A-4-13-III
13
A-4-14-I
14
A-4-14-II
15
A-4-14-III
16
17
18
19
20
21
22
23
24
25
26
27
A-4-15-I
A-4-15-II
A-4-15-III
B-1-01-I
B-1-01-II
B-1-01-III
B-1-10-I
B-1-10-II
B-1-10-III
B-1-11-I
B-1-11-II
B-1-11-III
28
B-1-12-I
29
B-1-12-II
30
B-1-12-III
31
B-1-13-I
32
B-1-13-II
33
B-1-13-III
34
B-1-14-I
35
B-1-14-II
36
B-1-14-III
37
38
39
B-4-10-I
B-4-10-II
B-4-10-III
40
B-4-11-I
41
B-4-11-II
42
B-4-11-III
43
44
45
B-4-12-I
B-4-12-II
B-4-12-III
No
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
SEPTIKEMIA RINGAN
SEPTIKEMIA SEDANG
SEPTIKEMIA BERAT
INFEKSI SESUDAH OPERASI & TRAUMA RINGAN
INFEKSI SESUDAH OPERASI & TRAUMA SEDANG
INFEKSI SESUDAH OPERASI & TRAUMA BERAT
DEMAM RINGAN
DEMAM SEDANG
DEMAM BERAT
INFEKSI NON BAKTERI RINGAN
INFEKSI NON BAKTERI SEDANG
INFEKSI NON BAKTERI BERAT
PENYAKIT INFEKSI BAKTERI DAN PARASIT LAIN-LAIN
RINGAN
PENYAKIT INFEKSI BAKTERI DAN PARASIT LAIN-LAIN
SEDANG
PENYAKIT INFEKSI BAKTERI DAN PARASIT LAIN-LAIN
BERAT
INFEKSI HIV RINGAN
INFEKSI HIV SEDANG
INFEKSI HIV BERAT
PROSEDUR PENCANGKOKAN HATI RINGAN
PROSEDUR PENCANGKOKAN HATI SEDANG
PROSEDUR PENCANGKOKAN HATI BERAT
PROSEDUR HATI DAN PANKREAS RINGAN
PROSEDUR HATI DAN PANKREAS SEDANG
PROSEDUR HATI DAN PANKREAS BERAT
PROSEDUR SALURAN EMPEDU KOMPLEK (RINGAN)
PROSEDUR SALURAN EMPEDU KOMPLEK (SEDANG)
PROSEDUR SALURAN EMPEDU KOMPLEK (BERAT)
PROSEDUR CHOLESISTEKTOMI TANPA LAPAROSKOPIK
RINGAN
PROSEDUR CHOLESISTEKTOMI TANPA LAPAROSKOPIK
SEDANG
PROSEDUR CHOLESISTEKTOMI TANPA LAPAROSKOPIK
BERAT
PROSEDUR PANKREAS DAN HEPATOBILLIARI LAIN-LAIN
(RINGAN)
PROSEDUR PANKREAS DAN HEPATOBILLIARI LAIN-LAIN
(SEDANG)
PROSEDUR PANKREAS DAN HEPATOBILLIARI LAIN-LAIN
(BERAT)
PROSEDUR CHOLESISTEKTOMI DENGAN LAPAROSKOPIK
RINGAN
PROSEDUR CHOLESISTEKTOMI DENGAN LAPAROSKOPIK
SEDANG
PROSEDUR CHOLESISTEKTOMI DENGAN LAPAROSKOPIK
BERAT
SIROSIS DAN HEPATITIS ALKOHOLIK RINGAN
SIROSIS DAN HEPATITIS ALKOHOLIK SEDANG
SIROSIS DAN HEPATITIS ALKOHOLIK BERAT
TUMOR SISTEM HEPATOBILLIARI DAN PANCREAS
RINGAN
TUMOR SISTEM HEPATOBILLIARI DAN PANCREAS
SEDANG
2.315.052
3.495.886
4.037.426
5.540.999
8.553.402
13.991.497
1.971.446
3.118.150
3.564.005
2.479.127
2.975.687
3.611.492
2.778.063
4.195.063
4.844.912
6.649.199
10.264.083
16.789.797
2.365.735
3.741.780
4.276.806
2.974.953
3.570.824
4.333.790
3.241.073
4.894.240
5.652.397
7.757.399
11.974.763
19.588.096
2.760.024
4.365.410
4.989.607
3.470.778
4.165.961
5.056.088
3.088.537
3.706.245
4.323.952
3.972.640
4.767.168
5.561.696
4.551.711
5.462.053
6.372.395
3.116.600
4.460.325
7.590.335
32.078.166
35.390.794
62.082.735
4.158.825
10.598.690
24.567.277
3.921.691
9.859.985
12.333.989
3.739.920
5.352.390
9.108.402
38.493.800
42.468.952
74.499.282
4.990.590
12.718.428
29.480.732
4.706.029
11.831.982
14.800.787
4.363.240
6.244.455
10.626.468
44.909.433
49.547.111
86.915.829
5.822.356
14.838.166
34.394.187
5.490.367
13.803.979
17.267.585
6.832.278
8.198.733
9.565.189
14.643.243
17.571.891
20.500.540
17.315.807
20.778.969
24.242.130
5.494.142
6.592.971
7.691.799
8.949.160
10.738.992
12.528.824
13.193.573
15.832.288
18.471.003
7.431.513
8.917.815
10.404.118
8.265.342
9.918.410
11.571.478
12.930.145
15.516.174
18.102.202
2.087.713
3.018.058
4.909.192
2.505.256
3.621.669
5.891.031
2.922.798
4.225.281
6.872.869
4.082.364
4.898.836
5.715.309
6.222.893
7.467.472
8.712.050
6.713.370
8.056.044
9.398.718
3.558.296
6.260.867
11.476.336
4.269.956
7.513.040
13.771.603
4.981.615
8.765.214
16.066.870
Kode INACBG
46
B-4-13-I
47
B-4-13-II
48
B-4-13-III
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
2.976.332
3.571.598
4.166.865
4.330.161
5.196.194
6.062.226
5.421.377
6.505.653
7.589.928
B-4-14-I
B-4-14-II
B-4-14-III
C-4-10-I
C-4-10-II
C-4-10-III
C-4-11-I
C-4-11-II
C-4-11-III
C-4-12-I
C-4-12-II
C-4-12-III
C-4-13-I
C-4-13-II
C-4-13-III
C-4-14-I
C-4-14-II
C-4-14-III
3.513.255
4.300.139
5.475.486
3.879.809
7.573.825
11.160.821
3.922.154
4.492.550
9.034.670
1.977.790
7.321.329
14.830.749
1.976.853
3.966.867
5.155.072
2.973.114
5.038.312
7.691.182
4.215.906
5.160.167
6.570.583
4.655.770
9.088.590
13.392.986
4.706.585
5.391.060
10.841.604
2.373.348
8.785.595
17.796.899
2.372.224
4.760.240
6.186.086
3.567.737
6.045.975
9.229.418
4.918.556
6.020.194
7.665.680
5.431.732
10.603.355
15.625.150
5.491.016
6.289.570
12.648.538
2.768.906
10.249.861
20.763.049
2.767.594
5.553.613
7.217.100
4.162.359
7.053.637
10.767.655
67
D-1-10-I
20.526.341
24.631.609
28.736.877
68
D-1-10-II
31.263.192
37.515.830
43.768.468
69
D-1-10-III
42.370.167
50.844.201
59.318.234
70
71
72
D-1-11-I
D-1-11-II
D-1-11-III
5.808.244
13.287.362
20.161.520
6.969.893
15.944.834
24.193.824
8.131.542
18.602.306
28.226.128
73
D-1-20-I
4.364.855
5.237.826
6.110.797
74
D-1-20-II
12.831.762
15.398.114
17.964.466
75
D-1-20-III
20.131.095
24.157.315
28.183.534
76
77
78
79
80
81
82
83
84
D-4-10-I
D-4-10-II
D-4-10-III
D-4-11-I
D-4-11-II
D-4-11-III
D-4-12-I
D-4-12-II
D-4-12-III
2.213.116
3.294.190
5.182.620
2.464.371
4.976.114
11.992.642
2.473.421
3.430.879
5.268.116
2.655.740
3.953.027
6.219.144
2.957.245
5.971.337
14.391.170
2.968.106
4.117.054
6.321.739
3.098.363
4.611.865
7.255.668
3.450.119
6.966.560
16.789.699
3.462.790
4.803.230
7.375.362
85
D-4-13-I
1.983.830
2.380.595
2.777.361
86
D-4-13-II
2.975.233
3.570.279
4.165.326
87
D-4-13-III
4.106.161
4.927.393
5.748.625
88
D-4-14-I
2.465.425
2.958.510
3.451.595
89
D-4-14-II
4.420.066
5.304.080
6.188.093
90
D-4-14-III
6.197.898
7.437.477
8.677.057
91
92
93
94
95
96
Kode INACBG
E-1-01-I
E-1-01-II
E-1-01-III
E-1-10-I
E-1-10-II
E-1-10-III
97
E-1-20-I
98
E-1-20-II
99
E-1-20-III
100
E-4-10-I
101
E-4-10-II
102
E-4-10-III
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
E-4-11-I
E-4-11-II
E-4-11-III
E-4-12-I
E-4-12-II
E-4-12-III
E-4-13-I
E-4-13-II
E-4-13-III
F-4-10-I
F-4-10-II
F-4-10-III
F-4-11-I
F-4-11-II
F-4-11-III
118
F-4-12-I
1.900.340
2.280.408
2.660.476
119
F-4-12-II
2.519.329
3.023.194
3.527.060
120
F-4-12-III
4.934.821
5.921.786
6.908.750
121
122
123
124
125
126
127
128
129
F-4-13-I
F-4-13-II
F-4-13-III
F-4-14-I
F-4-14-II
F-4-14-III
F-4-15-I
F-4-15-II
F-4-15-III
3.250.736
4.301.507
5.546.244
1.862.409
2.388.917
3.214.395
2.704.469
3.820.782
4.772.109
3.900.883
5.161.808
6.655.493
2.234.891
2.866.701
3.857.274
3.245.363
4.584.938
5.726.530
4.551.031
6.022.110
7.764.741
2.607.373
3.344.484
4.500.153
3.786.257
5.349.094
6.680.952
130
F-4-16-I
5.836.931
7.004.317
8.171.703
131
F-4-16-II
6.782.801
8.139.361
9.495.921
132
F-4-16-III
9.053.907
10.864.688
12.675.470
133
134
135
136
137
138
F-4-17-I
F-4-17-II
F-4-17-III
F-4-18-I
F-4-18-II
F-4-18-III
977.392
2.864.644
3.056.364
4.886.231
5.376.235
8.287.934
1.172.871
3.437.573
3.667.637
5.863.478
6.451.482
9.945.521
1.368.349
4.010.501
4.278.910
6.840.724
7.526.728
11.603.108
No
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
6.157.628
8.065.907
15.987.970
4.711.509
5.718.666
12.053.265
7.389.154
9.679.088
19.185.563
5.653.811
6.862.400
14.463.918
8.620.679
11.292.269
22.383.157
6.596.113
8.006.133
16.874.571
5.913.534
7.096.241
8.278.947
9.675.735
11.610.882
13.546.029
18.151.428
21.781.713
25.411.999
3.096.174
3.715.409
4.334.644
4.286.028
5.143.233
6.000.439
6.539.011
7.846.813
9.154.616
2.267.087
4.379.823
7.233.601
2.717.663
4.350.861
6.263.993
3.001.844
5.074.025
8.652.483
4.379.192
4.853.504
7.185.720
4.032.907
4.698.720
6.025.476
2.720.504
5.255.788
8.680.321
3.261.195
5.221.033
7.516.792
3.602.213
6.088.830
10.382.979
5.255.031
5.824.205
8.622.864
4.839.489
5.638.464
7.230.571
3.173.922
6.131.753
10.127.041
3.804.728
6.091.206
8.769.590
4.202.582
7.103.635
12.113.476
6.130.869
6.794.906
10.060.008
5.646.070
6.578.208
8.435.667
139
140
141
Kode INACBG
F-4-19-I
F-4-19-II
F-4-19-III
142
G-1-01-I
143
G-1-01-II
12.792.556
15.351.067
17.909.578
144
G-1-01-III
24.810.299
29.772.359
34.734.418
145
146
147
148
149
150
G-1-10-I
G-1-10-II
G-1-10-III
G-1-11-I
G-1-11-II
G-1-11-III
6.177.370
8.716.798
10.291.974
7.096.135
14.617.033
26.719.176
7.412.844
10.460.158
12.350.369
8.515.362
17.540.439
32.063.011
8.648.318
12.203.517
14.408.764
9.934.588
20.463.846
37.406.846
151
G-1-12-I
4.517.430
5.420.916
6.324.402
152
G-1-12-II
9.744.256
11.693.107
13.641.958
153
G-1-12-III
14.473.036
17.367.643
20.262.250
154
155
156
157
158
159
160
161
162
G-1-13-I
G-1-13-II
G-1-13-III
G-1-20-I
G-1-20-II
G-1-20-III
G-1-30-I
G-1-30-II
G-1-30-III
1.056.284
2.837.063
6.401.609
11.298.024
14.670.287
29.151.274
8.852.659
22.800.268
25.609.902
1.267.541
3.404.476
7.681.931
13.557.629
17.604.344
34.981.529
10.623.191
27.360.322
30.731.882
1.478.798
3.971.888
8.962.252
15.817.234
20.538.401
40.811.784
12.393.723
31.920.376
35.853.862
163
G-4-10-I
2.962.294
3.554.753
4.147.212
164
G-4-10-II
4.055.571
4.866.686
5.677.800
165
G-4-10-III
7.022.349
8.426.819
9.831.289
166
G-4-11-I
5.380.794
6.456.953
7.533.112
167
G-4-11-II
6.785.332
8.142.399
9.499.465
168
G-4-11-III
8.704.616
10.445.540
12.186.463
169
170
171
G-4-12-I
G-4-12-II
G-4-12-III
4.914.210
5.991.060
8.701.301
5.897.052
7.189.271
10.441.561
6.879.894
8.387.483
12.181.821
172
G-4-13-I
2.737.508
3.285.010
3.832.512
173
G-4-13-II
3.797.083
4.556.500
5.315.917
174
G-4-13-III
4.451.352
5.341.623
6.231.893
175
G-4-14-I
3.729.072
4.474.886
5.220.701
176
G-4-14-II
6.743.542
8.092.251
9.440.959
177
G-4-14-III
8.432.351
10.118.822
11.805.292
178
G-4-15-I
2.906.677
3.488.012
4.069.347
No
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
3.877.057
4.964.671
6.181.082
4.652.468
5.957.605
7.417.298
5.427.879
6.950.539
8.653.514
8.946.041
10.735.249
12.524.457
Kode INACBG
179
G-4-15-II
180
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
3.469.132
4.162.958
4.856.784
G-4-15-III
4.952.630
5.943.156
6.933.682
181
182
183
G-4-16-I
G-4-16-II
G-4-16-III
2.396.311
3.277.099
5.763.949
2.875.573
3.932.518
6.916.739
3.354.835
4.587.938
8.069.529
184
G-4-17-I
3.861.784
4.634.141
5.406.498
185
G-4-17-II
4.796.408
5.755.689
6.714.971
186
G-4-17-III
8.038.819
9.646.582
11.254.346
187
G-4-18-I
2.997.959
3.597.551
4.197.143
188
G-4-18-II
5.733.636
6.880.364
8.027.091
189
G-4-18-III
6.069.404
7.283.285
8.497.166
190
G-4-19-I
3.286.478
3.943.773
4.601.069
191
G-4-19-II
4.432.832
5.319.399
6.205.965
192
G-4-19-III
6.798.403
8.158.084
9.517.765
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
G-4-20-I
G-4-20-II
G-4-20-III
G-4-21-I
G-4-21-II
G-4-21-III
G-4-22-I
G-4-22-II
G-4-22-III
G-4-23-I
G-4-23-II
G-4-23-III
G-4-24-I
G-4-24-II
G-4-24-III
G-4-25-I
G-4-25-II
G-4-25-III
1.949.235
2.593.532
4.283.785
2.226.790
2.884.599
5.351.925
1.979.825
2.477.470
2.840.410
2.326.916
2.525.375
3.595.514
3.095.225
3.867.010
7.486.704
1.983.349
2.470.492
3.086.720
2.339.082
3.112.239
5.140.542
2.672.148
3.461.518
6.422.310
2.375.789
2.972.964
3.408.492
2.792.299
3.030.451
4.314.617
3.714.270
4.640.412
8.984.044
2.380.019
2.964.591
3.704.063
2.728.929
3.630.945
5.997.299
3.117.506
4.038.438
7.492.695
2.771.754
3.468.459
3.976.574
3.257.682
3.535.526
5.033.720
4.333.314
5.413.815
10.481.385
2.776.689
3.458.689
4.321.407
211
G-4-26-I
3.311.647
3.973.977
4.636.306
212
G-4-26-II
4.537.059
5.444.471
6.351.883
213
G-4-26-III
5.448.823
6.538.588
7.628.352
214
215
216
217
218
219
220
221
222
H-1-20-I
H-1-20-II
H-1-20-III
H-1-30-I
H-1-30-II
H-1-30-III
H-4-10-I
H-4-10-II
H-4-10-III
9.808.109
10.839.500
14.741.043
3.044.943
4.275.939
7.134.250
3.393.476
4.549.810
8.370.843
11.769.731
13.007.400
17.689.252
3.653.931
5.131.127
8.561.100
4.072.171
5.459.772
10.045.012
13.731.353
15.175.300
20.637.460
4.262.920
5.986.315
9.987.950
4.750.867
6.369.733
11.719.181
223
224
225
226
227
228
Kode INACBG
H-4-11-I
H-4-11-II
H-4-11-III
H-4-12-I
H-4-12-II
H-4-12-III
229
I-1-01-I
230
I-1-01-II
231
I-1-01-III
232
I-1-02-I
233
I-1-02-II
234
I-1-02-III
235
I-1-03-I
236
I-1-03-II
237
I-1-03-III
238
I-1-04-I
239
I-1-04-II
240
I-1-04-III
241
I-1-05-I
242
I-1-05-II
243
I-1-05-III
244
245
246
I-1-06-I
I-1-06-II
I-1-06-III
247
I-1-07-I
248
I-1-07-II
249
I-1-07-III
250
I-1-11-I
251
I-1-11-II
252
I-1-11-III
253
I-1-12-I
254
I-1-12-II
255
I-1-12-III
256
I-1-13-I
No
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
2.720.652
3.003.077
3.842.284
3.077.173
4.172.889
6.961.695
3.264.782
3.603.693
4.610.740
3.692.607
5.007.467
8.354.034
3.808.913
4.204.308
5.379.197
4.308.042
5.842.045
9.746.373
41.614.836
49.937.804
58.260.771
42.530.580
51.036.696
59.542.812
67.133.704
80.560.445
93.987.186
23.087.671
27.705.206
32.322.740
29.783.096
35.739.715
41.696.335
36.709.398
44.051.277
51.393.157
14.196.418
17.035.701
19.874.985
16.187.770
19.425.324
22.662.879
26.779.001
32.134.801
37.490.601
23.099.313
27.719.175
32.339.038
55.078.736
66.094.483
77.110.230
87.987.958
105.585.549
123.183.141
30.557.212
36.668.655
42.780.097
36.668.655
44.002.386
51.336.117
50.455.837
60.547.005
70.638.172
33.012.511
47.821.301
57.059.636
39.615.014
57.385.561
68.471.563
46.217.516
66.949.822
79.883.491
25.225.419
30.270.503
35.315.586
31.120.679
37.344.814
43.568.950
33.952.458
40.742.950
47.533.441
4.059.522
4.871.427
5.683.331
4.513.783
5.416.539
6.319.296
6.006.469
7.207.763
8.409.057
12.265.655
14.718.786
17.171.917
13.972.142
16.766.571
19.560.999
22.594.628
27.113.553
31.632.479
12.928.710
15.514.452
18.100.194
Kode INACBG
257
I-1-13-II
258
I-1-13-III
259
I-1-14-I
260
I-1-14-II
261
I-1-14-III
262
263
264
I-1-15-I
I-1-15-II
I-1-15-III
265
I-1-16-I
266
I-1-16-II
267
I-1-16-III
268
I-1-17-I
269
I-1-17-II
270
I-1-17-III
271
I-1-20-I
272
I-1-20-II
273
I-1-20-III
274
I-1-30-I
275
I-1-30-II
276
I-1-30-III
277
278
279
280
281
282
283
284
285
286
287
288
I-1-40-I
I-1-40-II
I-1-40-III
I-4-10-I
I-4-10-II
I-4-10-III
I-4-11-I
I-4-11-II
I-4-11-III
I-4-12-I
I-4-12-II
I-4-12-III
289
I-4-13-I
290
I-4-13-II
291
I-4-13-III
292
293
294
I-4-14-I
I-4-14-II
I-4-14-III
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
15.687.735
18.825.282
21.962.829
18.347.472
22.016.967
25.686.461
23.766.721
28.520.065
33.273.409
29.538.638
35.446.366
41.354.094
38.705.802
46.446.963
54.188.123
6.226.944
11.712.426
18.335.941
7.472.333
14.054.911
22.003.129
8.717.722
16.397.396
25.670.317
10.185.737
12.222.885
14.260.032
26.482.917
31.779.501
37.076.084
30.547.395
36.656.874
42.766.353
25.725.230
30.870.276
36.015.322
32.210.402
38.652.482
45.094.562
39.843.777
47.812.533
55.781.288
22.385.499
26.862.599
31.339.699
27.965.579
33.558.695
39.151.811
29.397.674
35.277.208
41.156.743
11.555.772
13.866.926
16.178.081
24.038.340
28.846.008
33.653.676
37.250.697
44.700.836
52.150.976
15.785.527
22.511.248
27.058.324
5.074.825
8.005.589
11.528.035
5.181.035
6.040.635
9.801.682
5.275.707
7.529.344
9.167.469
18.942.632
27.013.497
32.469.988
6.089.790
9.606.707
13.833.642
6.217.242
7.248.762
11.762.018
6.330.848
9.035.213
11.000.963
22.099.738
31.515.747
37.881.653
7.104.755
11.207.825
16.139.249
7.253.449
8.456.889
13.722.354
7.385.989
10.541.082
12.834.457
5.816.196
6.979.435
8.142.674
7.375.358
8.850.429
10.325.501
13.424.818
16.109.782
18.794.746
2.944.527
3.450.462
5.319.563
3.533.433
4.140.554
6.383.475
4.122.338
4.830.647
7.447.388
Kode INACBG
295
I-4-15-I
296
I-4-15-II
297
I-4-15-III
298
299
300
301
302
303
304
305
I-4-16-I
I-4-16-II
I-4-16-III
I-4-17-I
I-4-17-II
I-4-17-III
I-4-18-I
I-4-18-II
306
I-4-18-III
307
I-4-19-I
308
I-4-19-II
309
310
311
312
313
314
315
316
317
318
I-4-19-III
I-4-20-I
I-4-20-II
I-4-20-III
I-4-21-I
I-4-21-II
I-4-21-III
I-4-22-I
I-4-22-II
I-4-22-III
319
I-4-23-I
320
I-4-23-II
321
I-4-23-III
322
I-4-24-I
323
I-4-24-II
324
I-4-24-III
325
J-1-01-I
326
J-1-01-II
327
J-1-01-III
328
J-1-02-I
329
J-1-02-II
330
J-1-02-III
331
332
333
J-1-10-I
J-1-10-II
J-1-10-III
334
J-1-20-I
335
J-1-20-II
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
3.965.946
4.759.136
5.552.325
5.692.005
6.830.406
7.968.807
6.487.516
7.785.019
9.082.523
2.922.373
3.678.066
5.055.791
3.544.042
4.804.440
5.831.047
4.295.081
6.587.849
3.506.848
4.413.679
6.066.949
4.252.851
5.765.328
6.997.257
5.154.097
7.905.418
4.091.323
5.149.292
7.078.107
4.961.659
6.726.216
8.163.466
6.013.113
9.222.988
8.887.467
10.664.960
12.442.454
3.361.716
4.034.059
4.706.402
5.448.774
6.538.529
7.628.283
6.241.397
4.074.332
4.682.327
6.221.934
5.417.890
6.730.865
9.229.227
3.142.811
3.694.249
5.391.010
7.489.676
4.889.198
5.618.793
7.466.320
6.501.468
8.077.038
11.075.072
3.771.373
4.433.099
6.469.212
8.737.956
5.704.065
6.555.258
8.710.707
7.585.046
9.423.211
12.920.918
4.399.935
5.171.948
7.547.414
2.374.597
2.849.516
3.324.435
2.915.457
3.498.549
4.081.640
5.696.538
6.835.846
7.975.153
3.187.195
3.824.635
4.462.074
7.960.403
9.552.483
11.144.564
10.017.642
12.021.171
14.024.699
30.386.921
36.464.306
42.541.690
32.462.238
38.954.685
45.447.133
46.686.132
56.023.358
65.360.585
13.101.546
15.721.855
18.342.164
13.249.492
15.899.390
18.549.289
20.827.052
24.992.463
29.157.873
6.284.058
12.385.596
18.664.017
7.540.869
14.862.715
22.396.820
8.797.681
17.339.834
26.129.623
12.644.925
15.173.910
17.702.895
15.926.647
19.111.976
22.297.306
Kode INACBG
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
336
J-1-20-III
24.593.365
29.512.038
34.430.711
337
J-1-30-I
3.661.565
4.393.878
5.126.191
338
J-1-30-II
11.724.557
14.069.469
16.414.380
339
J-1-30-III
35.005.233
42.006.280
49.007.327
340
341
342
343
344
345
346
347
348
349
350
351
352
353
354
355
356
357
358
359
360
361
362
363
364
365
366
367
368
369
370
371
372
J-4-10-I
J-4-10-II
J-4-10-III
J-4-11-I
J-4-11-II
J-4-11-III
J-4-12-I
J-4-12-II
J-4-12-III
J-4-13-I
J-4-13-II
J-4-13-III
J-4-14-I
J-4-14-II
J-4-14-III
J-4-15-I
J-4-15-II
J-4-15-III
J-4-16-I
J-4-16-II
J-4-16-III
J-4-17-I
J-4-17-II
J-4-17-III
J-4-18-I
J-4-18-II
J-4-18-III
J-4-19-I
J-4-19-II
J-4-19-III
J-4-20-I
J-4-20-II
J-4-20-III
3.061.813
4.378.024
6.623.297
2.670.259
3.580.612
5.131.109
3.067.235
3.825.251
5.108.236
5.134.585
7.516.728
14.482.119
4.267.872
7.166.372
8.484.111
4.642.834
5.546.886
7.370.749
3.868.445
5.436.182
8.997.521
2.961.087
3.804.571
5.428.168
2.076.033
2.893.584
3.137.751
3.895.474
5.286.616
5.811.569
4.295.691
5.679.809
9.237.488
3.674.175
5.253.629
7.947.957
3.204.311
4.296.735
6.157.330
3.680.682
4.590.301
6.129.884
6.161.502
9.020.074
17.378.543
5.121.447
8.599.647
10.180.933
5.571.401
6.656.263
8.844.898
4.642.134
6.523.418
10.797.025
3.553.305
4.565.485
6.513.801
2.491.240
3.472.301
3.765.302
4.674.568
6.343.940
6.973.882
5.154.829
6.815.771
11.084.986
4.286.538
6.129.234
9.272.616
3.738.363
5.012.857
7.183.552
4.294.129
5.355.352
7.151.531
7.188.419
10.523.419
20.274.967
5.975.021
10.032.921
11.877.755
6.499.967
7.765.640
10.319.048
5.415.822
7.610.655
12.596.529
4.145.522
5.326.400
7.599.435
2.906.446
4.051.018
4.392.852
5.453.663
7.401.263
8.136.196
6.013.967
7.951.732
12.932.484
373
J-4-21-I
2.317.775
2.781.330
3.244.885
374
J-4-21-II
4.326.732
5.192.078
6.057.424
375
J-4-21-III
6.053.635
7.264.362
8.475.089
376
K-1-10-I
5.328.719
6.394.462
7.460.206
377
K-1-10-II
10.011.694
12.014.033
14.016.371
378
K-1-10-III
11.715.150
14.058.180
16.401.210
379
380
381
K-1-11-I
K-1-11-II
K-1-11-III
6.157.644
8.084.243
20.516.219
7.389.173
9.701.092
24.619.462
8.620.702
11.317.941
28.722.706
382
K-1-12-I
3.319.751
3.983.701
4.647.652
383
K-1-12-II
4.315.176
5.178.211
6.041.246
Kode INACBG
384
K-1-12-III
385
386
387
K-1-13-I
K-1-13-II
K-1-13-III
388
K-1-14-I
389
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
8.606.521
10.327.826
12.049.130
3.773.712
6.328.070
7.039.928
4.528.455
7.593.684
8.447.913
5.283.197
8.859.298
9.855.899
4.936.274
5.923.529
6.910.784
K-1-14-II
6.118.627
7.342.353
8.566.078
390
391
392
393
K-1-14-III
K-1-20-I
K-1-20-II
K-1-20-III
13.792.206
11.811.881
16.524.602
27.564.912
16.550.647
14.174.257
19.829.522
33.077.895
19.309.088
16.536.634
23.134.443
38.590.877
394
K-1-30-I
7.616.796
9.140.155
10.663.514
395
K-1-30-II
10.686.366
12.823.639
14.960.912
396
K-1-30-III
19.662.538
23.595.046
27.527.554
397
K-1-40-I
7.008.684
8.410.421
9.812.158
398
K-1-40-II
8.595.014
10.314.017
12.033.020
399
400
401
402
403
404
405
406
407
408
409
410
411
K-1-40-III
K-1-50-I
K-1-50-II
K-1-50-III
K-4-10-I
K-4-10-II
K-4-10-III
K-4-11-I
K-4-11-II
K-4-11-III
K-4-12-I
K-4-12-II
K-4-12-III
14.254.003
5.375.665
7.708.497
8.821.948
7.940.142
12.621.845
14.879.312
2.214.118
3.193.591
4.949.042
2.280.406
3.973.799
7.154.052
17.104.804
6.450.798
9.250.196
10.586.338
9.528.170
15.146.214
17.855.174
2.656.942
3.832.310
5.938.850
2.736.488
4.768.559
8.584.863
19.955.605
7.525.931
10.791.896
12.350.728
11.116.199
17.670.583
20.831.037
3.099.766
4.471.028
6.928.659
3.192.569
5.563.319
10.015.673
412
K-4-13-I
3.137.819
3.765.383
4.392.947
413
K-4-13-II
4.021.116
4.825.339
5.629.562
414
K-4-13-III
6.258.186
7.509.823
8.761.460
415
K-4-14-I
2.489.057
2.986.868
3.484.680
416
K-4-14-II
3.341.161
4.009.393
4.677.625
417
K-4-14-III
5.866.015
7.039.218
8.212.421
418
419
420
421
422
423
K-4-15-I
K-4-15-II
K-4-15-III
K-4-16-I
K-4-16-II
K-4-16-III
2.600.337
4.008.274
5.625.421
2.635.143
3.306.599
4.443.663
3.120.405
4.809.929
6.750.505
3.162.171
3.967.919
5.332.395
3.640.472
5.611.584
7.875.589
3.689.200
4.629.238
6.221.128
424
K-4-17-I
2.804.510
3.365.412
3.926.314
425
K-4-17-II
3.968.865
4.762.638
5.556.411
426
K-4-17-III
4.476.888
5.372.266
6.267.643
Kode INACBG
427
K-4-18-I
428
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
3.094.246
3.713.095
4.331.944
K-4-18-II
4.641.281
5.569.537
6.497.793
429
K-4-18-III
5.693.504
6.832.205
7.970.906
430
L-1-20-I
27.178.893
32.614.671
38.050.450
431
L-1-20-II
28.010.368
33.612.442
39.214.515
432
L-1-20-III
39.394.787
47.273.744
55.152.701
433
L-1-30-I
8.504.075
10.204.890
11.905.705
434
L-1-30-II
15.858.427
19.030.112
22.201.798
435
L-1-30-III
18.835.565
22.602.678
26.369.791
436
L-1-40-I
4.042.290
4.850.748
5.659.207
437
L-1-40-II
8.716.442
10.459.730
12.203.019
438
L-1-40-III
14.910.433
17.892.520
20.874.607
439
440
441
442
443
444
445
446
447
448
449
450
L-1-50-I
L-1-50-II
L-1-50-III
L-4-10-I
L-4-10-II
L-4-10-III
L-4-11-I
L-4-11-II
L-4-11-III
L-4-12-I
L-4-12-II
L-4-12-III
5.448.961
9.780.341
11.783.349
3.289.450
4.564.522
9.394.288
3.059.822
4.234.415
11.441.635
3.237.179
5.278.558
8.548.436
6.538.753
11.736.409
14.140.019
3.947.340
5.477.427
11.273.145
3.671.786
5.081.298
13.729.962
3.884.615
6.334.270
10.258.123
7.628.545
13.692.478
16.496.688
4.605.230
6.390.331
13.152.003
4.283.751
5.928.181
16.018.289
4.532.051
7.389.981
11.967.810
451
L-4-13-I
1.974.052
2.368.862
2.763.672
452
L-4-13-II
2.638.993
3.166.792
3.694.591
453
L-4-13-III
3.483.525
4.180.229
4.876.934
454
L-4-14-I
2.284.903
2.741.884
3.198.865
455
L-4-14-II
3.395.511
4.074.613
4.753.715
456
L-4-14-III
6.009.981
7.211.978
8.413.974
457
M-1-01-I
9.404.394
11.285.273
13.166.152
458
M-1-01-II
10.496.825
12.596.190
14.695.556
459
M-1-01-III
14.745.196
17.694.235
20.643.274
460
461
462
M-1-02-I
M-1-02-II
M-1-02-III
9.208.601
15.132.411
21.201.984
11.050.322
18.158.893
25.442.380
12.892.042
21.185.375
29.682.777
463
M-1-03-I
17.340.031
20.808.038
24.276.044
464
M-1-03-II
20.189.456
24.227.347
28.265.239
Kode INACBG
465
M-1-03-III
466
M-1-04-I
467
M-1-04-II
468
M-1-04-III
469
M-1-05-I
470
M-1-05-II
471
M-1-05-III
472
M-1-07-I
473
M-1-07-II
474
M-1-07-III
475
M-1-10-I
476
M-1-10-II
477
M-1-10-III
478
M-1-20-I
479
M-1-20-II
480
M-1-20-III
481
482
483
M-1-30-I
M-1-30-II
M-1-30-III
484
M-1-40-I
485
M-1-40-II
486
M-1-40-III
487
488
489
M-1-50-I
M-1-50-II
M-1-50-III
490
M-1-60-I
491
M-1-60-II
492
M-1-60-III
493
M-1-70-I
494
M-1-70-II
495
M-1-70-III
496
497
498
499
M-1-80-I
M-1-80-II
M-1-80-III
M-4-10-I
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
25.467.262
30.560.714
35.654.167
6.050.285
7.260.342
8.470.399
7.748.843
9.298.612
10.848.381
9.696.217
11.635.460
13.574.704
7.674.330
9.209.195
10.744.061
8.912.375
10.694.850
12.477.325
15.776.497
18.931.796
22.087.096
7.555.708
9.066.850
10.577.992
10.122.288
12.146.746
14.171.203
20.620.061
24.744.073
28.868.085
18.652.303
22.382.763
26.113.224
44.596.929
53.516.315
62.435.701
96.191.378
115.429.653
134.667.929
6.432.458
7.718.949
9.005.441
7.302.514
8.763.016
10.223.519
17.918.836
21.502.603
25.086.370
8.962.006
18.589.281
27.731.287
10.754.407
22.307.137
33.277.545
12.546.808
26.024.993
38.823.802
3.810.981
4.573.178
5.335.374
6.272.941
7.527.529
8.782.117
9.291.239
11.149.487
13.007.735
5.422.740
10.878.864
16.665.851
6.507.288
13.054.636
19.999.021
7.591.836
15.230.409
23.332.191
3.881.401
4.657.682
5.433.962
7.783.842
9.340.610
10.897.379
12.069.917
14.483.901
16.897.884
22.227.105
26.672.526
31.117.947
24.449.816
29.339.779
34.229.742
26.894.797
32.273.756
37.652.716
12.635.180
14.760.902
33.774.089
2.263.478
15.162.216
17.713.082
40.528.907
2.716.174
17.689.252
20.665.263
47.283.725
3.168.869
500
501
Kode INACBG
M-4-10-II
M-4-10-III
502
M-4-11-I
503
M-4-11-II
504
M-4-11-III
505
M-4-12-I
1.971.698
2.366.037
2.760.377
506
M-4-12-II
3.478.797
4.174.556
4.870.315
507
M-4-12-III
6.446.233
7.735.480
9.024.727
508
M-4-13-I
4.430.850
5.317.020
6.203.190
509
M-4-13-II
5.513.095
6.615.714
7.718.333
510
M-4-13-III
11.267.113
13.520.536
15.773.958
511
512
513
514
515
516
517
518
519
M-4-14-I
M-4-14-II
M-4-14-III
M-4-15-I
M-4-15-II
M-4-15-III
M-4-16-I
M-4-16-II
M-4-16-III
3.963.590
5.250.586
8.327.213
3.321.472
4.128.330
9.284.680
3.326.770
4.853.843
9.546.997
4.756.308
6.300.703
9.992.656
3.985.766
4.953.996
11.141.616
3.992.124
5.824.611
11.456.397
5.549.026
7.350.820
11.658.099
4.650.060
5.779.662
12.998.552
4.657.478
6.795.380
13.365.796
520
M-4-17-I
2.842.459
3.410.951
3.979.443
521
M-4-17-II
3.720.237
4.464.284
5.208.332
522
M-4-17-III
5.126.775
6.152.130
7.177.484
523
524
525
M-4-18-I
M-4-18-II
M-4-18-III
3.177.061
3.861.283
5.393.453
3.812.473
4.633.539
6.472.144
4.447.885
5.405.796
7.550.834
526
M-4-19-I
2.902.613
3.483.136
4.063.658
527
M-4-19-II
4.637.057
5.564.468
6.491.879
528
M-4-19-III
7.404.142
8.884.970
10.365.799
529
M-4-20-I
2.080.793
2.496.951
2.913.110
530
M-4-20-II
2.973.807
3.568.569
4.163.330
531
M-4-20-III
3.292.936
3.951.524
4.610.111
532
M-4-21-I
2.074.334
2.489.201
2.904.068
533
M-4-21-II
3.473.749
4.168.499
4.863.248
534
M-4-21-III
5.875.095
7.050.114
8.225.133
535
N-1-01-I
250.000.000
250.000.000
250.000.000
No
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
4.064.105
7.001.411
4.876.926
8.401.693
5.689.747
9.801.975
3.523.129
4.227.754
4.932.380
6.552.313
7.862.775
9.173.238
11.711.651
14.053.981
16.396.311
536
537
538
539
540
Kode INACBG
N-1-01-II
N-1-01-III
N-1-11-I
N-1-11-II
N-1-11-III
541
N-1-12-I
542
N-1-12-II
543
N-1-12-III
544
545
546
N-1-20-I
N-1-20-II
N-1-20-III
547
N-1-30-I
548
N-1-30-II
549
N-1-30-III
550
N-1-40-I
7.808.092
9.369.711
10.931.329
551
N-1-40-II
10.592.565
12.711.077
14.829.590
552
N-1-40-III
12.302.287
14.762.744
17.223.201
553
N-4-10-I
3.037.713
3.645.256
4.252.799
554
N-4-10-II
4.093.901
4.912.682
5.731.462
555
N-4-10-III
7.162.360
8.594.832
10.027.304
556
557
558
559
560
561
562
563
564
N-4-11-I
N-4-11-II
N-4-11-III
N-4-12-I
N-4-12-II
N-4-12-III
N-4-13-I
N-4-13-II
N-4-13-III
2.548.717
4.302.530
4.934.443
2.334.457
3.259.284
4.435.770
2.889.354
3.458.172
8.493.442
3.058.461
5.163.036
5.921.332
2.801.348
3.911.141
5.322.924
3.467.225
4.149.806
10.192.130
3.568.204
6.023.542
6.908.221
3.268.239
4.562.998
6.210.078
4.045.096
4.841.441
11.890.818
565
N-4-14-I
1.730.205
2.076.245
2.422.286
566
N-4-14-II
2.572.868
3.087.442
3.602.016
567
N-4-14-III
4.172.372
5.006.847
5.841.321
568
N-4-15-I
2.784.636
3.341.563
3.898.490
569
N-4-15-II
3.809.364
4.571.237
5.333.109
570
N-4-15-III
4.347.172
5.216.606
6.086.040
571
N-4-16-I
3.353.974
4.024.768
4.695.563
572
N-4-16-II
4.030.954
4.837.144
5.643.335
No
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
250.000.000
250.000.000
7.438.136
11.975.635
16.927.939
250.000.000
250.000.000
8.925.763
14.370.762
20.313.527
250.000.000
250.000.000
10.413.390
16.765.889
23.699.114
3.777.803
4.533.363
5.288.924
12.536.008
15.043.209
17.550.411
22.772.467
27.326.960
31.881.453
11.346.261
14.447.580
16.485.661
13.615.513
17.337.096
19.782.793
15.884.765
20.226.612
23.079.925
7.479.784
8.975.741
10.471.697
11.179.902
13.415.882
15.651.862
11.740.497
14.088.597
16.436.696
Kode INACBG
573
N-4-16-III
574
575
576
O-6-10-I
O-6-10-II
O-6-10-III
577
O-6-11-I
578
O-6-11-II
579
O-6-11-III
580
O-6-12-I
581
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
7.175.654
8.610.785
10.045.916
4.477.439
4.940.832
5.182.170
5.372.927
5.928.998
6.218.604
6.268.415
6.917.164
7.255.038
2.528.893
3.034.672
3.540.451
3.576.456
4.291.747
5.007.038
6.073.519
7.288.223
8.502.927
2.435.646
2.922.775
3.409.904
O-6-12-II
2.925.204
3.510.245
4.095.286
582
O-6-12-III
3.819.671
4.583.605
5.347.539
583
584
585
O-6-13-I
O-6-13-II
O-6-13-III
2.241.575
2.653.050
3.325.846
2.689.890
3.183.660
3.991.015
3.138.205
3.714.270
4.656.184
586
P-8-01-I
48.466.546
58.159.855
67.853.164
587
P-8-01-II
59.969.769
71.963.723
83.957.677
588
P-8-01-III
70.387.698
84.465.237
98.542.777
589
P-8-02-I
78.198.463
93.838.156
109.477.848
590
P-8-02-II
89.701.686
107.642.023
125.582.361
591
P-8-02-III
102.490.590
122.988.708
143.486.826
592
P-8-03-I
2.709.858
3.251.830
3.793.802
593
P-8-03-II
4.038.844
4.846.613
5.654.381
594
P-8-03-III
7.340.101
8.808.122
10.276.142
595
P-8-04-I
32.630.724
39.156.869
45.683.014
596
P-8-04-II
42.182.791
50.619.350
59.055.908
597
P-8-04-III
60.479.505
72.575.406
84.671.307
598
P-8-05-I
17.718.607
21.262.328
24.806.049
599
P-8-05-II
25.104.818
30.125.782
35.146.745
600
P-8-05-III
36.864.871
44.237.846
51.610.820
601
P-8-06-I
3.003.031
3.603.637
4.204.243
602
P-8-06-II
6.520.402
7.824.482
9.128.563
Kode INACBG
603
P-8-06-III
604
P-8-07-I
605
P-8-07-II
606
P-8-07-III
607
P-8-08-I
608
P-8-08-II
609
P-8-08-III
610
P-8-10-I
611
P-8-10-II
612
P-8-10-III
613
P-8-11-I
614
P-8-11-II
615
P-8-11-III
616
P-8-12-I
617
P-8-12-II
618
P-8-12-III
619
P-8-13-I
620
P-8-13-II
621
P-8-13-III
622
P-8-14-I
623
P-8-14-II
624
P-8-14-III
625
P-8-15-I
626
P-8-15-II
627
P-8-15-III
628
P-8-16-I
629
P-8-16-II
630
P-8-16-III
631
P-8-17-I
632
P-8-17-II
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
11.907.506
14.289.007
16.670.508
4.695.716
5.634.859
6.574.002
11.620.162
13.944.195
16.268.227
15.621.098
18.745.318
21.869.537
3.887.666
4.665.199
5.442.732
5.516.413
6.619.696
7.722.979
8.932.287
10.718.745
12.505.202
2.299.932
2.759.918
3.219.904
3.944.033
4.732.839
5.521.646
7.743.298
9.291.958
10.840.618
2.776.072
3.331.286
3.886.500
13.773.479
16.528.175
19.282.871
14.062.036
16.874.443
19.686.850
3.745.050
4.494.060
5.243.071
5.831.092
6.997.311
8.163.529
6.872.464
8.246.957
9.621.450
2.181.429
2.617.715
3.054.001
5.359.950
6.431.940
7.503.930
13.057.254
15.668.704
18.280.155
3.528.118
4.233.741
4.939.365
7.221.419
8.665.702
10.109.986
7.932.343
9.518.812
11.105.280
2.659.739
3.191.686
3.723.634
5.320.225
6.384.270
7.448.315
6.236.968
7.484.362
8.731.755
2.413.197
2.895.836
3.378.476
5.173.628
6.208.354
7.243.080
13.588.736
16.306.483
19.024.230
1.851.427
2.221.713
2.591.998
4.813.550
5.776.260
6.738.970
Kode INACBG
633
P-8-17-III
634
S-4-10-I
635
S-4-10-II
636
S-4-10-III
637
638
639
640
641
642
S-4-11-I
S-4-11-II
S-4-11-III
S-4-12-I
S-4-12-II
S-4-12-III
643
S-4-13-I
644
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
9.097.818
10.917.382
12.736.945
1.925.274
2.310.328
2.695.383
2.478.515
2.974.218
3.469.921
3.224.084
3.868.901
4.513.718
1.234.445
1.982.532
3.053.560
1.526.093
2.077.889
3.631.162
1.481.334
2.379.038
3.664.272
1.831.311
2.493.467
4.357.395
1.728.223
2.775.545
4.274.984
2.136.530
2.909.045
5.083.627
2.365.425
2.838.510
3.311.595
S-4-13-II
3.915.809
4.698.970
5.482.132
645
S-4-13-III
7.456.688
8.948.025
10.439.363
646
S-4-14-I
1.175.275
1.410.330
1.645.385
647
S-4-14-II
2.496.679
2.996.014
3.495.350
648
S-4-14-III
4.734.592
5.681.511
6.628.429
649
S-4-15-I
888.871
1.066.646
1.244.420
650
S-4-15-II
1.677.603
2.013.124
2.348.645
651
S-4-15-III
2.172.886
2.607.463
3.042.040
652
653
654
S-4-16-I
S-4-16-II
S-4-16-III
3.784.821
6.581.331
9.562.282
4.541.785
7.897.597
11.474.739
5.298.750
9.213.863
13.387.195
655
S-4-17-I
2.008.765
2.410.518
2.812.272
656
S-4-17-II
2.895.449
3.474.539
4.053.629
657
S-4-17-III
4.027.676
4.833.211
5.638.746
658
T-1-10-I
2.093.325
2.511.990
2.930.655
659
T-1-10-II
2.811.193
3.373.432
3.935.670
660
T-1-10-III
5.114.477
6.137.372
7.160.267
661
T-4-10-I
812.772
975.326
1.137.880
662
T-4-10-II
1.548.963
1.858.755
2.168.548
663
T-4-10-III
2.251.771
2.702.126
3.152.480
664
T-4-11-I
1.109.226
1.331.072
1.552.917
665
T-4-11-II
1.745.607
2.094.728
2.443.850
666
T-4-11-III
2.811.658
3.373.990
3.936.322
667
T-4-12-I
1.827.446
2.192.935
2.558.424
Kode INACBG
668
T-4-12-II
669
T-4-12-III
670
671
672
U-1-10-I
U-1-10-II
U-1-10-III
673
U-1-11-I
674
U-1-11-II
675
U-1-11-III
676
677
678
679
680
681
U-1-12-I
U-1-12-II
U-1-12-III
U-1-13-I
U-1-13-II
U-1-13-III
682
U-1-14-I
683
U-1-14-II
684
U-1-14-III
685
686
687
U-1-15-I
U-1-15-II
U-1-15-III
688
U-1-20-I
689
U-1-20-II
690
U-1-20-III
691
692
693
U-1-30-I
U-1-30-II
U-1-30-III
694
U-4-10-I
695
U-4-10-II
696
U-4-10-III
697
698
699
700
701
702
U-4-11-I
U-4-11-II
U-4-11-III
U-4-12-I
U-4-12-II
U-4-12-III
703
U-4-13-I
704
U-4-13-II
705
U-4-13-III
706
707
708
U-4-14-I
U-4-14-II
U-4-14-III
709
U-4-15-I
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
2.722.942
3.267.530
3.812.119
4.177.698
5.013.238
5.848.778
1.796.544
3.665.958
15.830.349
2.155.853
4.399.150
18.996.418
2.515.162
5.132.342
22.162.488
6.328.029
7.593.635
8.859.241
8.658.117
10.389.740
12.121.364
19.670.138
23.604.166
27.538.193
4.892.086
9.731.116
12.659.041
5.245.099
6.637.327
9.495.491
5.870.503
11.677.340
15.190.850
6.294.119
7.964.792
11.394.590
6.848.920
13.623.563
17.722.658
7.343.139
9.292.258
13.293.688
3.965.534
4.758.640
5.551.747
4.866.507
5.839.809
6.813.110
5.766.948
6.920.338
8.073.728
2.329.081
3.297.406
5.288.987
2.794.897
3.956.888
6.346.784
3.260.713
4.616.369
7.404.581
6.023.223
7.227.868
8.432.513
8.817.137
10.580.564
12.343.992
15.951.116
19.141.340
22.331.563
5.124.964
6.967.756
10.691.864
6.149.957
8.361.307
12.830.237
7.174.950
9.754.858
14.968.610
4.810.925
5.773.110
6.735.295
11.426.772
13.712.126
15.997.481
14.246.783
17.096.140
19.945.497
2.232.170
2.974.496
4.484.521
1.927.841
2.640.558
4.028.043
2.678.604
3.569.395
5.381.425
2.313.409
3.168.670
4.833.651
3.125.038
4.164.294
6.278.329
2.698.978
3.696.782
5.639.260
1.981.047
2.377.256
2.773.465
2.259.176
2.711.012
3.162.847
2.889.228
3.467.074
4.044.919
2.480.433
2.976.496
4.998.654
2.976.520
3.571.796
5.998.385
3.472.607
4.167.095
6.998.115
2.136.558
2.563.869
2.991.181
Kode INACBG
710
U-4-15-II
711
U-4-15-III
712
V-1-10-I
713
V-1-10-II
714
V-1-10-III
715
716
717
V-1-11-I
V-1-11-II
V-1-11-III
718
V-1-12-I
719
V-1-12-II
720
V-1-12-III
721
V-1-13-I
722
V-1-13-II
723
V-1-13-III
724
V-1-14-I
725
V-1-14-II
726
V-1-14-III
727
728
729
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
2.800.552
3.360.663
3.920.773
3.809.079
4.570.895
5.332.710
6.589.936
7.907.924
9.225.911
7.430.229
8.916.274
10.402.320
9.562.223
11.474.668
13.387.113
6.640.385
7.457.397
10.971.081
7.968.462
8.948.876
13.165.297
9.296.539
10.440.356
15.359.513
4.844.560
5.813.472
6.782.384
12.081.502
14.497.802
16.914.103
12.508.792
15.010.550
17.512.309
7.356.126
8.827.351
10.298.576
10.463.740
12.556.488
14.649.236
12.973.055
15.567.666
18.162.277
7.829.750
9.395.699
10.961.649
10.457.124
12.548.549
14.639.973
14.217.160
17.060.592
19.904.024
V-1-15-I
V-1-15-II
V-1-15-III
3.402.567
5.243.777
8.637.280
4.083.080
6.292.532
10.364.735
4.763.594
7.341.288
12.092.191
730
V-4-10-I
5.475.987
6.571.185
7.666.382
731
V-4-10-II
7.079.502
8.495.403
9.911.303
732
V-4-10-III
13.527.338
16.232.806
18.938.273
733
V-4-11-I
2.732.686
3.279.223
3.825.760
734
V-4-11-II
3.836.622
4.603.946
5.371.271
735
V-4-11-III
6.723.269
8.067.922
9.412.576
736
W-1-01-I
10.018.215
12.021.858
14.025.501
737
W-1-01-II
11.235.348
13.482.418
15.729.487
738
W-1-01-III
17.789.371
21.347.245
24.905.119
739
740
741
W-1-10-I
W-1-10-II
W-1-10-III
2.604.977
4.257.770
6.958.475
3.125.973
5.109.324
8.350.171
3.646.968
5.960.878
9.741.866
742
W-1-11-I
3.041.909
3.650.291
4.258.673
743
W-1-11-II
5.348.022
6.417.626
7.487.230
744
W-1-11-III
11.261.428
13.513.713
15.765.999
Kode INACBG
745
W-1-12-I
746
W-1-12-II
747
W-1-12-III
748
W-1-13-I
749
W-1-13-II
750
W-1-13-III
751
752
753
754
755
756
757
758
759
760
761
762
W-1-20-I
W-1-20-II
W-1-20-III
W-1-30-I
W-1-30-II
W-1-30-III
W-4-10-I
W-4-10-II
W-4-10-III
W-4-11-I
W-4-11-II
W-4-11-III
763
W-4-12-I
764
W-4-12-II
765
W-4-12-III
766
767
768
769
770
771
772
773
774
775
776
777
778
779
780
781
782
783
784
785
786
W-4-13-I
W-4-13-II
W-4-13-III
W-4-14-I
W-4-14-II
W-4-14-III
W-4-15-I
W-4-15-II
W-4-15-III
W-4-16-I
W-4-16-II
W-4-16-III
W-4-17-I
W-4-17-II
W-4-17-III
Z-4-10-I
Z-4-10-II
Z-4-10-III
Z-4-11-I
Z-4-11-II
Z-4-11-III
787
Z-4-12-I
788
Z-4-12-II
789
Z-4-12-III
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
2.646.749
3.176.098
3.705.448
2.992.457
3.590.948
4.189.439
4.596.791
5.516.149
6.435.507
2.276.618
2.731.942
3.187.266
2.471.751
2.966.102
3.460.452
3.320.018
3.984.022
4.648.025
6.978.864
8.680.417
9.481.276
3.787.850
6.041.816
17.851.863
3.369.800
4.702.424
8.451.203
2.243.548
3.093.724
3.735.152
8.374.637
10.416.500
11.377.532
4.545.420
7.250.180
21.422.235
4.043.760
5.642.909
10.141.443
2.692.257
3.712.469
4.482.182
9.770.410
12.152.584
13.273.787
5.302.990
8.458.543
24.992.608
4.717.720
6.583.393
11.831.684
3.140.967
4.331.214
5.229.213
1.982.979
2.379.575
2.776.170
3.208.476
3.850.171
4.491.866
4.080.535
4.896.643
5.712.750
1.087.626
1.486.604
1.983.795
1.480.573
1.945.723
2.397.820
1.351.150
1.519.596
2.013.552
2.321.396
3.104.346
4.207.416
1.487.669
1.982.666
3.734.301
3.309.854
4.393.353
6.241.177
3.242.072
3.898.303
6.121.179
1.305.151
1.783.925
2.380.554
1.776.688
2.334.868
2.877.384
1.621.380
1.823.515
2.416.262
2.785.675
3.725.216
5.048.900
1.785.203
2.379.200
4.481.161
3.971.825
5.272.024
7.489.413
3.890.486
4.677.963
7.345.415
1.522.676
2.081.245
2.777.313
2.072.802
2.724.013
3.356.948
1.891.610
2.127.434
2.818.973
3.249.954
4.346.085
5.890.383
2.082.737
2.775.733
5.228.021
4.633.795
6.150.694
8.737.648
4.538.900
5.457.624
8.569.651
1.542.042
1.850.451
2.158.859
4.005.650
4.806.780
5.607.909
5.177.245
6.212.694
7.248.143
B-2-10-0
B-2-11-0
B-2-12-0
B-2-13-0
B-2-14-0
B-3-10-0
B-3-11-0
B-3-12-0
C-3-10-0
C-3-11-0
C-3-12-0
C-3-13-0
C-3-14-0
C-3-15-0
C-3-16-0
C-3-17-0
C-3-18-0
C-3-19-0
C-3-20-0
C-3-21-0
C-3-22-0
C-3-23-0
D-2-10-0
D-2-11-0
D-2-21-0
D-2-22-0
D-3-10-0
D-3-11-0
E-2-10-0
E-2-21-0
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
E-2-22-0
E-3-10-0
F-3-10-0
F-5-10-0
F-5-11-0
F-5-12-0
F-5-13-0
F-5-14-0
F-5-15-0
F-5-16-0
G-2-10-0
G-2-11-0
G-2-12-0
G-2-13-0
G-2-21-0
G-2-22-0
G-2-31-0
G-2-32-0
G-3-10-0
G-3-11-0
G-3-12-0
G-3-13-0
H-2-21-0
H-2-22-0
H-2-23-0
H-2-31-0
H-2-32-0
H-2-33-0
H-2-34-0
H-2-35-0
H-2-36-0
H-2-37-0
H-3-10-0
H-3-11-0
H-3-12-0
H-3-13-0
67
68
69
70
71
I-2-11-0
I-2-12-0
I-2-13-0
I-2-14-0
I-2-15-0
72
73
74
75
76
77
78
79
I-2-16-0
I-2-17-0
I-2-21-0
I-2-22-0
I-2-23-0
I-2-31-0
I-2-32-0
I-2-41-0
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
I-2-42-0
I-3-10-0
I-3-11-0
I-3-12-0
I-3-13-0
I-3-14-0
I-3-15-0
J-2-10-0
J-2-21-0
J-2-22-0
J-2-31-0
J-2-32-0
J-3-10-0
J-3-11-0
J-3-12-0
J-3-13-0
J-3-14-0
J-3-15-0
J-3-16-0
J-3-17-0
K-2-10-0
K-2-11-0
K-2-12-0
K-2-13-0
K-2-14-0
K-2-21-0
K-2-22-0
K-2-31-0
K-2-32-0
K-2-41-0
K-2-42-0
K-2-51-0
K-2-52-0
K-2-53-0
K-3-10-0
929.472
1.512.767
196.998
196.998
2.531.893
851.347
196.998
937.776
3.197.231
621.427
338.871
196.613
373.542
2.278.191
612.561
1.758.439
1.339.924
338.179
2.635.511
3.446.318
2.310.798
2.173.610
338.958
180.006
1.046.126
343.845
219.624
195.131
1.207.879
194.757
795.693
1.272.725
773.142
196.998
453.879
213.730
258.020
273.668
239.492
273.137
159.509
473.885
1.210.835
K-3-11-0
K-3-12-0
K-3-13-0
K-3-14-0
K-3-15-0
K-3-16-0
L-2-21-0
L-2-22-0
L-2-31-0
L-2-32-0
L-2-41-0
L-2-42-0
L-2-51-0
L-2-52-0
L-2-53-0
L-3-10-0
L-3-11-0
L-3-12-0
M-2-10-0
M-2-21-0
M-2-22-0
M-2-31-0
M-2-32-0
M-2-41-0
M-2-42-0
M-2-51-0
M-2-52-0
M-2-61-0
M-2-62-0
M-2-63-0
M-2-64-0
M-2-65-0
M-2-71-0
M-2-72-0
M-2-81-0
M-2-82-0
M-2-83-0
M-2-84-0
M-3-10-0
M-3-11-0
M-3-12-0
M-3-13-0
M-3-14-0
M-3-15-0
M-3-16-0
M-3-17-0
N-2-11-0
N-2-12-0
N-2-21-0
N-2-22-0
N-2-23-0
N-2-24-0
N-2-31-0
N-2-32-0
N-2-41-0
N-2-42-0
N-3-10-0
N-3-11-0
N-3-12-0
N-3-13-0
N-3-14-0
N-3-15-0
O-7-10-0
178
O-7-11-0
179
180
O-7-12-0
O-7-13-0
181
182
183
184
P-9-10-0
P-9-11-0
P-9-12-0
P-9-13-0
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
229
230
P-9-14-0
P-9-15-0
P-9-16-0
P-9-17-0
Q-5-10-0
Q-5-11-0
Q-5-12-0
Q-5-13-0
Q-5-14-0
Q-5-15-0
Q-5-16-0
Q-5-17-0
Q-5-18-0
Q-5-19-0
Q-5-20-0
Q-5-21-0
Q-5-22-0
Q-5-23-0
Q-5-24-0
Q-5-25-0
Q-5-26-0
Q-5-27-0
Q-5-28-0
Q-5-29-0
Q-5-30-0
Q-5-31-0
Q-5-32-0
Q-5-33-0
Q-5-34-0
Q-5-35-0
Q-5-36-0
Q-5-37-0
Q-5-38-0
Q-5-39-0
Q-5-40-0
Q-5-41-0
Q-5-42-0
Q-5-43-0
Q-5-44-0
T-2-10-0
U-2-10-0
U-2-11-0
U-2-12-0
U-2-13-0
U-2-14-0
U-2-15-0
U-2-21-0
U-2-22-0
U-2-23-0
U-2-24-0
U-2-25-0
U-2-31-0
U-2-32-0
238
U-3-10-0
239
240
U-3-11-0
U-3-12-0
241
242
243
244
245
246
247
248
249
250
251
252
253
254
255
256
257
258
259
260
261
262
263
264
265
266
267
268
U-3-13-0
U-3-14-0
U-3-15-0
U-3-16-0
V-2-10-0
V-2-11-0
V-2-12-0
V-2-13-0
V-2-14-0
V-2-15-0
V-3-10-0
V-3-11-0
V-3-12-0
W-2-10-0
W-2-11-0
W-2-12-0
W-2-13-0
W-2-21-0
W-2-22-0
W-2-23-0
W-2-31-0
W-2-32-0
W-2-33-0
W-2-34-0
W-3-10-0
W-3-11-0
W-3-12-0
Z-3-10-0
269
270
271
272
273
274
275
276
277
278
279
280
281
282
283
284
285
286
Z-3-11-0
Z-3-12-0
Z-3-13-0
Z-3-14-0
Z-3-15-0
Z-3-16-0
Z-3-17-0
Z-3-18-0
Z-3-19-0
Z-3-20-0
Z-3-21-0
Z-3-22-0
Z-3-23-0
Z-3-24-0
Z-3-25-0
Z-3-26-0
Z-3-27-0
Z-3-28-0
473.662
245.476
762.989
524.373
198.550
199.894
159.997
190.542
89.640
201.604
196.035
181.390
157.696
177.379
2.132.353
239.986
767.390
283.566
338.871
184.457
386.992
664.503
471.196
172.548
442.785
818.688
131.303
1.645.781
173.072
577.548
1.895.915
1.329.691
565.136
192.213
467.151
373.427
173.072
1.959.400
1.497.606
250.064
1.525.959
301.729
196.998
632.304
265.455
255.761
266.197
181.047
173.072
195.122
203.237
399.320
177.857
201.013
191.913
196.998
Z-3-29-0
Z-3-30-0
1
2
3
4
5
6
7
8
9
10
11
12
Kode INACBG
A-4-10-I
A-4-10-II
A-4-10-III
A-4-11-I
A-4-11-II
A-4-11-III
A-4-12-I
A-4-12-II
A-4-12-III
A-4-13-I
A-4-13-II
A-4-13-III
13
A-4-14-I
14
A-4-14-II
15
A-4-14-III
16
17
18
19
20
21
22
23
24
25
26
27
A-4-15-I
A-4-15-II
A-4-15-III
B-1-01-I
B-1-01-II
B-1-01-III
B-1-10-I
B-1-10-II
B-1-10-III
B-1-11-I
B-1-11-II
B-1-11-III
28
B-1-12-I
29
B-1-12-II
30
B-1-12-III
31
B-1-13-I
32
B-1-13-II
33
B-1-13-III
34
B-1-14-I
35
B-1-14-II
36
B-1-14-III
37
38
39
B-4-10-I
B-4-10-II
B-4-10-III
40
B-4-11-I
41
B-4-11-II
42
B-4-11-III
4.842.645
5.811.173
6.779.702
43
44
45
B-4-12-I
B-4-12-II
B-4-12-III
2.610.505
5.008.694
7.196.545
3.132.606
6.010.432
8.635.854
3.654.707
7.012.171
10.075.163
No
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
1.897.668
2.550.390
3.309.512
4.432.799
5.654.270
9.249.151
1.575.610
2.012.578
2.148.121
1.966.275
2.354.483
2.866.390
2.277.201
3.060.468
3.971.414
5.319.359
6.785.124
11.098.981
1.890.732
2.415.093
2.577.745
2.359.531
2.825.380
3.439.668
2.656.735
3.570.546
4.633.317
6.205.919
7.915.978
12.948.811
2.205.854
2.817.609
3.007.370
2.752.786
3.296.277
4.012.946
2.807.761
3.369.313
3.930.865
3.611.491
4.333.789
5.056.087
4.137.919
4.965.503
5.793.087
2.361.967
3.544.891
6.072.268
26.163.266
28.865.077
50.635.286
3.391.979
8.644.395
19.653.821
3.137.353
7.887.988
9.867.191
2.834.360
4.253.869
7.286.721
31.395.920
34.638.093
60.762.343
4.070.374
10.373.275
23.584.586
3.764.823
9.465.585
11.840.630
3.306.753
4.962.847
8.501.175
36.628.573
40.411.108
70.889.400
4.748.770
12.102.154
27.515.350
4.392.294
11.043.183
13.814.068
5.465.822
6.558.987
7.652.151
11.714.594
14.057.513
16.400.432
13.852.646
16.623.175
19.393.704
4.395.314
5.274.376
6.153.439
7.159.328
8.591.194
10.023.060
10.554.859
12.665.830
14.776.802
5.945.210
7.134.252
8.323.294
6.612.273
7.934.728
9.257.183
10.344.116
12.412.939
14.481.762
1.670.171
1.967.568
3.927.354
2.004.205
2.361.081
4.712.825
2.338.239
2.754.595
5.498.295
2.835.888
3.403.065
3.970.243
4.250.798
5.100.957
5.951.117
Kode INACBG
46
B-4-13-I
47
B-4-13-II
48
B-4-13-III
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
2.360.598
2.832.717
3.304.837
3.574.491
4.289.389
5.004.287
4.443.948
5.332.738
6.221.527
B-4-14-I
B-4-14-II
B-4-14-III
C-4-10-I
C-4-10-II
C-4-10-III
C-4-11-I
C-4-11-II
C-4-11-III
C-4-12-I
C-4-12-II
C-4-12-III
C-4-13-I
C-4-13-II
C-4-13-III
C-4-14-I
C-4-14-II
C-4-14-III
2.361.472
2.741.558
3.664.408
3.103.847
6.059.060
7.443.402
2.356.465
3.138.913
7.227.736
1.576.081
5.857.063
11.864.599
1.573.812
3.148.282
4.117.955
2.378.491
4.030.650
6.152.945
2.833.767
3.289.869
4.397.290
3.724.616
7.270.872
8.932.083
2.827.758
3.766.695
8.673.283
1.891.297
7.028.476
14.237.519
1.888.574
3.777.938
4.941.546
2.854.189
4.836.780
7.383.535
3.306.061
3.838.181
5.130.171
4.345.386
8.482.684
10.420.763
3.299.051
4.394.478
10.118.830
2.206.513
8.199.889
16.610.439
2.203.336
4.407.595
5.765.137
3.329.888
5.642.910
8.614.124
67
D-1-10-I
16.741.484
20.089.781
23.438.078
68
D-1-10-II
25.498.565
30.598.278
35.697.991
69
D-1-10-III
34.557.523
41.469.027
48.380.532
70
71
72
D-1-11-I
D-1-11-II
D-1-11-III
4.646.595
8.986.855
12.725.456
5.575.914
10.784.226
15.270.547
6.505.234
12.581.597
17.815.638
73
D-1-20-I
3.577.908
4.293.490
5.009.071
74
D-1-20-II
9.519.063
11.422.876
13.326.688
75
D-1-20-III
16.501.627
19.801.952
23.102.277
76
77
78
79
80
81
82
83
84
D-4-10-I
D-4-10-II
D-4-10-III
D-4-11-I
D-4-11-II
D-4-11-III
D-4-12-I
D-4-12-II
D-4-12-III
1.505.711
2.700.275
3.929.619
1.961.358
3.980.891
6.879.337
2.017.347
2.798.258
4.296.727
1.806.853
3.240.330
4.715.543
2.353.630
4.777.070
8.255.204
2.420.816
3.357.910
5.156.072
2.107.996
3.780.384
5.501.467
2.745.901
5.573.248
9.631.071
2.824.285
3.917.561
6.015.418
85
D-4-13-I
1.570.724
1.884.869
2.199.014
86
D-4-13-II
2.353.689
2.824.427
3.295.165
87
D-4-13-III
2.749.767
3.299.721
3.849.674
88
D-4-14-I
1.896.066
2.275.280
2.654.493
89
D-4-14-II
3.623.165
4.347.798
5.072.431
90
D-4-14-III
5.080.468
6.096.562
7.112.656
91
92
93
94
95
96
Kode INACBG
E-1-01-I
E-1-01-II
E-1-01-III
E-1-10-I
E-1-10-II
E-1-10-III
97
E-1-20-I
98
E-1-20-II
99
E-1-20-III
100
E-4-10-I
101
E-4-10-II
102
E-4-10-III
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
E-4-11-I
E-4-11-II
E-4-11-III
E-4-12-I
E-4-12-II
E-4-12-III
E-4-13-I
E-4-13-II
E-4-13-III
F-4-10-I
F-4-10-II
F-4-10-III
F-4-11-I
F-4-11-II
F-4-11-III
118
F-4-12-I
1.176.082
1.411.298
1.646.515
119
F-4-12-II
1.683.068
2.019.682
2.356.296
120
F-4-12-III
3.660.828
4.392.994
5.125.160
121
122
123
124
125
126
127
128
129
F-4-13-I
F-4-13-II
F-4-13-III
F-4-14-I
F-4-14-II
F-4-14-III
F-4-15-I
F-4-15-II
F-4-15-III
2.555.059
2.600.589
3.294.422
1.489.927
1.911.134
2.571.516
2.163.575
2.363.090
3.106.094
3.066.071
3.120.707
3.953.306
1.787.913
2.293.361
3.085.819
2.596.290
2.835.708
3.727.313
3.577.082
3.640.825
4.612.191
2.085.898
2.675.587
3.600.122
3.029.006
3.308.326
4.348.532
130
F-4-16-I
4.669.545
5.603.454
6.537.362
131
F-4-16-II
5.426.241
6.511.489
7.596.737
132
F-4-16-III
7.243.126
8.691.751
10.140.376
133
134
135
136
137
138
F-4-17-I
F-4-17-II
F-4-17-III
F-4-18-I
F-4-18-II
F-4-18-III
797.171
2.336.432
2.492.801
3.908.985
4.300.988
6.630.347
956.605
2.803.718
2.991.361
4.690.782
5.161.185
7.956.417
1.116.039
3.271.004
3.489.921
5.472.579
6.021.383
9.282.486
No
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
4.926.102
6.452.725
11.205.178
3.842.753
4.664.200
9.830.761
5.911.323
7.743.270
13.446.214
4.611.304
5.597.040
11.796.913
6.896.543
9.033.816
15.687.250
5.379.854
6.529.880
13.763.065
4.847.373
5.816.847
6.786.322
7.732.998
9.279.598
10.826.198
13.941.624
16.729.949
19.518.274
1.966.207
2.359.449
2.752.690
3.428.822
4.114.586
4.800.351
4.346.012
5.215.215
6.084.417
1.672.515
2.620.568
5.786.881
2.004.193
3.477.276
5.134.647
2.116.147
3.618.522
6.921.986
3.503.354
3.882.803
5.748.576
3.226.326
3.758.976
4.820.381
2.007.018
3.144.681
6.944.257
2.405.031
4.172.731
6.161.577
2.539.377
4.342.226
8.306.383
4.204.025
4.659.364
6.898.291
3.871.591
4.510.771
5.784.457
2.341.521
3.668.795
8.101.633
2.805.870
4.868.187
7.188.506
2.962.606
5.065.930
9.690.781
4.904.695
5.435.925
8.048.006
4.516.856
5.262.566
6.748.533
139
140
141
Kode INACBG
F-4-19-I
F-4-19-II
F-4-19-III
142
G-1-01-I
143
G-1-01-II
10.041.835
12.050.203
14.058.570
144
G-1-01-III
19.489.825
23.387.790
27.285.755
145
146
147
148
149
150
G-1-10-I
G-1-10-II
G-1-10-III
G-1-11-I
G-1-11-II
G-1-11-III
4.941.896
6.973.438
8.233.579
5.676.908
11.693.626
18.067.991
5.930.275
8.368.126
9.880.295
6.812.289
14.032.351
21.681.590
6.918.655
9.762.814
11.527.011
7.947.671
16.371.077
25.295.188
151
G-1-12-I
2.870.523
3.444.628
4.018.733
152
G-1-12-II
7.795.405
9.354.485
10.913.566
153
G-1-12-III
10.592.561
12.711.073
14.829.585
154
155
156
157
158
159
160
161
162
G-1-13-I
G-1-13-II
G-1-13-III
G-1-20-I
G-1-20-II
G-1-20-III
G-1-30-I
G-1-30-II
G-1-30-III
861.516
2.313.936
5.221.215
5.400.135
6.421.767
14.987.737
7.082.127
18.240.215
20.487.921
1.033.819
2.776.724
6.265.458
6.480.161
7.706.121
17.985.284
8.498.553
21.888.257
24.585.506
1.206.122
3.239.511
7.309.701
7.560.188
8.990.474
20.982.831
9.914.978
25.536.300
28.683.090
163
G-4-10-I
2.362.428
2.834.914
3.307.399
164
G-4-10-II
2.743.620
3.292.343
3.841.067
165
G-4-10-III
5.617.879
6.741.455
7.865.031
166
G-4-11-I
3.341.426
4.009.711
4.677.996
167
G-4-11-II
5.428.266
6.513.919
7.599.572
168
G-4-11-III
6.600.103
7.920.124
9.240.144
169
170
171
G-4-12-I
G-4-12-II
G-4-12-III
3.931.368
4.792.848
6.961.041
4.717.641
5.751.417
8.353.249
5.503.915
6.709.987
9.745.457
172
G-4-13-I
2.190.007
2.628.008
3.066.009
173
G-4-13-II
2.741.965
3.290.358
3.838.751
174
G-4-13-III
3.259.205
3.911.045
4.562.886
175
G-4-14-I
2.965.049
3.558.058
4.151.068
176
G-4-14-II
5.394.834
6.473.800
7.552.767
177
G-4-14-III
6.745.881
8.095.057
9.444.234
178
G-4-15-I
2.382.627
2.859.152
3.335.678
No
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
3.101.645
3.971.737
4.944.865
3.721.974
4.766.084
5.933.838
4.342.303
5.560.431
6.922.811
7.296.479
8.755.774
10.215.070
Kode INACBG
179
G-4-15-II
180
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
2.843.676
3.412.411
3.981.146
G-4-15-III
3.696.648
4.435.978
5.175.307
181
182
183
G-4-16-I
G-4-16-II
G-4-16-III
1.964.276
2.238.554
4.339.063
2.357.131
2.686.265
5.206.875
2.749.986
3.133.976
6.074.688
184
G-4-17-I
2.616.146
3.139.375
3.662.604
185
G-4-17-II
3.479.341
4.175.209
4.871.077
186
G-4-17-III
5.831.404
6.997.685
8.163.966
187
G-4-18-I
2.355.342
2.826.410
3.297.479
188
G-4-18-II
4.586.909
5.504.291
6.421.673
189
G-4-18-III
4.855.524
5.826.628
6.797.733
190
G-4-19-I
2.629.182
3.155.018
3.680.855
191
G-4-19-II
3.633.629
4.360.355
5.087.081
192
G-4-19-III
4.567.793
5.481.352
6.394.911
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
G-4-20-I
G-4-20-II
G-4-20-III
G-4-21-I
G-4-21-II
G-4-21-III
G-4-22-I
G-4-22-II
G-4-22-III
G-4-23-I
G-4-23-II
G-4-23-III
G-4-24-I
G-4-24-II
G-4-24-III
G-4-25-I
G-4-25-II
G-4-25-III
1.376.260
1.955.865
3.335.882
1.597.153
2.695.564
4.281.540
1.568.040
1.968.888
2.255.091
1.573.599
1.962.999
2.812.976
2.813.841
3.515.464
6.806.094
1.496.960
1.879.665
2.444.561
1.651.512
2.347.038
4.003.058
1.916.584
3.234.676
5.137.848
1.881.648
2.362.666
2.706.109
1.888.318
2.355.598
3.375.571
3.376.609
4.218.557
8.167.313
1.796.352
2.255.598
2.933.473
1.926.764
2.738.211
4.670.234
2.236.015
3.773.789
5.994.156
2.195.256
2.756.444
3.157.127
2.203.038
2.748.198
3.938.166
3.939.377
4.921.650
9.528.532
2.095.744
2.631.531
3.422.385
211
G-4-26-I
2.361.689
2.834.027
3.306.364
212
G-4-26-II
2.740.364
3.288.437
3.836.510
213
G-4-26-III
4.023.825
4.828.590
5.633.355
214
215
216
217
218
219
220
221
222
H-1-20-I
H-1-20-II
H-1-20-III
H-1-30-I
H-1-30-II
H-1-30-III
H-4-10-I
H-4-10-II
H-4-10-III
4.194.648
5.347.054
7.271.660
2.347.899
3.279.127
5.471.106
2.364.412
3.359.925
6.415.643
5.033.577
6.416.465
8.725.992
2.817.479
3.934.953
6.565.327
2.837.294
4.031.910
7.698.771
5.872.507
7.485.876
10.180.324
3.287.059
4.590.778
7.659.548
3.310.176
4.703.895
8.981.900
223
224
225
226
227
228
Kode INACBG
H-4-11-I
H-4-11-II
H-4-11-III
H-4-12-I
H-4-12-II
H-4-12-III
229
I-1-01-I
230
I-1-01-II
231
I-1-01-III
232
I-1-02-I
233
I-1-02-II
234
I-1-02-III
235
I-1-03-I
236
I-1-03-II
237
I-1-03-III
238
I-1-04-I
239
I-1-04-II
240
I-1-04-III
241
I-1-05-I
242
I-1-05-II
243
I-1-05-III
244
245
246
I-1-06-I
I-1-06-II
I-1-06-III
247
I-1-07-I
248
I-1-07-II
249
I-1-07-III
250
I-1-11-I
251
I-1-11-II
252
I-1-11-III
253
I-1-12-I
254
I-1-12-II
255
I-1-12-III
256
I-1-13-I
No
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
1.607.776
1.792.754
2.566.885
2.461.738
3.338.311
5.569.356
1.929.331
2.151.305
3.080.262
2.954.086
4.005.973
6.683.227
2.250.887
2.509.856
3.593.639
3.446.433
4.673.636
7.797.098
33.941.468
40.729.761
47.518.055
34.688.357
41.626.028
48.563.700
54.754.906
65.705.887
76.656.868
18.830.531
22.596.637
26.362.743
24.291.385
29.149.662
34.007.938
29.940.544
35.928.653
41.916.761
11.578.737
13.894.485
16.210.232
13.269.250
15.923.100
18.576.950
21.950.970
26.341.164
30.731.357
18.032.333
21.638.800
25.245.267
18.479.450
22.175.340
25.871.230
42.873.181
51.447.818
60.022.454
24.922.761
29.907.313
34.891.866
29.907.313
35.888.776
41.870.239
41.152.275
49.382.730
57.613.184
13.000.612
14.221.293
22.817.851
15.600.734
17.065.551
27.381.422
18.200.857
19.909.810
31.944.992
20.180.335
24.216.402
28.252.469
24.896.543
29.875.851
34.855.160
27.161.966
32.594.360
38.026.753
3.247.618
3.897.141
4.546.665
3.611.026
4.333.232
5.055.437
4.805.175
5.766.211
6.727.246
8.998.562
10.798.275
12.597.987
10.225.966
12.271.159
14.316.352
17.409.744
20.891.693
24.373.642
4.294.708
5.153.650
6.012.592
Kode INACBG
257
I-1-13-II
258
I-1-13-III
259
I-1-14-I
260
I-1-14-II
261
I-1-14-III
262
263
264
I-1-15-I
I-1-15-II
I-1-15-III
265
I-1-16-I
266
I-1-16-II
267
I-1-16-III
268
I-1-17-I
269
I-1-17-II
270
I-1-17-III
271
I-1-20-I
272
I-1-20-II
273
I-1-20-III
274
I-1-30-I
275
I-1-30-II
276
I-1-30-III
277
278
279
280
281
282
283
284
285
286
287
288
I-1-40-I
I-1-40-II
I-1-40-III
I-4-10-I
I-4-10-II
I-4-10-III
I-4-11-I
I-4-11-II
I-4-11-III
I-4-12-I
I-4-12-II
I-4-12-III
289
I-4-13-I
290
I-4-13-II
291
I-4-13-III
292
293
294
I-4-14-I
I-4-14-II
I-4-14-III
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
6.151.822
7.382.187
8.612.551
14.677.978
17.613.573
20.549.169
19.384.370
23.261.244
27.138.118
24.092.003
28.910.403
33.728.804
31.568.831
37.882.597
44.196.363
4.981.555
9.027.593
13.220.606
5.977.867
10.833.111
15.864.727
6.974.178
12.638.630
18.508.849
8.307.587
9.969.104
11.630.622
21.599.726
25.919.672
30.239.617
24.914.754
29.897.705
34.880.656
11.711.755
14.054.106
16.396.457
15.206.507
18.247.809
21.289.110
31.875.022
38.250.026
44.625.030
10.391.887
12.470.264
14.548.642
13.140.186
15.768.223
18.396.260
14.906.923
17.888.307
20.869.692
9.425.001
11.310.001
13.195.001
19.605.906
23.527.087
27.448.268
30.382.033
36.458.439
42.534.846
10.343.998
14.374.353
17.942.304
4.059.860
6.404.471
6.847.555
3.509.866
4.343.473
8.034.520
4.220.565
6.023.475
7.333.976
12.412.797
17.249.223
21.530.764
4.871.832
7.685.366
8.217.067
4.211.839
5.212.167
9.641.424
5.064.678
7.228.171
8.800.771
14.481.597
20.124.094
25.119.225
5.683.804
8.966.260
9.586.578
4.913.812
6.080.862
11.248.328
5.908.791
8.432.866
10.267.566
4.652.956
5.583.548
6.514.139
5.900.286
7.080.343
8.260.401
10.234.125
12.280.950
14.327.775
2.043.727
2.355.622
4.255.650
2.452.472
2.826.746
5.106.780
2.861.218
3.297.871
5.957.910
Kode INACBG
295
I-4-15-I
296
I-4-15-II
297
I-4-15-III
298
299
300
301
302
303
304
305
I-4-16-I
I-4-16-II
I-4-16-III
I-4-17-I
I-4-17-II
I-4-17-III
I-4-18-I
I-4-18-II
306
I-4-18-III
307
I-4-19-I
308
I-4-19-II
309
310
311
312
313
314
315
316
317
318
I-4-19-III
I-4-20-I
I-4-20-II
I-4-20-III
I-4-21-I
I-4-21-II
I-4-21-III
I-4-22-I
I-4-22-II
I-4-22-III
319
I-4-23-I
320
I-4-23-II
321
I-4-23-III
322
I-4-24-I
323
I-4-24-II
324
I-4-24-III
325
J-1-01-I
326
J-1-01-II
327
J-1-01-III
328
J-1-02-I
329
J-1-02-II
330
J-1-02-III
331
332
333
J-1-10-I
J-1-10-II
J-1-10-III
334
J-1-20-I
335
J-1-20-II
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
3.141.496
3.769.796
4.398.095
4.502.481
5.402.978
6.303.474
5.131.746
6.158.095
7.184.444
2.359.561
3.014.941
3.917.634
3.221.857
4.367.673
5.300.952
3.114.721
4.655.271
2.831.474
3.617.929
4.701.160
3.866.228
5.241.207
6.361.143
3.737.665
5.586.325
3.303.386
4.220.918
5.484.687
4.510.599
6.114.742
7.421.333
4.360.610
6.517.379
6.390.465
7.668.559
8.946.652
2.277.377
2.732.853
3.188.328
3.880.014
4.656.017
5.432.020
4.359.019
3.259.466
3.745.862
4.977.547
4.334.312
5.384.692
7.383.382
2.558.155
2.936.996
4.289.843
5.230.823
3.911.359
4.495.034
5.973.056
5.201.174
6.461.630
8.860.058
3.069.786
3.524.395
5.147.812
6.102.627
4.563.252
5.244.207
6.968.566
6.068.036
7.538.569
10.336.734
3.581.417
4.111.794
6.005.781
1.936.744
2.324.093
2.711.442
2.377.876
2.853.451
3.329.026
4.646.152
5.575.383
6.504.613
2.312.009
2.774.411
3.236.813
6.368.322
7.641.987
8.915.651
8.014.114
9.616.937
11.219.759
18.930.393
22.716.472
26.502.551
20.622.414
24.746.897
28.871.380
37.348.906
44.818.687
52.288.468
8.875.575
10.650.690
12.425.805
10.209.076
12.250.891
14.292.706
16.661.642
19.993.970
23.326.298
5.027.246
9.908.477
12.749.208
6.032.695
11.890.172
15.299.050
7.038.145
13.871.867
17.848.891
5.830.044
6.996.053
8.162.062
7.703.429
9.244.115
10.784.801
Kode INACBG
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
336
J-1-20-III
11.796.965
14.156.358
16.515.751
337
J-1-30-I
2.929.252
3.515.102
4.100.953
338
J-1-30-II
9.610.717
11.532.861
13.455.004
339
J-1-30-III
25.904.379
31.085.255
36.266.130
340
341
342
343
344
345
346
347
348
349
350
351
352
353
354
355
356
357
358
359
360
361
362
363
364
365
366
367
368
369
370
371
372
J-4-10-I
J-4-10-II
J-4-10-III
J-4-11-I
J-4-11-II
J-4-11-III
J-4-12-I
J-4-12-II
J-4-12-III
J-4-13-I
J-4-13-II
J-4-13-III
J-4-14-I
J-4-14-II
J-4-14-III
J-4-15-I
J-4-15-II
J-4-15-III
J-4-16-I
J-4-16-II
J-4-16-III
J-4-17-I
J-4-17-II
J-4-17-III
J-4-18-I
J-4-18-II
J-4-18-III
J-4-19-I
J-4-19-II
J-4-19-III
J-4-20-I
J-4-20-II
J-4-20-III
2.497.244
3.570.760
5.402.026
2.136.207
2.864.490
4.104.887
2.402.494
3.119.912
4.166.328
4.107.668
6.013.382
11.585.695
2.531.444
5.047.618
5.733.098
4.220.758
5.042.624
6.700.681
3.516.768
4.941.984
8.179.564
2.427.228
3.118.639
3.449.236
1.570.978
2.371.895
2.572.041
2.748.622
3.152.432
4.763.791
2.752.624
4.543.847
6.190.286
2.996.693
4.284.911
6.482.431
2.563.449
3.437.388
4.925.864
2.882.993
3.743.895
4.999.593
4.929.202
7.216.059
13.902.834
3.037.733
6.057.142
6.879.717
5.064.910
6.051.148
8.040.817
4.220.121
5.930.380
9.815.477
2.912.673
3.742.366
4.139.083
1.885.174
2.846.274
3.086.449
3.298.346
3.782.918
5.716.549
3.303.149
5.452.616
7.428.343
3.496.142
4.999.063
7.562.837
2.990.690
4.010.286
5.746.842
3.363.492
4.367.877
5.832.859
5.750.735
8.418.735
16.219.973
3.544.022
7.066.666
8.026.337
5.909.061
7.059.673
9.380.953
4.923.475
6.918.777
11.451.390
3.398.119
4.366.094
4.828.930
2.199.369
3.320.653
3.600.857
3.848.071
4.413.404
6.669.308
3.853.673
6.361.386
8.666.400
373
J-4-21-I
1.567.417
1.880.900
2.194.384
374
J-4-21-II
3.172.011
3.806.413
4.440.815
375
J-4-21-III
4.500.613
5.400.736
6.300.859
376
K-1-10-I
4.237.737
5.085.284
5.932.831
377
K-1-10-II
8.009.355
9.611.226
11.213.097
378
K-1-10-III
9.372.120
11.246.544
13.120.968
379
380
381
K-1-11-I
K-1-11-II
K-1-11-III
4.926.115
6.467.395
16.412.975
5.911.338
7.760.874
19.695.570
6.896.561
9.054.353
22.978.165
382
K-1-12-I
2.655.801
3.186.961
3.718.121
383
K-1-12-II
3.452.141
4.142.569
4.832.997
Kode INACBG
384
K-1-12-III
385
386
387
K-1-13-I
K-1-13-II
K-1-13-III
388
K-1-14-I
389
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
6.885.217
8.262.260
9.639.304
2.880.855
5.057.492
5.396.372
3.457.026
6.068.991
6.475.647
4.033.197
7.080.489
7.554.921
3.612.772
4.335.327
5.057.881
K-1-14-II
5.015.490
6.018.588
7.021.686
390
391
392
393
K-1-14-III
K-1-20-I
K-1-20-II
K-1-20-III
11.028.488
9.449.505
13.219.682
22.051.930
13.234.186
11.339.406
15.863.618
26.462.316
15.439.884
13.229.307
18.507.554
30.872.702
394
K-1-30-I
6.093.437
7.312.124
8.530.811
395
K-1-30-II
8.464.432
10.157.318
11.850.205
396
K-1-30-III
15.730.031
18.876.037
22.022.043
397
K-1-40-I
5.745.077
6.894.092
8.043.108
398
K-1-40-II
6.594.221
7.913.065
9.231.909
399
400
401
402
403
404
405
406
407
408
409
410
411
K-1-40-III
K-1-50-I
K-1-50-II
K-1-50-III
K-4-10-I
K-4-10-II
K-4-10-III
K-4-11-I
K-4-11-II
K-4-11-III
K-4-12-I
K-4-12-II
K-4-12-III
10.935.881
4.406.477
5.934.336
7.231.425
3.096.284
4.314.780
9.757.357
1.569.916
2.356.032
3.497.216
1.570.628
3.179.040
5.235.925
13.123.057
5.287.773
7.121.203
8.677.709
3.715.541
5.177.736
11.708.828
1.883.899
2.827.238
4.196.660
1.884.753
3.814.847
6.283.110
15.310.233
6.169.068
8.308.070
10.123.994
4.334.797
6.040.692
13.660.299
2.197.882
3.298.445
4.896.103
2.198.879
4.450.655
7.330.295
412
K-4-13-I
2.359.484
2.831.380
3.303.277
413
K-4-13-II
3.049.445
3.659.334
4.269.224
414
K-4-13-III
5.001.640
6.001.968
7.002.296
415
K-4-14-I
1.968.890
2.362.668
2.756.446
416
K-4-14-II
2.664.831
3.197.797
3.730.763
417
K-4-14-III
4.015.032
4.818.038
5.621.045
418
419
420
421
422
423
K-4-15-I
K-4-15-II
K-4-15-III
K-4-16-I
K-4-16-II
K-4-16-III
1.960.997
2.907.625
4.080.712
1.965.644
2.358.089
3.554.930
2.353.196
3.489.150
4.896.854
2.358.773
2.829.706
4.265.916
2.745.395
4.070.674
5.712.996
2.751.902
3.301.324
4.976.902
424
K-4-17-I
2.549.555
3.059.466
3.569.376
425
K-4-17-II
3.608.059
4.329.671
5.051.282
426
K-4-17-III
4.069.898
4.883.878
5.697.858
Kode INACBG
427
K-4-18-I
428
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
2.812.951
3.375.541
3.938.131
K-4-18-II
4.219.346
5.063.215
5.907.084
429
K-4-18-III
5.175.913
6.211.095
7.246.278
430
L-1-20-I
21.743.114
26.091.737
30.440.360
431
L-1-20-II
22.408.294
26.889.953
31.371.612
432
L-1-20-III
33.677.552
40.413.063
47.148.573
433
L-1-30-I
6.970.861
8.365.033
9.759.205
434
L-1-30-II
12.686.741
15.224.090
17.761.438
435
L-1-30-III
15.068.452
18.082.142
21.095.833
436
L-1-40-I
3.313.499
3.976.199
4.638.899
437
L-1-40-II
7.028.762
8.434.515
9.840.267
438
L-1-40-III
11.933.593
14.320.311
16.707.030
439
440
441
442
443
444
445
446
447
448
449
450
L-1-50-I
L-1-50-II
L-1-50-III
L-4-10-I
L-4-10-II
L-4-10-III
L-4-11-I
L-4-11-II
L-4-11-III
L-4-12-I
L-4-12-II
L-4-12-III
5.159.645
9.330.161
11.307.991
2.349.810
2.738.680
7.515.430
2.232.264
3.054.467
6.845.842
2.361.653
4.222.847
5.815.996
6.191.574
11.196.193
13.569.589
2.819.772
3.286.416
9.018.516
2.678.717
3.665.360
8.215.010
2.833.984
5.067.416
6.979.195
7.223.503
13.062.225
15.831.188
3.289.734
3.834.152
10.521.602
3.125.169
4.276.254
9.584.179
3.306.314
5.911.985
8.142.394
451
L-4-13-I
1.480.604
1.776.725
2.072.846
452
L-4-13-II
2.111.195
2.533.434
2.955.673
453
L-4-13-III
2.555.649
3.066.779
3.577.909
454
L-4-14-I
1.570.347
1.884.417
2.198.486
455
L-4-14-II
2.356.851
2.828.221
3.299.591
456
L-4-14-III
4.807.985
5.769.582
6.731.179
457
M-1-01-I
7.670.316
9.204.379
10.738.442
458
M-1-01-II
8.561.313
10.273.576
11.985.839
459
M-1-01-III
12.026.326
14.431.591
16.836.856
460
461
462
M-1-02-I
M-1-02-II
M-1-02-III
7.366.881
12.105.929
15.517.359
8.840.257
14.527.115
18.620.831
10.313.634
16.948.300
21.724.303
463
M-1-03-I
13.789.477
16.547.372
19.305.267
464
M-1-03-II
16.045.786
19.254.943
22.464.100
Kode INACBG
465
M-1-03-III
466
M-1-04-I
467
M-1-04-II
468
M-1-04-III
469
M-1-05-I
470
M-1-05-II
471
M-1-05-III
472
M-1-07-I
473
M-1-07-II
474
M-1-07-III
475
M-1-10-I
476
M-1-10-II
477
M-1-10-III
478
M-1-20-I
479
M-1-20-II
480
M-1-20-III
481
482
483
M-1-30-I
M-1-30-II
M-1-30-III
484
M-1-40-I
485
M-1-40-II
486
M-1-40-III
487
488
489
M-1-50-I
M-1-50-II
M-1-50-III
490
M-1-60-I
491
M-1-60-II
492
M-1-60-III
493
M-1-70-I
494
M-1-70-II
495
M-1-70-III
496
497
498
499
M-1-80-I
M-1-80-II
M-1-80-III
M-4-10-I
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
16.387.445
19.664.935
22.942.424
4.840.228
5.808.273
6.776.319
6.199.075
7.438.890
8.678.705
7.756.974
9.308.368
10.859.763
6.139.464
7.367.356
8.595.249
7.129.900
8.555.880
9.981.860
12.621.198
15.145.437
17.669.677
6.162.510
7.395.012
8.627.514
8.255.837
9.907.005
11.558.172
16.817.923
20.181.508
23.545.092
5.217.227
6.260.673
7.304.118
12.837.743
15.405.292
17.972.841
17.497.304
20.996.765
24.496.225
5.145.966
6.175.159
7.204.352
5.436.862
6.524.234
7.611.607
14.335.069
17.202.082
20.069.096
4.103.344
9.386.213
12.509.179
4.924.013
11.263.455
15.011.014
5.744.682
13.140.698
17.512.850
2.992.163
3.590.595
4.189.028
5.494.336
6.593.203
7.692.070
8.907.726
10.689.272
12.470.817
4.929.763
9.889.876
15.150.773
5.915.716
11.867.851
18.180.928
6.901.669
13.845.826
21.211.083
2.982.766
3.579.319
4.175.872
5.996.340
7.195.607
8.394.875
9.893.812
11.872.574
13.851.336
9.228.736
11.074.483
12.920.230
11.573.920
13.888.704
16.203.488
12.180.330
14.616.397
17.052.463
5.256.990
6.911.068
15.007.500
1.570.653
6.308.388
8.293.282
18.009.000
1.884.784
7.359.786
9.675.496
21.010.500
2.198.915
500
501
Kode INACBG
M-4-10-II
M-4-10-III
502
M-4-11-I
503
M-4-11-II
504
M-4-11-III
505
M-4-12-I
506
M-4-12-II
507
M-4-12-III
508
M-4-13-I
509
M-4-13-II
510
M-4-13-III
511
512
513
514
515
516
517
518
519
M-4-14-I
M-4-14-II
M-4-14-III
M-4-15-I
M-4-15-II
M-4-15-III
M-4-16-I
M-4-16-II
M-4-16-III
520
M-4-17-I
521
M-4-17-II
522
M-4-17-III
523
524
525
M-4-18-I
M-4-18-II
M-4-18-III
526
M-4-19-I
2.322.090
2.786.509
3.250.927
527
M-4-19-II
3.709.645
4.451.574
5.193.503
528
M-4-19-III
5.634.981
6.761.978
7.888.974
529
M-4-20-I
1.569.192
1.883.030
2.196.869
530
M-4-20-II
2.360.229
2.832.275
3.304.321
531
M-4-20-III
2.609.924
3.131.909
3.653.893
532
M-4-21-I
1.566.111
1.879.333
2.192.556
533
M-4-21-II
2.057.801
2.469.361
2.880.921
534
M-4-21-III
4.815.865
5.779.037
6.742.210
535
N-1-01-I
250.000.000
250.000.000
250.000.000
No
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
2.404.902
4.863.656
2.885.882
5.836.388
3.366.863
6.809.119
2.085.210
2.502.252
2.919.294
4.771.545
5.725.854
6.680.163
9.369.321
11.243.185
13.117.049
1.568.959
1.882.751
2.196.543
2.851.598
3.421.918
3.992.238
5.156.987
6.188.384
7.219.781
3.544.680
4.253.616
4.962.552
3.915.621
4.698.745
5.481.870
8.635.423
10.362.507
12.089.592
3.140.913
4.088.751
6.109.168
2.657.177
3.302.664
6.677.216
2.661.416
3.146.322
7.637.598
3.769.096
4.906.502
7.331.002
3.188.613
3.963.197
8.012.659
3.193.699
3.775.587
9.165.118
4.397.279
5.724.252
8.552.835
3.720.048
4.623.730
9.348.102
3.725.982
4.404.851
10.692.637
1.960.630
2.352.756
2.744.882
2.757.360
3.308.832
3.860.304
3.852.785
4.623.342
5.393.899
2.100.212
3.149.300
3.811.257
2.520.255
3.779.160
4.573.509
2.940.297
4.409.020
5.335.760
536
537
538
539
540
Kode INACBG
N-1-01-II
N-1-01-III
N-1-11-I
N-1-11-II
N-1-11-III
541
N-1-12-I
542
N-1-12-II
543
N-1-12-III
544
545
546
N-1-20-I
N-1-20-II
N-1-20-III
547
N-1-30-I
548
N-1-30-II
549
N-1-30-III
550
N-1-40-I
6.246.474
7.495.769
8.745.063
551
N-1-40-II
8.474.052
10.168.862
11.863.672
552
N-1-40-III
9.841.829
11.810.195
13.778.561
553
N-4-10-I
1.963.753
2.356.504
2.749.254
554
N-4-10-II
3.275.121
3.930.145
4.585.170
555
N-4-10-III
4.381.378
5.257.653
6.133.929
556
557
558
559
560
561
562
563
564
N-4-11-I
N-4-11-II
N-4-11-III
N-4-12-I
N-4-12-II
N-4-12-III
N-4-13-I
N-4-13-II
N-4-13-III
2.038.974
2.943.852
3.442.024
1.569.130
2.351.063
3.030.031
2.078.242
2.494.529
6.794.753
2.446.769
3.532.622
4.130.429
1.882.956
2.821.275
3.636.037
2.493.890
2.993.435
8.153.704
2.854.563
4.121.392
4.818.833
2.196.783
3.291.488
4.242.044
2.909.539
3.492.341
9.512.655
565
N-4-14-I
1.359.475
1.631.370
1.903.265
566
N-4-14-II
2.098.457
2.518.148
2.937.839
567
N-4-14-III
3.403.028
4.083.633
4.764.239
568
N-4-15-I
1.950.931
2.341.117
2.731.303
569
N-4-15-II
2.420.595
2.904.714
3.388.833
570
N-4-15-III
2.762.336
3.314.803
3.867.270
571
N-4-16-I
2.625.563
3.150.675
3.675.788
572
N-4-16-II
3.138.996
3.766.795
4.394.594
No
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
250.000.000
250.000.000
5.883.703
9.580.508
13.875.972
250.000.000
250.000.000
7.060.444
11.496.609
16.651.167
250.000.000
250.000.000
8.237.185
13.412.711
19.426.361
3.096.696
3.716.036
4.335.375
10.028.806
12.034.567
14.040.329
18.217.973
21.861.568
25.505.163
10.211.635
11.558.064
13.188.528
12.253.962
13.869.677
15.826.234
14.296.289
16.181.289
18.463.940
5.983.827
7.180.592
8.377.358
7.789.620
9.347.544
10.905.468
8.950.118
10.740.142
12.530.166
Kode INACBG
573
N-4-16-III
574
575
576
O-6-10-I
O-6-10-II
O-6-10-III
577
O-6-11-I
578
O-6-11-II
579
O-6-11-III
580
O-6-12-I
581
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
5.360.158
6.432.190
7.504.222
4.070.399
4.491.665
4.711.064
4.884.479
5.389.998
5.653.277
5.698.559
6.288.331
6.595.489
2.072.955
2.487.546
2.902.137
2.753.975
3.304.770
3.855.564
4.676.786
5.612.143
6.547.500
1.948.517
2.338.220
2.727.923
O-6-12-II
2.340.164
2.808.196
3.276.229
582
O-6-12-III
3.055.737
3.666.884
4.278.031
583
584
585
O-6-13-I
O-6-13-II
O-6-13-III
2.037.795
2.411.863
3.023.496
2.445.354
2.894.236
3.628.195
2.852.913
3.376.609
4.232.895
586
P-8-01-I
39.529.789
47.435.747
55.341.704
587
P-8-01-II
48.911.930
58.694.316
68.476.702
588
P-8-01-III
57.408.895
68.890.674
80.372.453
589
P-8-02-I
62.558.770
75.070.524
87.582.278
590
P-8-02-II
71.761.349
86.113.619
100.465.888
591
P-8-02-III
81.992.472
98.390.967
114.789.461
592
P-8-03-I
2.152.309
2.582.771
3.013.233
593
P-8-03-II
3.019.871
3.623.846
4.227.820
594
P-8-03-III
4.756.479
5.707.774
6.659.070
595
P-8-04-I
19.330.253
23.196.304
27.062.355
596
P-8-04-II
33.746.233
40.495.480
47.244.726
597
P-8-04-III
48.383.604
58.060.325
67.737.046
598
P-8-05-I
14.174.885
17.009.862
19.844.839
599
P-8-05-II
20.083.854
24.100.625
28.117.396
600
P-8-05-III
29.491.897
35.390.277
41.288.656
601
P-8-06-I
2.116.984
2.540.381
2.963.778
602
P-8-06-II
5.216.322
6.259.586
7.302.850
Kode INACBG
603
P-8-06-III
604
P-8-07-I
605
P-8-07-II
606
P-8-07-III
607
P-8-08-I
608
P-8-08-II
609
P-8-08-III
610
P-8-10-I
611
P-8-10-II
612
P-8-10-III
613
P-8-11-I
614
P-8-11-II
615
P-8-11-III
616
P-8-12-I
617
P-8-12-II
618
P-8-12-III
619
P-8-13-I
620
P-8-13-II
621
P-8-13-III
622
P-8-14-I
623
P-8-14-II
624
P-8-14-III
625
P-8-15-I
626
P-8-15-II
627
P-8-15-III
628
P-8-16-I
629
P-8-16-II
630
P-8-16-III
631
P-8-17-I
632
P-8-17-II
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
8.342.463
10.010.955
11.679.448
3.029.751
3.635.701
4.241.651
8.476.779
10.172.135
11.867.491
11.194.332
13.433.198
15.672.064
3.534.242
4.241.090
4.947.938
5.014.921
6.017.905
7.020.890
8.120.261
9.744.313
11.368.366
1.839.945
2.207.934
2.575.924
3.155.226
3.786.271
4.417.316
6.194.639
7.433.566
8.672.494
2.203.274
2.643.929
3.084.584
11.018.783
13.222.540
15.426.297
11.249.629
13.499.554
15.749.480
2.996.040
3.595.248
4.194.456
4.664.874
5.597.849
6.530.823
5.497.972
6.597.566
7.697.160
1.983.117
2.379.741
2.776.364
3.429.021
4.114.825
4.800.629
5.104.519
6.125.423
7.146.327
2.095.672
2.514.806
2.933.941
5.777.135
6.932.562
8.087.989
6.345.874
7.615.049
8.884.224
2.127.791
2.553.349
2.978.907
4.256.180
5.107.416
5.958.652
4.989.574
5.987.489
6.985.404
1.930.557
2.316.669
2.702.780
2.624.547
3.149.457
3.674.366
2.729.866
3.275.839
3.821.812
1.683.116
2.019.739
2.356.362
4.375.955
5.251.146
6.126.337
Kode INACBG
633
P-8-17-III
634
S-4-10-I
635
S-4-10-II
636
S-4-10-III
637
638
639
640
641
642
S-4-11-I
S-4-11-II
S-4-11-III
S-4-12-I
S-4-12-II
S-4-12-III
643
S-4-13-I
644
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
8.270.744
9.924.892
11.579.041
1.570.272
1.884.326
2.198.381
1.964.518
2.357.421
2.750.325
2.554.898
3.065.878
3.576.857
982.861
1.499.346
2.413.753
1.179.874
1.574.763
2.976.494
1.179.433
1.799.215
2.896.503
1.415.849
1.889.715
3.571.793
1.376.005
2.099.085
3.379.254
1.651.824
2.204.668
4.167.092
1.571.040
1.885.248
2.199.456
S-4-13-II
2.784.423
3.341.308
3.898.192
645
S-4-13-III
5.653.886
6.784.663
7.915.440
646
S-4-14-I
958.566
1.150.279
1.341.992
647
S-4-14-II
2.036.316
2.443.579
2.850.842
648
S-4-14-III
3.861.580
4.633.896
5.406.212
649
S-4-15-I
724.972
869.967
1.014.961
650
S-4-15-II
1.368.270
1.641.924
1.915.577
651
S-4-15-III
1.772.227
2.126.673
2.481.118
652
653
654
S-4-16-I
S-4-16-II
S-4-16-III
2.750.940
3.895.248
6.372.587
3.301.128
4.674.297
7.647.105
3.851.316
5.453.347
8.921.622
655
S-4-17-I
1.465.476
1.758.571
2.051.666
656
S-4-17-II
1.963.077
2.355.693
2.748.308
657
S-4-17-III
3.209.077
3.850.892
4.492.708
658
T-1-10-I
1.674.660
2.009.592
2.344.524
659
T-1-10-II
2.248.954
2.698.745
3.148.536
660
T-1-10-III
4.091.581
4.909.898
5.728.214
661
T-4-10-I
662.905
795.485
928.066
662
T-4-10-II
1.263.349
1.516.019
1.768.689
663
T-4-10-III
1.836.567
2.203.880
2.571.193
664
T-4-11-I
887.381
1.064.857
1.242.334
665
T-4-11-II
1.396.485
1.675.783
1.955.080
666
T-4-11-III
2.249.327
2.699.192
3.149.057
667
T-4-12-I
1.378.928
1.654.714
1.930.500
Kode INACBG
668
T-4-12-II
669
T-4-12-III
670
671
672
U-1-10-I
U-1-10-II
U-1-10-III
673
U-1-11-I
674
U-1-11-II
675
U-1-11-III
676
677
678
679
680
681
U-1-12-I
U-1-12-II
U-1-12-III
U-1-13-I
U-1-13-II
U-1-13-III
682
U-1-14-I
683
U-1-14-II
684
U-1-14-III
685
686
687
U-1-15-I
U-1-15-II
U-1-15-III
688
U-1-20-I
689
U-1-20-II
690
U-1-20-III
691
692
693
U-1-30-I
U-1-30-II
U-1-30-III
694
U-4-10-I
695
U-4-10-II
696
U-4-10-III
697
698
699
700
701
702
U-4-11-I
U-4-11-II
U-4-11-III
U-4-12-I
U-4-12-II
U-4-12-III
703
U-4-13-I
704
U-4-13-II
705
U-4-13-III
706
707
708
U-4-14-I
U-4-14-II
U-4-14-III
709
U-4-15-I
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
2.084.202
2.501.043
2.917.883
3.226.546
3.871.856
4.517.165
1.465.279
2.989.991
12.911.387
1.758.335
3.587.990
15.493.665
2.051.390
4.185.988
18.075.942
5.187.138
6.224.566
7.261.993
6.878.757
8.254.509
9.630.260
12.899.021
15.478.825
18.058.629
3.889.781
7.780.529
10.117.304
4.234.960
4.787.791
7.783.533
4.667.737
9.336.635
12.140.764
5.081.951
5.745.350
9.340.240
5.445.693
10.892.741
14.164.225
5.928.943
6.702.908
10.896.947
3.172.427
3.806.912
4.441.398
3.893.206
4.671.847
5.450.488
4.613.559
5.536.270
6.458.982
1.789.078
2.541.923
4.053.447
2.146.894
3.050.308
4.864.137
2.504.709
3.558.692
5.674.826
4.818.579
5.782.294
6.746.010
6.324.045
7.588.855
8.853.664
12.704.333
15.245.200
17.786.067
4.099.971
5.574.204
8.040.560
4.919.966
6.689.045
9.648.672
5.739.960
7.803.886
11.256.784
3.848.740
4.618.488
5.388.236
6.391.870
7.670.244
8.948.619
9.813.619
11.776.343
13.739.067
1.567.260
2.353.541
3.587.616
1.572.366
2.112.447
3.222.434
1.880.711
2.824.250
4.305.140
1.886.839
2.534.936
3.866.921
2.194.163
3.294.958
5.022.663
2.201.312
2.957.425
4.511.408
1.542.426
1.850.912
2.159.397
1.800.138
2.160.165
2.520.193
2.036.759
2.444.111
2.851.462
1.959.166
2.356.250
3.957.028
2.350.999
2.827.500
4.748.433
2.742.832
3.298.750
5.539.839
1.575.117
1.890.141
2.205.164
Kode INACBG
710
U-4-15-II
711
U-4-15-III
712
V-1-10-I
713
V-1-10-II
714
V-1-10-III
715
716
717
V-1-11-I
V-1-11-II
V-1-11-III
718
V-1-12-I
719
V-1-12-II
720
V-1-12-III
721
V-1-13-I
722
V-1-13-II
723
V-1-13-III
724
V-1-14-I
725
V-1-14-II
726
V-1-14-III
727
728
729
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
1.969.629
2.363.554
2.757.480
2.753.754
3.304.505
3.855.256
4.607.857
5.529.428
6.450.999
5.289.621
6.347.545
7.405.469
7.838.234
9.405.881
10.973.528
5.285.731
5.924.538
8.763.877
6.342.878
7.109.446
10.516.653
7.400.024
8.294.353
12.269.428
3.875.648
4.650.777
5.425.907
8.919.535
10.703.442
12.487.350
10.253.561
12.304.273
14.354.985
5.637.400
6.764.880
7.892.360
8.577.215
10.292.658
12.008.101
11.895.796
14.274.956
16.654.115
6.263.800
7.516.560
8.769.320
7.615.118
9.138.142
10.661.166
9.323.139
11.187.767
13.052.395
V-1-15-I
V-1-15-II
V-1-15-III
2.454.419
4.298.368
7.080.050
2.945.303
5.158.041
8.496.060
3.436.186
6.017.715
9.912.070
730
V-4-10-I
3.590.970
4.309.164
5.027.358
731
V-4-10-II
4.396.308
5.275.570
6.154.831
732
V-4-10-III
9.318.043
11.181.652
13.045.261
733
V-4-11-I
2.016.005
2.419.206
2.822.407
734
V-4-11-II
2.940.492
3.528.590
4.116.688
735
V-4-11-III
5.378.615
6.454.338
7.530.061
736
W-1-01-I
8.014.572
9.617.487
11.220.401
737
W-1-01-II
8.988.278
10.785.934
12.583.590
738
W-1-01-III
12.680.083
15.216.100
17.752.116
739
740
741
W-1-10-I
W-1-10-II
W-1-10-III
2.083.982
3.406.216
5.566.780
2.500.778
4.087.459
6.680.136
2.917.575
4.768.702
7.793.493
742
W-1-11-I
2.765.372
3.318.446
3.871.521
743
W-1-11-II
4.861.838
5.834.206
6.806.573
744
W-1-11-III
10.237.662
12.285.194
14.332.726
Kode INACBG
745
W-1-12-I
746
W-1-12-II
747
W-1-12-III
748
W-1-13-I
749
W-1-13-II
750
W-1-13-III
751
752
753
754
755
756
757
758
759
760
761
762
W-1-20-I
W-1-20-II
W-1-20-III
W-1-30-I
W-1-30-II
W-1-30-III
W-4-10-I
W-4-10-II
W-4-10-III
W-4-11-I
W-4-11-II
W-4-11-III
763
W-4-12-I
764
W-4-12-II
765
W-4-12-III
766
767
768
769
770
771
772
773
774
775
776
777
778
779
780
781
782
783
784
785
786
W-4-13-I
W-4-13-II
W-4-13-III
W-4-14-I
W-4-14-II
W-4-14-III
W-4-15-I
W-4-15-II
W-4-15-III
W-4-16-I
W-4-16-II
W-4-16-III
W-4-17-I
W-4-17-II
W-4-17-III
Z-4-10-I
Z-4-10-II
Z-4-10-III
Z-4-11-I
Z-4-11-II
Z-4-11-III
787
Z-4-12-I
788
Z-4-12-II
789
Z-4-12-III
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
2.117.399
2.540.879
2.964.359
2.393.965
2.872.759
3.351.552
3.677.433
4.412.919
5.148.406
1.856.832
2.228.199
2.599.565
2.015.985
2.419.181
2.822.378
2.707.839
3.249.407
3.790.975
5.336.053
7.533.964
9.083.681
2.763.389
4.407.749
14.281.490
2.695.840
3.761.939
6.268.629
1.839.055
2.535.951
3.061.735
6.403.263
9.040.756
10.900.418
3.316.067
5.289.299
17.137.788
3.235.008
4.514.327
7.522.355
2.206.866
3.043.142
3.674.082
7.470.474
10.547.549
12.717.154
3.868.745
6.170.849
19.994.086
3.774.176
5.266.715
8.776.080
2.574.677
3.550.332
4.286.429
1.571.530
1.885.836
2.200.142
2.156.612
2.587.934
3.019.257
3.264.428
3.917.314
4.570.200
859.608
1.178.428
1.569.431
1.414.623
1.594.926
2.295.438
985.719
1.096.150
1.517.724
2.110.360
2.822.133
3.824.924
1.190.135
1.569.803
2.976.008
2.699.549
3.583.262
5.090.365
2.593.657
3.118.642
3.660.786
1.031.529
1.414.113
1.883.318
1.697.547
1.913.911
2.754.526
1.182.862
1.315.381
1.821.269
2.532.432
3.386.560
4.589.909
1.428.162
1.883.764
3.571.210
3.239.459
4.299.914
6.108.438
3.112.389
3.742.370
4.392.944
1.203.451
1.649.799
2.197.204
1.980.472
2.232.896
3.213.614
1.380.006
1.534.611
2.124.814
2.954.504
3.950.986
5.354.894
1.666.189
2.197.725
4.166.412
3.779.369
5.016.567
7.126.511
3.631.120
4.366.099
5.125.101
1.180.147
1.416.176
1.652.205
3.204.520
3.845.424
4.486.328
4.141.796
4.970.155
5.798.515
B-2-10-0
B-2-11-0
B-2-12-0
B-2-13-0
B-2-14-0
B-3-10-0
B-3-11-0
B-3-12-0
C-3-10-0
C-3-11-0
C-3-12-0
C-3-13-0
C-3-14-0
C-3-15-0
C-3-16-0
C-3-17-0
C-3-18-0
C-3-19-0
C-3-20-0
C-3-21-0
C-3-22-0
C-3-23-0
D-2-10-0
D-2-11-0
D-2-21-0
D-2-22-0
D-3-10-0
D-3-11-0
E-2-10-0
E-2-21-0
E-2-22-0
E-3-10-0
F-3-10-0
F-5-10-0
F-5-11-0
F-5-12-0
F-5-13-0
F-5-14-0
F-5-15-0
F-5-16-0
G-2-10-0
G-2-11-0
G-2-12-0
G-2-13-0
G-2-21-0
G-2-22-0
G-2-31-0
G-2-32-0
G-3-10-0
G-3-11-0
G-3-12-0
G-3-13-0
H-2-21-0
H-2-22-0
H-2-23-0
H-2-31-0
H-2-32-0
H-2-33-0
H-2-34-0
H-2-35-0
H-2-36-0
H-2-37-0
H-3-10-0
H-3-11-0
H-3-12-0
H-3-13-0
I-2-11-0
I-2-12-0
I-2-13-0
I-2-14-0
I-2-15-0
I-2-16-0
I-2-17-0
I-2-21-0
I-2-22-0
I-2-23-0
I-2-31-0
I-2-32-0
I-2-41-0
I-2-42-0
I-3-10-0
I-3-11-0
I-3-12-0
I-3-13-0
I-3-14-0
I-3-15-0
J-2-10-0
J-2-21-0
J-2-22-0
J-2-31-0
J-2-32-0
J-3-10-0
J-3-11-0
J-3-12-0
J-3-13-0
J-3-14-0
J-3-15-0
J-3-16-0
J-3-17-0
K-2-10-0
K-2-11-0
K-2-12-0
K-2-13-0
K-2-14-0
K-2-21-0
K-2-22-0
K-2-31-0
K-2-32-0
K-2-41-0
K-2-42-0
K-2-51-0
K-2-52-0
K-2-53-0
K-3-10-0
K-3-11-0
K-3-12-0
K-3-13-0
K-3-14-0
K-3-15-0
K-3-16-0
L-2-21-0
L-2-22-0
L-2-31-0
L-2-32-0
L-2-41-0
L-2-42-0
L-2-51-0
L-2-52-0
L-2-53-0
L-3-10-0
L-3-11-0
L-3-12-0
M-2-10-0
M-2-21-0
M-2-22-0
M-2-31-0
M-2-32-0
M-2-41-0
M-2-42-0
M-2-51-0
M-2-52-0
M-2-61-0
M-2-62-0
M-2-63-0
M-2-64-0
M-2-65-0
M-2-71-0
M-2-72-0
M-2-81-0
M-2-82-0
M-2-83-0
M-2-84-0
M-3-10-0
M-3-11-0
M-3-12-0
M-3-13-0
M-3-14-0
M-3-15-0
M-3-16-0
M-3-17-0
N-2-11-0
N-2-12-0
N-2-21-0
N-2-22-0
N-2-23-0
N-2-24-0
N-2-31-0
N-2-32-0
N-2-41-0
N-2-42-0
N-3-10-0
N-3-11-0
N-3-12-0
N-3-13-0
N-3-14-0
N-3-15-0
O-7-10-0
O-7-11-0
O-7-12-0
O-7-13-0
P-9-10-0
P-9-11-0
P-9-12-0
P-9-13-0
P-9-14-0
P-9-15-0
P-9-16-0
P-9-17-0
Q-5-10-0
Q-5-11-0
Q-5-12-0
Q-5-13-0
Q-5-14-0
Q-5-15-0
Q-5-16-0
Q-5-17-0
Q-5-18-0
Q-5-19-0
Q-5-20-0
Q-5-21-0
Q-5-22-0
Q-5-23-0
Q-5-24-0
Q-5-25-0
Q-5-26-0
Q-5-27-0
Q-5-28-0
Q-5-29-0
Q-5-30-0
Q-5-31-0
Q-5-32-0
Q-5-33-0
Q-5-34-0
Q-5-35-0
Q-5-36-0
Q-5-37-0
Q-5-38-0
Q-5-39-0
Q-5-40-0
Q-5-41-0
Q-5-42-0
Q-5-43-0
Q-5-44-0
T-2-10-0
U-2-10-0
U-2-11-0
U-2-12-0
U-2-13-0
U-2-14-0
U-2-15-0
U-2-21-0
U-2-22-0
U-2-23-0
U-2-24-0
U-2-25-0
U-2-31-0
U-2-32-0
U-3-10-0
U-3-11-0
U-3-12-0
U-3-13-0
U-3-14-0
U-3-15-0
U-3-16-0
V-2-10-0
V-2-11-0
V-2-12-0
V-2-13-0
V-2-14-0
V-2-15-0
V-3-10-0
V-3-11-0
V-3-12-0
W-2-10-0
W-2-11-0
W-2-12-0
W-2-13-0
W-2-21-0
W-2-22-0
W-2-23-0
W-2-31-0
W-2-32-0
W-2-33-0
W-2-34-0
W-3-10-0
W-3-11-0
W-3-12-0
Z-3-10-0
Z-3-11-0
Z-3-12-0
Z-3-13-0
Z-3-14-0
Z-3-15-0
Z-3-16-0
Z-3-17-0
Z-3-18-0
Z-3-19-0
Z-3-20-0
Z-3-21-0
Z-3-22-0
Z-3-23-0
Z-3-24-0
Z-3-25-0
Z-3-26-0
Z-3-27-0
Z-3-28-0
Z-3-29-0
Z-3-30-0
1
2
3
4
5
6
7
8
9
10
11
12
Kode INACBG
A-4-10-I
A-4-10-II
A-4-10-III
A-4-11-I
A-4-11-II
A-4-11-III
A-4-12-I
A-4-12-II
A-4-12-III
A-4-13-I
A-4-13-II
A-4-13-III
13
A-4-14-I
14
A-4-14-II
15
A-4-14-III
16
17
18
19
20
21
22
23
24
25
26
27
A-4-15-I
A-4-15-II
A-4-15-III
B-1-01-I
B-1-01-II
B-1-01-III
B-1-10-I
B-1-10-II
B-1-10-III
B-1-11-I
B-1-11-II
B-1-11-III
28
B-1-12-I
29
B-1-12-II
30
B-1-12-III
31
B-1-13-I
32
B-1-13-II
33
B-1-13-III
34
B-1-14-I
35
B-1-14-II
36
B-1-14-III
37
38
39
B-4-10-I
B-4-10-II
B-4-10-III
40
B-4-11-I
41
B-4-11-II
42
B-4-11-III
4.638.110
5.565.732
6.493.354
43
44
45
B-4-12-I
B-4-12-II
B-4-12-III
2.458.343
3.689.658
7.016.927
2.950.012
4.427.590
8.420.313
3.441.681
5.165.521
9.823.698
No
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
1.495.453
2.415.226
2.789.363
3.255.227
4.765.601
7.795.482
1.314.355
1.696.265
2.100.186
1.639.887
1.973.935
2.389.482
1.794.544
2.898.271
3.347.236
3.906.272
5.718.721
9.354.578
1.577.226
2.035.518
2.520.224
1.967.864
2.368.722
2.867.379
2.093.635
3.381.316
3.905.108
4.557.317
6.671.841
10.913.675
1.840.096
2.374.771
2.940.261
2.295.842
2.763.509
3.345.275
2.552.510
3.063.012
3.573.514
3.283.174
3.939.808
4.596.443
3.761.745
4.514.093
5.266.442
1.974.816
2.947.554
4.929.345
21.829.622
24.083.909
42.248.133
2.830.136
7.212.551
15.021.065
2.313.533
5.804.915
7.274.250
2.369.779
3.537.065
5.915.214
26.195.546
28.900.691
50.697.759
3.396.164
8.655.061
18.025.278
2.776.240
6.965.897
8.729.100
2.764.742
4.126.576
6.901.083
30.561.471
33.717.473
59.147.386
3.962.191
10.097.571
21.029.492
3.238.946
8.126.880
10.183.949
4.017.243
4.820.692
5.624.140
8.609.934
10.331.921
12.053.908
10.478.615
12.574.338
14.670.061
3.238.203
3.885.843
4.533.484
5.274.562
6.329.475
7.384.387
7.776.185
9.331.422
10.886.659
4.394.925
5.273.910
6.152.895
4.888.043
5.865.652
6.843.260
7.646.762
9.176.115
10.705.467
1.227.534
1.780.265
3.001.607
1.473.040
2.136.318
3.601.928
1.718.547
2.492.371
4.202.249
2.390.177
2.868.213
3.346.248
3.582.709
4.299.251
5.015.793
Kode INACBG
46
B-4-13-I
47
B-4-13-II
48
B-4-13-III
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
B-4-14-I
B-4-14-II
B-4-14-III
C-4-10-I
C-4-10-II
C-4-10-III
C-4-11-I
C-4-11-II
C-4-11-III
C-4-12-I
C-4-12-II
C-4-12-III
C-4-13-I
C-4-13-II
C-4-13-III
C-4-14-I
C-4-14-II
C-4-14-III
67
D-1-10-I
68
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
1.967.358
2.360.829
2.754.301
2.545.728
3.054.873
3.564.019
3.745.502
4.494.603
5.243.703
2.257.319
2.541.740
3.229.784
2.301.591
4.466.062
6.558.700
2.309.424
2.636.931
5.355.426
1.316.668
4.330.165
8.770.762
1.314.177
2.627.331
3.444.047
2.043.784
2.978.770
4.528.685
2.708.783
3.050.088
3.875.741
2.761.910
5.359.275
7.870.440
2.771.309
3.164.317
6.426.512
1.580.002
5.196.198
10.524.914
1.577.012
3.152.797
4.132.856
2.452.541
3.574.524
5.434.422
3.160.247
3.558.436
4.521.698
3.222.228
6.252.487
9.182.180
3.233.194
3.691.703
7.497.597
1.843.335
6.062.231
12.279.066
1.839.848
3.678.263
4.821.665
2.861.298
4.170.278
6.340.159
13.968.450
16.762.140
19.555.830
D-1-10-II
21.275.021
25.530.025
29.785.029
69
D-1-10-III
28.833.466
34.600.160
40.366.853
70
71
72
D-1-11-I
D-1-11-II
D-1-11-III
3.433.616
8.869.182
12.327.272
4.120.339
10.643.018
14.792.727
4.807.062
12.416.854
17.258.181
73
D-1-20-I
3.015.576
3.618.691
4.221.806
74
D-1-20-II
8.687.860
10.425.432
12.163.004
75
D-1-20-III
13.908.102
16.689.722
19.471.342
76
77
78
79
80
81
82
83
84
D-4-10-I
D-4-10-II
D-4-10-III
D-4-11-I
D-4-11-II
D-4-11-III
D-4-12-I
D-4-12-II
D-4-12-III
1.353.156
2.275.878
3.294.107
1.641.850
3.317.555
4.090.703
1.683.196
2.334.759
3.585.023
1.623.788
2.731.054
3.952.928
1.970.220
3.981.066
4.908.843
2.019.836
2.801.711
4.302.028
1.894.419
3.186.230
4.611.749
2.298.590
4.644.577
5.726.984
2.356.475
3.268.662
5.019.033
85
D-4-13-I
1.316.070
1.579.283
1.842.497
86
D-4-13-II
1.973.213
2.367.856
2.762.499
87
D-4-13-III
2.420.270
2.904.324
3.388.378
88
D-4-14-I
1.646.787
1.976.145
2.305.502
89
D-4-14-II
3.053.720
3.664.464
4.275.208
90
D-4-14-III
4.281.982
5.138.378
5.994.775
91
92
93
94
95
96
Kode INACBG
E-1-01-I
E-1-01-II
E-1-01-III
E-1-10-I
E-1-10-II
E-1-10-III
97
E-1-20-I
98
E-1-20-II
99
E-1-20-III
100
E-4-10-I
101
E-4-10-II
102
E-4-10-III
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
E-4-11-I
E-4-11-II
E-4-11-III
E-4-12-I
E-4-12-II
E-4-12-III
E-4-13-I
E-4-13-II
E-4-13-III
F-4-10-I
F-4-10-II
F-4-10-III
F-4-11-I
F-4-11-II
F-4-11-III
118
F-4-12-I
1.161.917
1.394.300
1.626.684
119
F-4-12-II
1.540.382
1.848.459
2.156.535
120
F-4-12-III
3.051.370
3.661.644
4.271.919
121
122
123
124
125
126
127
128
129
F-4-13-I
F-4-13-II
F-4-13-III
F-4-14-I
F-4-14-II
F-4-14-III
F-4-15-I
F-4-15-II
F-4-15-III
1.915.957
2.541.113
3.276.441
1.095.059
1.404.636
1.890.000
1.600.297
2.258.182
2.822.441
2.299.149
3.049.336
3.931.729
1.314.071
1.685.563
2.268.000
1.920.356
2.709.818
3.386.929
2.682.340
3.557.558
4.587.017
1.533.083
1.966.490
2.646.000
2.240.415
3.161.455
3.951.417
130
F-4-16-I
3.457.623
4.149.148
4.840.672
131
F-4-16-II
4.005.271
4.806.325
5.607.379
132
F-4-16-III
5.346.368
6.415.641
7.484.915
133
134
135
136
137
138
F-4-17-I
F-4-17-II
F-4-17-III
F-4-18-I
F-4-18-II
F-4-18-III
665.129
1.949.429
2.079.897
2.987.568
3.287.168
5.067.456
798.154
2.339.314
2.495.876
3.585.081
3.944.602
6.080.948
931.180
2.729.200
2.911.856
4.182.595
4.602.036
7.094.439
No
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
3.764.932
4.931.703
9.775.456
3.206.245
3.891.629
8.202.408
4.517.919
5.918.044
11.730.547
3.847.494
4.669.955
9.842.890
5.270.905
6.904.384
13.685.639
4.488.743
5.448.281
11.483.372
4.085.522
4.902.626
5.719.731
5.949.417
7.139.300
8.329.184
9.874.327
11.849.193
13.824.058
1.820.720
2.184.865
2.549.009
2.798.255
3.357.905
3.917.556
3.876.632
4.651.958
5.427.284
1.566.277
2.584.178
4.250.232
1.801.811
2.960.819
4.327.646
2.073.904
3.505.525
5.101.054
2.583.218
2.872.239
4.252.413
2.376.117
2.768.402
3.550.103
1.879.533
3.101.013
5.100.278
2.162.174
3.552.983
5.193.175
2.488.684
4.206.630
6.121.265
3.099.862
3.446.687
5.102.896
2.851.340
3.322.082
4.260.123
2.192.788
3.617.849
5.950.324
2.522.536
4.145.147
6.058.704
2.903.465
4.907.735
7.141.475
3.616.505
4.021.135
5.953.379
3.326.563
3.875.762
4.970.144
139
140
141
Kode INACBG
F-4-19-I
F-4-19-II
F-4-19-III
142
G-1-01-I
143
G-1-01-II
144
G-1-01-III
16.307.618
19.569.141
22.830.665
145
146
147
148
149
150
G-1-10-I
G-1-10-II
G-1-10-III
G-1-11-I
G-1-11-II
G-1-11-III
3.641.206
5.140.929
6.096.557
4.206.811
8.643.476
17.735.380
4.369.448
6.169.115
7.315.869
5.048.173
10.372.172
21.282.456
5.097.689
7.197.301
8.535.180
5.889.536
12.100.867
24.829.532
151
G-1-12-I
2.419.369
2.903.243
3.387.117
152
G-1-12-II
6.074.055
7.288.866
8.503.677
153
G-1-12-III
8.927.751
10.713.301
12.498.851
154
155
156
157
158
159
160
161
162
G-1-13-I
G-1-13-II
G-1-13-III
G-1-20-I
G-1-20-II
G-1-20-III
G-1-30-I
G-1-30-II
G-1-30-III
718.816
1.930.659
4.356.381
3.357.707
5.545.811
11.119.510
5.248.134
13.704.388
17.604.814
862.579
2.316.791
5.227.657
4.029.249
6.654.973
13.343.412
6.297.761
16.445.266
21.125.777
1.006.342
2.702.923
6.098.933
4.700.790
7.764.135
15.567.314
7.347.387
19.186.144
24.646.740
163
G-4-10-I
1.965.926
2.359.111
2.752.297
164
G-4-10-II
2.396.805
2.876.166
3.355.527
165
G-4-10-III
4.196.613
5.035.936
5.875.259
166
G-4-11-I
3.154.212
3.785.055
4.415.897
167
G-4-11-II
4.523.753
5.428.504
6.333.254
168
G-4-11-III
6.013.815
7.216.578
8.419.341
169
170
171
G-4-12-I
G-4-12-II
G-4-12-III
2.917.316
3.663.088
5.320.199
3.500.779
4.395.706
6.384.239
4.084.242
5.128.323
7.448.279
172
G-4-13-I
1.614.777
1.937.733
2.260.688
173
G-4-13-II
2.295.401
2.754.482
3.213.562
174
G-4-13-III
2.715.388
3.258.466
3.801.543
175
G-4-14-I
2.576.328
3.091.594
3.606.860
176
G-4-14-II
3.980.167
4.776.200
5.572.234
177
G-4-14-III
4.976.934
5.972.321
6.967.708
178
G-4-15-I
1.967.992
2.361.590
2.755.188
No
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
2.285.711
2.926.912
3.644.044
2.742.853
3.512.294
4.372.853
3.199.995
4.097.676
5.101.662
6.087.901
7.305.481
8.523.061
8.388.683
10.066.420
11.744.156
Kode INACBG
179
G-4-15-II
180
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
2.396.742
2.876.090
3.355.438
G-4-15-III
3.087.836
3.705.403
4.322.970
181
182
183
G-4-16-I
G-4-16-II
G-4-16-III
1.638.999
1.886.726
3.636.785
1.966.799
2.264.071
4.364.141
2.294.599
2.641.416
5.091.498
184
G-4-17-I
2.204.972
2.645.966
3.086.961
185
G-4-17-II
2.932.500
3.519.001
4.105.501
186
G-4-17-III
4.914.895
5.897.874
6.880.853
187
G-4-18-I
1.965.077
2.358.092
2.751.108
188
G-4-18-II
3.369.426
4.043.311
4.717.196
189
G-4-18-III
3.577.022
4.292.426
5.007.830
190
G-4-19-I
1.964.026
2.356.831
2.749.636
191
G-4-19-II
3.062.540
3.675.048
4.287.556
192
G-4-19-III
3.849.883
4.619.860
5.389.836
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
G-4-20-I
G-4-20-II
G-4-20-III
G-4-21-I
G-4-21-II
G-4-21-III
G-4-22-I
G-4-22-II
G-4-22-III
G-4-23-I
G-4-23-II
G-4-23-III
G-4-24-I
G-4-24-II
G-4-24-III
G-4-25-I
G-4-25-II
G-4-25-III
1.148.640
1.630.548
2.781.993
1.538.437
1.992.901
3.162.658
1.314.373
1.638.569
1.888.321
1.438.812
1.643.735
2.340.275
2.558.037
3.195.876
6.187.358
1.313.034
1.645.524
2.045.315
1.378.368
1.956.657
3.338.391
1.846.124
2.391.482
3.795.190
1.577.247
1.966.283
2.265.985
1.726.575
1.972.482
2.808.330
3.069.644
3.835.052
7.424.830
1.575.640
1.974.628
2.454.379
1.608.095
2.282.767
3.894.790
2.153.812
2.790.062
4.427.721
1.840.122
2.293.997
2.643.649
2.014.337
2.301.229
3.276.385
3.581.252
4.474.227
8.662.302
1.838.247
2.303.733
2.863.442
211
G-4-26-I
2.287.939
2.745.527
3.203.115
212
G-4-26-II
2.676.281
3.211.537
3.746.793
213
G-4-26-III
3.391.409
4.069.691
4.747.973
214
215
216
217
218
219
220
221
222
H-1-20-I
H-1-20-II
H-1-20-III
H-1-30-I
H-1-30-II
H-1-30-III
H-4-10-I
H-4-10-II
H-4-10-III
1.829.492
4.110.479
5.589.994
1.782.779
2.518.087
4.201.337
2.004.524
2.831.853
5.349.478
2.195.390
4.932.574
6.707.993
2.139.335
3.021.705
5.041.605
2.405.429
3.398.223
6.419.373
2.561.288
5.754.670
7.825.992
2.495.891
3.525.322
5.881.872
2.806.334
3.964.594
7.489.269
223
224
225
226
227
228
Kode INACBG
H-4-11-I
H-4-11-II
H-4-11-III
H-4-12-I
H-4-12-II
H-4-12-III
229
I-1-01-I
230
I-1-01-II
231
I-1-01-III
232
I-1-02-I
233
I-1-02-II
234
I-1-02-III
235
I-1-03-I
236
I-1-03-II
237
I-1-03-III
238
I-1-04-I
239
I-1-04-II
240
I-1-04-III
241
I-1-05-I
242
I-1-05-II
243
I-1-05-III
244
245
246
I-1-06-I
I-1-06-II
I-1-06-III
247
I-1-07-I
248
I-1-07-II
249
I-1-07-III
250
I-1-11-I
251
I-1-11-II
252
I-1-11-III
253
I-1-12-I
254
I-1-12-II
255
I-1-12-III
256
I-1-13-I
No
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
1.598.955
1.764.939
2.349.271
1.815.589
2.460.118
4.086.649
1.918.746
2.117.927
2.819.125
2.178.707
2.952.142
4.903.979
2.238.537
2.470.915
3.288.980
2.541.825
3.444.166
5.721.309
28.319.454
33.983.344
39.647.235
28.942.629
34.731.155
40.519.681
45.685.385
54.822.462
63.959.539
15.711.470
18.853.764
21.996.058
20.267.796
24.321.355
28.374.914
24.981.237
29.977.484
34.973.732
9.709.892
11.651.871
13.593.849
11.183.751
13.420.501
15.657.251
18.500.983
22.201.180
25.901.377
14.123.515
16.948.217
19.772.920
15.198.231
18.237.877
21.277.523
31.518.798
37.822.558
44.126.318
20.794.592
24.953.511
29.112.429
24.953.511
29.944.213
34.934.915
34.335.873
41.203.048
48.070.223
9.566.094
14.023.811
19.006.688
11.479.313
16.828.573
22.808.026
13.392.532
19.633.335
26.609.363
15.423.470
18.508.165
21.592.859
19.027.984
22.833.581
26.639.178
20.759.407
24.911.288
29.063.170
2.386.918
2.864.302
3.341.685
2.654.014
3.184.817
3.715.620
3.531.684
4.238.021
4.944.358
7.541.908
9.050.289
10.558.671
8.618.773
10.342.527
12.066.282
14.595.442
17.514.530
20.433.619
3.741.390
4.489.668
5.237.945
Kode INACBG
257
I-1-13-II
258
I-1-13-III
259
I-1-14-I
260
I-1-14-II
261
I-1-14-III
262
263
264
I-1-15-I
I-1-15-II
I-1-15-III
265
I-1-16-I
266
I-1-16-II
267
I-1-16-III
268
I-1-17-I
269
I-1-17-II
270
I-1-17-III
271
I-1-20-I
272
I-1-20-II
273
I-1-20-III
274
I-1-30-I
275
I-1-30-II
276
I-1-30-III
277
278
279
280
281
282
283
284
285
286
287
288
I-1-40-I
I-1-40-II
I-1-40-III
I-4-10-I
I-4-10-II
I-4-10-III
I-4-11-I
I-4-11-II
I-4-11-III
I-4-12-I
I-4-12-II
I-4-12-III
289
I-4-13-I
290
I-4-13-II
291
I-4-13-III
292
293
294
I-4-14-I
I-4-14-II
I-4-14-III
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
5.151.503
6.181.803
7.212.104
11.218.117
13.461.740
15.705.364
16.173.572
19.408.286
22.643.001
20.101.439
24.121.727
28.142.015
26.339.817
31.607.780
36.875.744
3.785.804
7.548.359
11.066.951
4.542.965
9.058.030
13.280.341
5.300.125
10.567.702
15.493.732
6.931.531
8.317.837
9.704.143
18.021.980
21.626.376
25.230.772
20.787.912
24.945.494
29.103.076
2.657.155
3.188.586
3.720.018
4.482.251
5.378.701
6.275.151
26.104.017
31.324.821
36.545.624
3.222.071
3.866.485
4.510.899
5.332.739
6.399.287
7.465.835
9.328.983
11.194.780
13.060.577
7.863.858
9.436.629
11.009.401
16.358.413
19.630.095
22.901.778
25.349.598
30.419.518
35.489.438
7.832.596
10.267.365
12.842.599
2.992.993
4.725.407
6.810.181
3.461.127
3.660.818
6.771.752
3.127.248
4.427.104
5.386.511
9.399.115
12.320.838
15.411.119
3.591.592
5.670.488
8.172.217
4.153.352
4.392.982
8.126.102
3.752.698
5.312.525
6.463.813
10.965.635
14.374.311
17.979.639
4.190.191
6.615.569
9.534.254
4.845.577
5.125.146
9.480.453
4.378.148
6.197.946
7.541.115
3.428.994
4.114.793
4.800.592
4.993.552
5.992.263
6.990.973
8.532.901
10.239.481
11.946.061
1.745.278
2.030.112
3.155.845
2.094.334
2.436.134
3.787.014
2.443.389
2.842.156
4.418.183
Kode INACBG
295
I-4-15-I
296
I-4-15-II
297
I-4-15-III
298
299
300
301
302
303
304
305
I-4-16-I
I-4-16-II
I-4-16-III
I-4-17-I
I-4-17-II
I-4-17-III
I-4-18-I
I-4-18-II
306
I-4-18-III
307
I-4-19-I
308
I-4-19-II
309
310
311
312
313
314
315
316
317
318
I-4-19-III
I-4-20-I
I-4-20-II
I-4-20-III
I-4-21-I
I-4-21-II
I-4-21-III
I-4-22-I
I-4-22-II
I-4-22-III
319
I-4-23-I
320
I-4-23-II
321
I-4-23-III
322
I-4-24-I
323
I-4-24-II
324
I-4-24-III
325
J-1-01-I
326
J-1-01-II
327
J-1-01-III
328
J-1-02-I
329
J-1-02-II
330
J-1-02-III
331
332
333
J-1-10-I
J-1-10-II
J-1-10-III
334
J-1-20-I
335
J-1-20-II
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
2.632.879
3.159.455
3.686.031
3.932.473
4.718.967
5.505.462
4.482.073
5.378.487
6.274.902
1.968.524
2.541.089
3.274.619
2.928.961
3.970.611
4.819.047
2.673.307
3.923.612
2.362.229
3.049.307
3.929.543
3.514.753
4.764.734
5.782.857
3.207.968
4.708.335
2.755.934
3.557.525
4.584.467
4.100.545
5.558.856
6.746.666
3.742.629
5.493.057
5.386.090
6.463.308
7.540.526
1.919.447
2.303.336
2.687.225
3.208.608
3.850.330
4.492.051
3.675.359
2.410.224
2.772.780
3.691.443
3.183.184
3.980.568
5.454.972
2.138.725
2.460.019
3.593.837
4.410.430
2.892.269
3.327.336
4.429.731
3.819.821
4.776.682
6.545.967
2.566.470
2.952.023
4.312.605
5.145.502
3.374.314
3.881.892
5.168.020
4.456.458
5.572.796
7.636.961
2.994.215
3.444.027
5.031.372
1.615.945
1.939.134
2.262.323
1.984.008
2.380.809
2.777.611
3.876.570
4.651.885
5.427.199
1.948.636
2.338.363
2.728.090
4.679.531
5.615.438
6.551.344
5.939.259
7.127.110
8.314.962
18.579.346
22.295.215
26.011.084
19.848.248
23.817.897
27.787.547
27.613.439
33.136.127
38.658.815
7.480.620
8.976.745
10.472.869
9.153.763
10.984.516
12.815.268
12.305.009
14.766.011
17.227.013
3.699.171
7.282.483
12.357.259
4.439.006
8.738.980
14.828.711
5.178.840
10.195.476
17.300.163
3.204.711
3.845.653
4.486.596
3.953.628
4.744.353
5.535.079
Kode INACBG
336
J-1-20-III
337
J-1-30-I
338
J-1-30-II
339
J-1-30-III
340
341
342
343
344
345
346
347
348
349
350
351
352
353
354
355
356
357
358
359
360
361
362
363
364
365
366
367
368
369
370
371
372
J-4-10-I
J-4-10-II
J-4-10-III
J-4-11-I
J-4-11-II
J-4-11-III
J-4-12-I
J-4-12-II
J-4-12-III
J-4-13-I
J-4-13-II
J-4-13-III
J-4-14-I
J-4-14-II
J-4-14-III
J-4-15-I
J-4-15-II
J-4-15-III
J-4-16-I
J-4-16-II
J-4-16-III
J-4-17-I
J-4-17-II
J-4-17-III
J-4-18-I
J-4-18-II
J-4-18-III
J-4-19-I
J-4-19-II
J-4-19-III
J-4-20-I
J-4-20-II
J-4-20-III
373
J-4-21-I
374
J-4-21-II
375
J-4-21-III
376
K-1-10-I
377
K-1-10-II
378
K-1-10-III
379
380
381
K-1-11-I
K-1-11-II
K-1-11-III
382
K-1-12-I
383
K-1-12-II
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
5.600.661
6.720.793
7.840.925
2.160.941
2.593.130
3.025.318
8.100.222
9.720.266
11.340.310
21.721.080
26.065.295
30.409.511
2.083.605
2.979.304
4.507.243
1.575.976
2.189.278
3.137.292
2.013.127
2.603.135
3.476.223
3.017.088
4.446.813
8.854.740
2.518.012
4.239.546
5.017.887
3.837.053
4.584.203
6.091.528
3.197.062
4.492.712
7.435.967
1.810.485
2.457.637
2.907.127
1.316.417
1.879.163
1.961.858
2.302.327
3.106.036
4.015.076
2.530.909
3.356.365
5.450.291
2.500.326
3.575.165
5.408.691
1.891.172
2.627.134
3.764.750
2.415.752
3.123.762
4.171.468
3.620.506
5.336.175
10.625.688
3.021.614
5.087.455
6.021.464
4.604.463
5.501.044
7.309.833
3.836.474
5.391.255
8.923.161
2.172.582
2.949.165
3.488.552
1.579.701
2.254.995
2.354.230
2.762.792
3.727.243
4.818.092
3.037.091
4.027.638
6.540.349
2.917.046
4.171.026
6.310.140
2.206.367
3.064.990
4.392.209
2.818.378
3.644.389
4.866.713
4.223.924
6.225.538
12.396.636
3.525.217
5.935.365
7.025.041
5.371.874
6.417.885
8.528.139
4.475.886
6.289.797
10.410.354
2.534.679
3.440.692
4.069.978
1.842.984
2.630.828
2.746.601
3.223.258
4.348.451
5.621.107
3.543.273
4.698.911
7.630.407
1.409.141
1.690.969
1.972.797
2.631.371
3.157.645
3.683.919
3.768.946
4.522.735
5.276.524
3.549.744
4.259.692
4.969.641
5.886.676
7.064.011
8.241.347
6.904.358
8.285.230
9.666.102
3.641.794
4.781.236
12.133.835
4.370.153
5.737.483
14.560.602
5.098.511
6.693.730
16.987.369
1.960.555
2.352.666
2.744.777
2.553.095
3.063.714
3.574.333
Kode INACBG
384
K-1-12-III
385
386
387
K-1-13-I
K-1-13-II
K-1-13-III
388
K-1-14-I
389
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
5.077.889
6.093.466
7.109.044
2.221.432
3.891.004
4.153.880
2.665.719
4.669.205
4.984.657
3.110.005
5.447.406
5.815.433
3.044.961
3.653.953
4.262.945
K-1-14-II
4.227.216
5.072.659
5.918.103
390
391
392
393
K-1-14-III
K-1-20-I
K-1-20-II
K-1-20-III
8.501.105
6.975.220
9.739.999
16.985.146
10.201.327
8.370.264
11.687.999
20.382.175
11.901.548
9.765.308
13.635.999
23.779.204
394
K-1-30-I
4.604.482
5.525.379
6.446.275
395
K-1-30-II
7.092.618
8.511.142
9.929.666
396
K-1-30-III
13.176.855
15.812.226
18.447.597
397
K-1-40-I
4.624.240
5.549.088
6.473.935
398
K-1-40-II
5.082.482
6.098.978
7.115.474
399
400
401
402
403
404
405
406
407
408
409
410
411
K-1-40-III
K-1-50-I
K-1-50-II
K-1-50-III
K-4-10-I
K-4-10-II
K-4-10-III
K-4-11-I
K-4-11-II
K-4-11-III
K-4-12-I
K-4-12-II
K-4-12-III
8.428.806
3.528.225
4.546.954
6.094.877
2.660.568
3.189.844
8.223.814
1.315.527
2.140.186
2.923.986
1.342.420
2.345.514
4.413.006
10.114.568
4.233.870
5.456.345
7.313.853
3.192.681
3.827.813
9.868.577
1.578.632
2.568.223
3.508.783
1.610.904
2.814.617
5.295.607
11.800.329
4.939.515
6.365.735
8.532.828
3.724.795
4.465.781
11.513.340
1.841.738
2.996.260
4.093.580
1.879.388
3.283.719
6.178.209
412
K-4-13-I
1.966.795
2.360.154
2.753.513
413
K-4-13-II
2.555.732
3.066.878
3.578.024
414
K-4-13-III
4.172.307
5.006.768
5.841.229
415
K-4-14-I
1.642.248
1.970.697
2.299.147
416
K-4-14-II
2.227.538
2.673.046
3.118.554
417
K-4-14-III
3.586.633
4.303.959
5.021.286
418
419
420
421
422
423
K-4-15-I
K-4-15-II
K-4-15-III
K-4-16-I
K-4-16-II
K-4-16-III
1.643.808
2.450.640
3.439.355
1.638.502
2.147.385
2.885.821
1.972.570
2.940.768
4.127.226
1.966.203
2.576.861
3.462.985
2.301.332
3.430.895
4.815.097
2.293.903
3.006.338
4.040.149
424
K-4-17-I
2.317.777
2.781.332
3.244.888
425
K-4-17-II
3.280.053
3.936.064
4.592.075
426
K-4-17-III
3.699.908
4.439.889
5.179.871
Kode INACBG
427
K-4-18-I
428
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
2.557.228
3.068.674
3.580.119
K-4-18-II
3.835.769
4.602.923
5.370.077
429
K-4-18-III
4.705.375
5.646.450
6.587.525
430
L-1-20-I
16.034.514
19.241.417
22.448.319
431
L-1-20-II
16.669.034
20.002.840
23.336.647
432
L-1-20-III
28.183.216
33.819.859
39.456.502
433
L-1-30-I
5.875.266
7.050.319
8.225.372
434
L-1-30-II
10.572.748
12.687.297
14.801.847
435
L-1-30-III
11.165.043
13.398.052
15.631.060
436
L-1-40-I
2.792.724
3.351.268
3.909.813
437
L-1-40-II
4.895.923
5.875.108
6.854.292
438
L-1-40-III
8.286.793
9.944.152
11.601.510
439
440
441
442
443
444
445
446
447
448
449
450
L-1-50-I
L-1-50-II
L-1-50-III
L-4-10-I
L-4-10-II
L-4-10-III
L-4-11-I
L-4-11-II
L-4-11-III
L-4-12-I
L-4-12-II
L-4-12-III
3.602.294
6.465.758
7.876.097
1.974.653
2.711.378
5.580.314
2.113.959
2.925.458
6.750.778
2.202.944
3.464.490
5.610.618
4.322.752
7.758.910
9.451.316
2.369.584
3.253.654
6.696.377
2.536.751
3.510.550
8.100.934
2.643.533
4.157.389
6.732.742
5.043.211
9.052.061
11.026.535
2.764.515
3.795.930
7.812.439
2.959.543
4.095.641
9.451.089
3.084.121
4.850.287
7.854.866
451
L-4-13-I
1.363.826
1.636.591
1.909.356
452
L-4-13-II
1.704.709
2.045.651
2.386.593
453
L-4-13-III
2.406.685
2.888.022
3.369.360
454
L-4-14-I
1.352.522
1.623.026
1.893.531
455
L-4-14-II
2.005.348
2.406.417
2.807.487
456
L-4-14-III
3.695.418
4.434.502
5.173.585
457
M-1-01-I
6.399.816
7.679.780
8.959.743
458
M-1-01-II
7.143.230
8.571.876
10.000.522
459
M-1-01-III
10.034.303
12.041.164
14.048.025
460
461
462
M-1-02-I
M-1-02-II
M-1-02-III
5.430.981
8.936.500
13.078.530
6.517.178
10.723.800
15.694.236
7.603.374
12.511.099
18.309.942
463
M-1-03-I
11.484.673
13.781.608
16.078.543
464
M-1-03-II
13.443.044
16.131.653
18.820.262
Kode INACBG
465
M-1-03-III
466
M-1-04-I
467
M-1-04-II
468
M-1-04-III
469
M-1-05-I
470
M-1-05-II
471
M-1-05-III
472
M-1-07-I
473
M-1-07-II
474
M-1-07-III
475
M-1-10-I
476
M-1-10-II
477
M-1-10-III
478
M-1-20-I
479
M-1-20-II
480
M-1-20-III
481
482
483
M-1-30-I
M-1-30-II
M-1-30-III
484
M-1-40-I
485
M-1-40-II
486
M-1-40-III
487
488
489
M-1-50-I
M-1-50-II
M-1-50-III
490
M-1-60-I
491
M-1-60-II
492
M-1-60-III
493
M-1-70-I
494
M-1-70-II
495
M-1-70-III
496
497
498
499
M-1-80-I
M-1-80-II
M-1-80-III
M-4-10-I
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
15.571.340
18.685.608
21.799.875
3.573.226
4.287.871
5.002.516
4.595.083
5.514.099
6.433.116
5.749.880
6.899.856
8.049.831
4.540.834
5.449.001
6.357.168
5.240.299
6.288.358
7.336.418
8.925.656
10.710.787
12.495.918
5.141.761
6.170.113
7.198.465
6.888.353
8.266.023
9.643.694
14.032.228
16.838.673
19.645.119
3.853.825
4.624.590
5.395.355
10.820.063
12.984.076
15.148.088
15.943.017
19.131.620
22.320.224
3.802.559
4.563.071
5.323.582
4.319.217
5.183.060
6.046.903
10.537.260
12.644.712
14.752.164
2.282.944
4.714.917
7.033.661
2.739.532
5.657.900
8.440.394
3.196.121
6.600.883
9.847.126
2.252.255
2.702.706
3.153.157
3.699.609
4.439.531
5.179.452
6.193.868
7.432.641
8.671.415
4.481.603
8.990.796
13.773.430
5.377.924
10.788.956
16.528.116
6.274.244
12.587.115
19.282.802
2.304.474
2.765.368
3.226.263
4.611.691
5.534.029
6.456.367
8.005.270
9.606.324
11.207.378
3.082.102
3.698.522
4.314.942
6.284.072
7.540.886
8.797.700
8.788.585
10.546.302
12.304.019
2.481.886
3.756.508
8.384.073
1.334.119
2.978.263
4.507.810
10.060.888
1.600.943
3.474.641
5.259.112
11.737.702
1.867.767
500
501
Kode INACBG
M-4-10-II
M-4-10-III
502
M-4-11-I
503
M-4-11-II
504
M-4-11-III
505
M-4-12-I
506
M-4-12-II
507
M-4-12-III
508
M-4-13-I
509
M-4-13-II
510
M-4-13-III
511
512
513
514
515
516
517
518
519
M-4-14-I
M-4-14-II
M-4-14-III
M-4-15-I
M-4-15-II
M-4-15-III
M-4-16-I
M-4-16-II
M-4-16-III
520
M-4-17-I
521
M-4-17-II
522
M-4-17-III
523
524
525
M-4-18-I
M-4-18-II
M-4-18-III
526
M-4-19-I
1.708.651
2.050.382
2.392.112
527
M-4-19-II
2.877.916
3.453.499
4.029.082
528
M-4-19-III
4.923.631
5.908.358
6.893.084
529
M-4-20-I
1.315.377
1.578.453
1.841.528
530
M-4-20-II
1.968.226
2.361.872
2.755.517
531
M-4-20-III
2.187.964
2.625.557
3.063.150
532
M-4-21-I
1.310.989
1.573.187
1.835.385
533
M-4-21-II
2.044.595
2.453.514
2.862.433
534
M-4-21-III
4.058.966
4.870.759
5.682.552
535
N-1-01-I
250.000.000
250.000.000
250.000.000
No
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
2.392.440
4.099.246
2.870.928
4.919.095
3.349.417
5.738.945
2.074.622
2.489.546
2.904.471
4.041.821
4.850.185
5.658.549
6.886.217
8.263.460
9.640.704
1.314.403
1.577.284
1.840.165
2.391.402
2.869.682
3.347.963
4.273.973
5.128.767
5.983.562
2.908.112
3.489.734
4.071.357
3.288.101
3.945.721
4.603.341
7.784.184
9.341.021
10.897.858
2.633.030
3.627.507
5.753.076
1.962.739
2.613.964
5.584.061
1.961.475
2.860.627
5.837.280
3.159.636
4.353.008
6.903.692
2.355.287
3.136.756
6.700.874
2.353.770
3.432.752
7.004.736
3.686.242
5.078.509
8.054.307
2.747.835
3.659.549
7.817.686
2.746.065
4.004.877
8.172.192
1.673.804
2.008.565
2.343.326
2.296.325
2.755.591
3.214.856
3.220.458
3.864.550
4.508.642
1.770.126
2.667.670
3.212.250
2.124.152
3.201.203
3.854.700
2.478.177
3.734.737
4.497.150
536
537
538
539
540
Kode INACBG
N-1-01-II
N-1-01-III
N-1-11-I
N-1-11-II
N-1-11-III
541
N-1-12-I
542
N-1-12-II
543
N-1-12-III
544
545
546
N-1-20-I
N-1-20-II
N-1-20-III
547
N-1-30-I
548
N-1-30-II
549
N-1-30-III
550
N-1-40-I
4.615.233
5.538.279
6.461.326
551
N-1-40-II
6.259.456
7.511.348
8.763.239
552
N-1-40-III
7.256.765
8.708.118
10.159.471
553
N-4-10-I
1.798.558
2.158.269
2.517.981
554
N-4-10-II
2.630.394
3.156.473
3.682.551
555
N-4-10-III
4.209.753
5.051.704
5.893.655
556
557
558
559
560
561
562
563
564
N-4-11-I
N-4-11-II
N-4-11-III
N-4-12-I
N-4-12-II
N-4-12-III
N-4-13-I
N-4-13-II
N-4-13-III
1.508.135
2.543.758
2.904.788
1.451.539
2.049.104
2.553.808
1.798.367
2.389.170
5.033.901
1.809.762
3.052.509
3.485.745
1.741.847
2.458.925
3.064.569
2.158.040
2.867.004
6.040.681
2.111.388
3.561.261
4.066.703
2.032.155
2.868.746
3.575.331
2.517.714
3.344.838
7.047.461
565
N-4-14-I
1.138.067
1.365.681
1.593.294
566
N-4-14-II
1.750.871
2.101.046
2.451.220
567
N-4-14-III
2.839.355
3.407.226
3.975.097
568
N-4-15-I
1.644.307
1.973.169
2.302.030
569
N-4-15-II
2.264.572
2.717.487
3.170.401
570
N-4-15-III
2.584.286
3.101.143
3.618.000
571
N-4-16-I
2.027.534
2.433.041
2.838.548
572
N-4-16-II
2.631.722
3.158.067
3.684.411
No
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
250.000.000
250.000.000
5.138.834
7.942.738
11.695.116
250.000.000
250.000.000
6.166.600
9.531.285
14.034.139
250.000.000
250.000.000
7.194.367
11.119.833
16.373.162
2.609.995
3.131.995
3.653.994
7.385.889
8.863.066
10.340.244
13.459.124
16.150.948
18.842.773
4.298.775
8.506.955
9.762.477
5.158.530
10.208.346
11.714.972
6.018.286
11.909.737
13.667.467
5.115.931
6.139.117
7.162.304
7.723.932
9.268.718
10.813.505
8.111.234
9.733.481
11.355.728
Kode INACBG
573
N-4-16-III
574
575
576
O-6-10-I
O-6-10-II
O-6-10-III
577
O-6-11-I
578
O-6-11-II
579
O-6-11-III
580
O-6-12-I
581
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
4.517.714
5.421.257
6.324.799
3.700.363
4.083.332
4.282.785
4.440.436
4.899.998
5.139.342
5.180.508
5.716.665
5.995.899
1.747.153
2.096.584
2.446.014
2.115.231
2.538.277
2.961.323
3.581.479
4.297.774
5.014.070
1.432.111
1.718.533
2.004.956
O-6-12-II
1.719.962
2.063.954
2.407.947
582
O-6-12-III
2.160.886
2.593.063
3.025.240
583
584
585
O-6-13-I
O-6-13-II
O-6-13-III
1.852.541
2.192.603
2.748.633
2.223.049
2.631.124
3.298.359
2.593.558
3.069.644
3.848.086
586
P-8-01-I
32.982.134
39.578.561
46.174.987
587
P-8-01-II
40.810.231
48.972.278
57.134.324
588
P-8-01-III
47.899.771
57.479.726
67.059.680
589
P-8-02-I
47.812.553
57.375.064
66.937.575
590
P-8-02-II
54.845.920
65.815.104
76.784.288
591
P-8-02-III
62.665.385
75.198.462
87.731.539
592
P-8-03-I
1.802.407
2.162.888
2.523.370
593
P-8-03-II
2.526.391
3.031.669
3.536.948
594
P-8-03-III
4.351.555
5.221.866
6.092.177
595
P-8-04-I
19.181.176
23.017.411
26.853.646
596
P-8-04-II
25.027.472
30.032.967
35.038.461
597
P-8-04-III
35.883.096
43.059.715
50.236.334
598
P-8-05-I
10.449.950
12.539.940
14.629.930
599
P-8-05-II
14.849.995
17.819.994
20.789.993
600
P-8-05-III
21.879.474
26.255.369
30.631.263
601
P-8-06-I
1.805.010
2.166.011
2.527.013
602
P-8-06-II
4.330.188
5.196.226
6.062.264
Kode INACBG
603
P-8-06-III
604
P-8-07-I
605
P-8-07-II
606
P-8-07-III
607
P-8-08-I
608
P-8-08-II
609
P-8-08-III
610
P-8-10-I
611
P-8-10-II
612
P-8-10-III
613
P-8-11-I
614
P-8-11-II
615
P-8-11-III
616
P-8-12-I
617
P-8-12-II
618
P-8-12-III
619
P-8-13-I
620
P-8-13-II
621
P-8-13-III
622
P-8-14-I
623
P-8-14-II
624
P-8-14-III
625
P-8-15-I
626
P-8-15-II
627
P-8-15-III
628
P-8-16-I
629
P-8-16-II
630
P-8-16-III
631
P-8-17-I
632
P-8-17-II
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
7.945.365
9.534.437
11.123.510
2.778.414
3.334.097
3.889.780
7.068.765
8.482.518
9.896.271
9.368.733
11.242.479
13.116.226
3.212.947
3.855.536
4.498.126
4.559.019
5.470.823
6.382.627
7.382.056
8.858.467
10.334.878
1.361.250
1.633.500
1.905.751
2.411.483
2.893.780
3.376.076
4.734.452
5.681.342
6.628.233
1.842.483
2.210.979
2.579.476
8.121.743
9.746.092
11.370.440
8.291.895
9.950.274
11.608.653
2.211.276
2.653.532
3.095.787
3.438.393
4.126.072
4.813.750
4.064.558
4.877.469
5.690.381
1.802.834
2.163.401
2.523.968
3.117.292
3.740.750
4.364.208
4.640.472
5.568.566
6.496.661
2.084.234
2.501.080
2.917.927
4.249.726
5.099.671
5.949.616
4.662.035
5.594.442
6.526.849
1.572.501
1.887.001
2.201.501
3.132.629
3.759.155
4.385.681
3.677.724
4.413.269
5.148.813
1.423.475
1.708.170
1.992.865
2.012.134
2.414.561
2.816.988
2.610.497
3.132.597
3.654.696
1.530.105
1.836.126
2.142.147
3.978.141
4.773.769
5.569.397
Kode INACBG
633
P-8-17-III
634
S-4-10-I
635
S-4-10-II
636
S-4-10-III
637
638
639
640
641
642
S-4-11-I
S-4-11-II
S-4-11-III
S-4-12-I
S-4-12-II
S-4-12-III
643
S-4-13-I
644
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
7.518.858
9.022.630
10.526.401
1.316.825
1.580.190
1.843.555
1.645.279
1.974.335
2.303.391
2.130.196
2.556.235
2.982.274
822.827
1.312.615
2.020.454
982.455
1.316.642
2.508.685
987.393
1.575.137
2.424.545
1.178.946
1.579.971
3.010.422
1.151.958
1.837.660
2.828.636
1.375.437
1.843.299
3.512.159
1.403.344
1.684.013
1.964.682
S-4-13-II
2.314.207
2.777.048
3.239.890
645
S-4-13-III
4.739.519
5.687.422
6.635.326
646
S-4-14-I
799.791
959.749
1.119.707
647
S-4-14-II
1.699.023
2.038.828
2.378.633
648
S-4-14-III
3.221.954
3.866.344
4.510.735
649
S-4-15-I
604.889
725.867
846.845
650
S-4-15-II
1.141.631
1.369.958
1.598.284
651
S-4-15-III
1.478.678
1.774.414
2.070.149
652
653
654
S-4-16-I
S-4-16-II
S-4-16-III
2.302.480
3.875.468
5.371.022
2.762.976
4.650.562
6.445.226
3.223.472
5.425.656
7.519.430
655
S-4-17-I
1.387.809
1.665.371
1.942.932
656
S-4-17-II
1.707.917
2.049.501
2.391.084
657
S-4-17-III
2.685.235
3.222.282
3.759.329
658
T-1-10-I
1.230.833
1.477.000
1.723.166
659
T-1-10-II
1.652.925
1.983.511
2.314.096
660
T-1-10-III
3.007.210
3.608.652
4.210.094
661
T-4-10-I
553.102
663.722
774.343
662
T-4-10-II
1.054.090
1.264.908
1.475.726
663
T-4-10-III
1.532.361
1.838.833
2.145.305
664
T-4-11-I
654.933
785.919
916.906
665
T-4-11-II
1.030.677
1.236.813
1.442.948
666
T-4-11-III
1.660.118
1.992.141
2.324.165
667
T-4-12-I
1.145.483
1.374.580
1.603.676
Kode INACBG
668
T-4-12-II
669
T-4-12-III
670
671
672
U-1-10-I
U-1-10-II
U-1-10-III
673
U-1-11-I
674
U-1-11-II
675
U-1-11-III
676
677
678
679
680
681
U-1-12-I
U-1-12-II
U-1-12-III
U-1-13-I
U-1-13-II
U-1-13-III
682
U-1-14-I
683
U-1-14-II
684
U-1-14-III
685
686
687
U-1-15-I
U-1-15-II
U-1-15-III
688
U-1-20-I
689
U-1-20-II
690
U-1-20-III
691
692
693
U-1-30-I
U-1-30-II
U-1-30-III
694
U-4-10-I
695
U-4-10-II
696
U-4-10-III
697
698
699
700
701
702
U-4-11-I
U-4-11-II
U-4-11-III
U-4-12-I
U-4-12-II
U-4-12-III
703
U-4-13-I
704
U-4-13-II
705
U-4-13-III
706
707
708
U-4-14-I
U-4-14-II
U-4-14-III
709
U-4-15-I
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
1.731.716
2.078.059
2.424.403
2.702.753
3.243.304
3.783.855
1.222.572
2.494.734
10.772.764
1.467.087
2.993.680
12.927.317
1.711.601
3.492.627
15.081.870
4.371.887
5.246.264
6.120.641
5.751.625
6.901.950
8.052.275
10.871.710
13.046.052
15.220.394
3.379.827
6.502.574
8.454.307
3.533.123
4.425.078
6.560.212
4.055.793
7.803.089
10.145.168
4.239.748
5.310.094
7.872.255
4.731.758
9.103.603
11.836.030
4.946.372
6.195.110
9.184.297
2.335.413
2.802.495
3.269.578
2.866.021
3.439.225
4.012.430
3.396.316
4.075.579
4.754.842
1.373.628
1.951.978
2.970.762
1.648.354
2.342.373
3.564.914
1.923.079
2.732.769
4.159.066
3.546.080
4.255.296
4.964.512
6.091.553
7.309.864
8.528.174
10.629.463
12.755.356
14.881.248
3.045.017
4.100.695
7.078.036
3.654.020
4.920.834
8.493.643
4.263.024
5.740.972
9.909.250
2.840.238
3.408.286
3.976.334
5.387.274
6.464.729
7.542.184
8.271.234
9.925.481
11.579.728
1.312.979
1.973.145
2.658.782
1.311.922
1.824.300
2.368.409
1.575.575
2.367.774
3.190.538
1.574.306
2.189.160
2.842.091
1.838.171
2.762.403
3.722.295
1.836.690
2.554.020
3.315.772
1.314.613
1.577.536
1.840.459
1.499.775
1.799.730
2.099.685
1.996.100
2.395.320
2.794.540
1.641.179
1.969.908
3.308.214
1.969.415
2.363.889
3.969.857
2.297.651
2.757.871
4.631.500
1.308.992
1.570.791
1.832.589
Kode INACBG
710
U-4-15-II
711
U-4-15-III
712
V-1-10-I
713
V-1-10-II
714
V-1-10-III
715
716
717
V-1-11-I
V-1-11-II
V-1-11-III
718
V-1-12-I
719
V-1-12-II
720
V-1-12-III
721
V-1-13-I
722
V-1-13-II
723
V-1-13-III
724
V-1-14-I
725
V-1-14-II
726
V-1-14-III
727
728
729
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
1.660.066
1.992.080
2.324.093
2.303.099
2.763.719
3.224.339
3.883.650
4.660.380
5.437.110
4.426.418
5.311.701
6.196.985
6.606.316
7.927.579
9.248.842
4.423.389
4.942.880
7.329.659
5.308.067
5.931.456
8.795.590
6.192.744
6.920.032
10.261.522
2.857.625
3.429.149
4.000.674
8.015.164
9.618.197
11.221.230
8.642.031
10.370.437
12.098.843
4.330.374
5.196.449
6.062.523
7.229.152
8.674.983
10.120.813
8.658.956
10.390.748
12.122.539
5.220.062
6.264.074
7.308.086
6.450.519
7.740.623
9.030.727
7.857.842
9.429.410
11.000.978
V-1-15-I
V-1-15-II
V-1-15-III
2.350.754
3.622.803
5.967.294
2.820.904
4.347.363
7.160.753
3.291.055
5.071.924
8.354.211
730
V-4-10-I
3.026.585
3.631.902
4.237.219
731
V-4-10-II
4.187.045
5.024.455
5.861.864
732
V-4-10-III
7.853.547
9.424.256
10.994.965
733
V-4-11-I
1.887.948
2.265.538
2.643.128
734
V-4-11-II
2.650.632
3.180.758
3.710.885
735
V-4-11-III
3.964.478
4.757.374
5.550.270
736
W-1-01-I
5.917.754
7.101.305
8.284.856
737
W-1-01-II
7.141.259
8.569.511
9.997.763
738
W-1-01-III
11.862.772
14.235.326
16.607.881
739
740
741
W-1-10-I
W-1-10-II
W-1-10-III
1.655.740
2.518.342
4.120.669
1.986.889
3.022.011
4.944.803
2.318.037
3.525.679
5.768.937
742
W-1-11-I
2.513.974
3.016.769
3.519.564
743
W-1-11-II
4.419.853
5.303.823
6.187.794
744
W-1-11-III
9.306.965
11.168.358
13.029.751
Kode INACBG
745
W-1-12-I
746
W-1-12-II
747
W-1-12-III
748
W-1-13-I
749
W-1-13-II
750
W-1-13-III
751
752
753
754
755
756
757
758
759
760
761
762
W-1-20-I
W-1-20-II
W-1-20-III
W-1-30-I
W-1-30-II
W-1-30-III
W-4-10-I
W-4-10-II
W-4-10-III
W-4-11-I
W-4-11-II
W-4-11-III
763
W-4-12-I
764
W-4-12-II
765
W-4-12-III
766
767
768
769
770
771
772
773
774
775
776
777
778
779
780
781
782
783
784
785
786
W-4-13-I
W-4-13-II
W-4-13-III
W-4-14-I
W-4-14-II
W-4-14-III
W-4-15-I
W-4-15-II
W-4-15-III
W-4-16-I
W-4-16-II
W-4-16-III
W-4-17-I
W-4-17-II
W-4-17-III
Z-4-10-I
Z-4-10-II
Z-4-10-III
Z-4-11-I
Z-4-11-II
Z-4-11-III
787
Z-4-12-I
788
Z-4-12-II
789
Z-4-12-III
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
1.562.149
1.874.579
2.187.008
1.766.905
2.120.286
2.473.667
2.714.189
3.257.027
3.799.865
1.549.269
1.859.123
2.168.977
1.682.060
2.018.472
2.354.884
2.259.317
2.711.180
3.163.044
4.051.709
5.745.118
6.243.066
2.616.937
4.174.149
11.716.762
2.060.382
2.776.902
5.244.837
1.550.014
2.137.382
2.580.529
4.862.051
6.894.141
7.491.680
3.140.324
5.008.979
14.060.114
2.472.459
3.332.283
6.293.805
1.860.017
2.564.858
3.096.635
5.672.393
8.043.165
8.740.293
3.663.711
5.843.809
16.403.466
2.884.535
3.887.663
7.342.772
2.170.020
2.992.334
3.612.740
1.316.699
1.580.038
1.843.378
1.994.995
2.393.994
2.792.993
2.407.361
2.888.833
3.370.305
719.330
985.860
1.314.233
983.802
1.317.370
1.597.433
933.478
1.049.853
1.337.332
1.918.509
2.565.576
3.477.204
963.881
1.315.298
2.478.415
2.252.400
2.989.736
4.247.205
1.919.890
2.311.225
3.603.263
863.196
1.183.032
1.577.080
1.180.562
1.580.843
1.916.920
1.120.174
1.259.824
1.604.798
2.302.211
3.078.691
4.172.644
1.156.657
1.578.357
2.974.098
2.702.880
3.587.683
5.096.646
2.303.868
2.773.470
4.323.915
1.007.062
1.380.204
1.839.927
1.377.322
1.844.317
2.236.407
1.306.869
1.469.795
1.872.265
2.685.912
3.591.806
4.868.085
1.349.433
1.841.417
3.469.781
3.153.360
4.185.630
5.946.087
2.687.845
3.235.715
5.044.568
988.089
1.185.707
1.383.325
2.407.646
2.889.175
3.370.705
3.053.398
3.664.077
4.274.757
Kode INACBG
B-2-10-0
B-2-11-0
B-2-12-0
B-2-13-0
B-2-14-0
B-3-10-0
B-3-11-0
B-3-12-0
C-3-10-0
C-3-11-0
C-3-12-0
C-3-13-0
C-3-14-0
C-3-15-0
C-3-16-0
C-3-17-0
C-3-18-0
C-3-19-0
C-3-20-0
C-3-21-0
C-3-22-0
C-3-23-0
D-2-10-0
D-2-11-0
D-2-21-0
D-2-22-0
D-3-10-0
D-3-11-0
E-2-10-0
E-2-21-0
E-2-22-0
E-3-10-0
F-3-10-0
F-5-10-0
F-5-11-0
F-5-12-0
F-5-13-0
F-5-14-0
F-5-15-0
F-5-16-0
G-2-10-0
G-2-11-0
G-2-12-0
G-2-13-0
G-2-21-0
G-2-22-0
G-2-31-0
G-2-32-0
G-3-10-0
G-3-11-0
G-3-12-0
G-3-13-0
H-2-21-0
Kode INACBG
H-2-22-0
H-2-23-0
H-2-31-0
H-2-32-0
H-2-33-0
H-2-34-0
H-2-35-0
H-2-36-0
H-2-37-0
H-3-10-0
H-3-11-0
H-3-12-0
H-3-13-0
I-2-11-0
I-2-12-0
I-2-13-0
I-2-14-0
I-2-15-0
I-2-16-0
I-2-17-0
I-2-21-0
I-2-22-0
I-2-23-0
I-2-31-0
I-2-32-0
I-2-41-0
I-2-42-0
I-3-10-0
I-3-11-0
I-3-12-0
I-3-13-0
I-3-14-0
I-3-15-0
J-2-10-0
J-2-21-0
J-2-22-0
J-2-31-0
J-2-32-0
J-3-10-0
J-3-11-0
J-3-12-0
J-3-13-0
J-3-14-0
J-3-15-0
J-3-16-0
J-3-17-0
K-2-10-0
K-2-11-0
K-2-12-0
K-2-13-0
K-2-14-0
K-2-21-0
K-2-22-0
K-2-31-0
Kode INACBG
K-2-32-0
K-2-41-0
K-2-42-0
K-2-51-0
K-2-52-0
K-2-53-0
K-3-10-0
K-3-11-0
K-3-12-0
K-3-13-0
K-3-14-0
K-3-15-0
K-3-16-0
L-2-21-0
L-2-22-0
L-2-31-0
L-2-32-0
L-2-41-0
L-2-42-0
L-2-51-0
L-2-52-0
L-2-53-0
L-3-10-0
L-3-11-0
L-3-12-0
M-2-10-0
M-2-21-0
M-2-22-0
M-2-31-0
M-2-32-0
M-2-41-0
M-2-42-0
M-2-51-0
M-2-52-0
M-2-61-0
M-2-62-0
M-2-63-0
M-2-64-0
M-2-65-0
M-2-71-0
M-2-72-0
M-2-81-0
M-2-82-0
M-2-83-0
M-2-84-0
M-3-10-0
M-3-11-0
M-3-12-0
M-3-13-0
M-3-14-0
M-3-15-0
M-3-16-0
M-3-17-0
N-2-11-0
Kode INACBG
N-2-12-0
N-2-21-0
N-2-22-0
N-2-23-0
N-2-24-0
N-2-31-0
N-2-32-0
N-2-41-0
N-2-42-0
N-3-10-0
N-3-11-0
N-3-12-0
N-3-13-0
N-3-14-0
N-3-15-0
O-7-10-0
O-7-11-0
O-7-12-0
O-7-13-0
P-9-10-0
P-9-11-0
P-9-12-0
P-9-13-0
P-9-14-0
P-9-15-0
P-9-16-0
P-9-17-0
Q-5-10-0
Q-5-11-0
Q-5-12-0
Q-5-13-0
Q-5-14-0
Q-5-15-0
Q-5-16-0
Q-5-17-0
Q-5-18-0
Q-5-19-0
Q-5-20-0
Q-5-21-0
Q-5-22-0
Q-5-23-0
Q-5-24-0
Q-5-25-0
Q-5-26-0
Q-5-27-0
Q-5-28-0
Q-5-29-0
Q-5-30-0
Q-5-31-0
Q-5-32-0
Q-5-33-0
Q-5-34-0
Q-5-35-0
Q-5-36-0
Kode INACBG
Q-5-37-0
Q-5-38-0
Q-5-39-0
Q-5-40-0
Q-5-41-0
Q-5-42-0
Q-5-43-0
Q-5-44-0
T-2-10-0
U-2-10-0
U-2-11-0
U-2-12-0
U-2-13-0
U-2-14-0
U-2-15-0
U-2-21-0
U-2-22-0
U-2-23-0
U-2-24-0
U-2-25-0
U-2-31-0
U-2-32-0
U-3-10-0
U-3-11-0
U-3-12-0
U-3-13-0
U-3-14-0
U-3-15-0
U-3-16-0
V-2-10-0
V-2-11-0
V-2-12-0
V-2-13-0
V-2-14-0
V-2-15-0
V-3-10-0
V-3-11-0
V-3-12-0
W-2-10-0
W-2-11-0
W-2-12-0
W-2-13-0
W-2-21-0
W-2-22-0
W-2-23-0
W-2-31-0
W-2-32-0
W-2-33-0
W-2-34-0
W-3-10-0
W-3-11-0
W-3-12-0
Z-3-10-0
Z-3-11-0
Kode INACBG
Z-3-12-0
Z-3-13-0
Z-3-14-0
Z-3-15-0
Z-3-16-0
Z-3-17-0
Z-3-18-0
Z-3-19-0
Z-3-20-0
Z-3-21-0
Z-3-22-0
Z-3-23-0
Z-3-24-0
Z-3-25-0
Z-3-26-0
Z-3-27-0
Z-3-28-0
Z-3-29-0
Z-3-30-0
Kode INACBG
A-4-10-I
A-4-10-II
A-4-10-III
A-4-11-I
A-4-11-II
A-4-11-III
A-4-12-I
A-4-12-II
A-4-12-III
A-4-13-I
A-4-13-II
A-4-13-III
13 A-4-14-I
14 A-4-14-II
15 A-4-14-III
16
17
18
19
20
21
22
23
24
25
26
27
A-4-15-I
A-4-15-II
A-4-15-III
B-1-01-I
B-1-01-II
B-1-01-III
B-1-10-I
B-1-10-II
B-1-10-III
B-1-11-I
B-1-11-II
B-1-11-III
28 B-1-12-I
29 B-1-12-II
30 B-1-12-III
31 B-1-13-I
32 B-1-13-II
33 B-1-13-III
34 B-1-14-I
35 B-1-14-II
36 B-1-14-III
37 B-4-10-I
38 B-4-10-II
39 B-4-10-III
40 B-4-11-I
41 B-4-11-II
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
SEPTIKEMIA RINGAN
SEPTIKEMIA SEDANG
SEPTIKEMIA BERAT
INFEKSI SESUDAH OPERASI & TRAUMA RINGAN
INFEKSI SESUDAH OPERASI & TRAUMA SEDANG
INFEKSI SESUDAH OPERASI & TRAUMA BERAT
DEMAM RINGAN
DEMAM SEDANG
DEMAM BERAT
INFEKSI NON BAKTERI RINGAN
INFEKSI NON BAKTERI SEDANG
INFEKSI NON BAKTERI BERAT
PENYAKIT INFEKSI BAKTERI DAN PARASIT LAIN-LAIN
RINGAN
PENYAKIT INFEKSI BAKTERI DAN PARASIT LAIN-LAIN
SEDANG
PENYAKIT INFEKSI BAKTERI DAN PARASIT LAIN-LAIN
BERAT
INFEKSI HIV RINGAN
INFEKSI HIV SEDANG
INFEKSI HIV BERAT
PROSEDUR PENCANGKOKAN HATI RINGAN
PROSEDUR PENCANGKOKAN HATI SEDANG
PROSEDUR PENCANGKOKAN HATI BERAT
PROSEDUR HATI DAN PANKREAS RINGAN
PROSEDUR HATI DAN PANKREAS SEDANG
PROSEDUR HATI DAN PANKREAS BERAT
PROSEDUR SALURAN EMPEDU KOMPLEK (RINGAN)
PROSEDUR SALURAN EMPEDU KOMPLEK (SEDANG)
PROSEDUR SALURAN EMPEDU KOMPLEK (BERAT)
PROSEDUR CHOLESISTEKTOMI TANPA LAPAROSKOPIK
RINGAN
PROSEDUR CHOLESISTEKTOMI TANPA LAPAROSKOPIK
SEDANG
PROSEDUR CHOLESISTEKTOMI TANPA LAPAROSKOPIK
BERAT
PROSEDUR PANKREAS DAN HEPATOBILLIARI LAIN-LAIN
(RINGAN)
PROSEDUR PANKREAS DAN HEPATOBILLIARI LAIN-LAIN
(SEDANG)
PROSEDUR PANKREAS DAN HEPATOBILLIARI LAIN-LAIN
(BERAT)
PROSEDUR CHOLESISTEKTOMI DENGAN LAPAROSKOPIK
RINGAN
PROSEDUR CHOLESISTEKTOMI DENGAN LAPAROSKOPIK
SEDANG
PROSEDUR CHOLESISTEKTOMI DENGAN LAPAROSKOPIK
BERAT
SIROSIS DAN HEPATITIS ALKOHOLIK RINGAN
SIROSIS DAN HEPATITIS ALKOHOLIK SEDANG
SIROSIS DAN HEPATITIS ALKOHOLIK BERAT
TUMOR SISTEM HEPATOBILLIARI DAN PANCREAS
RINGAN
TUMOR SISTEM HEPATOBILLIARI DAN PANCREAS
SEDANG
3.343.655
5.712.272
8.067.989
7.279.968
12.822.523
20.974.370
3.664.865
4.563.925
4.871.006
4.669.289
5.514.541
6.933.262
4.012.386
6.854.726
9.681.587
8.735.962
15.387.027
25.169.243
4.397.838
5.476.710
5.845.207
5.603.147
6.617.450
8.319.915
4.681.117
7.997.180
11.295.185
10.191.955
17.951.532
29.364.117
5.130.811
6.389.495
6.819.408
6.537.005
7.720.358
9.706.567
3.885.515
4.662.619
5.439.722
4.997.756
5.997.307
6.996.858
5.726.252
6.871.503
8.016.753
5.836.059
8.735.886
10.962.749
59.629.097
65.786.653
115.403.396
7.730.391
19.701.683
33.610.897
5.187.185
12.965.515
16.286.863
7.003.271
10.483.063
13.155.299
71.554.916
78.943.983
138.484.076
9.276.469
23.642.020
40.333.076
6.224.621
15.558.618
19.544.236
8.170.483
12.230.240
15.347.849
83.480.736
92.101.314
161.564.755
10.822.547
27.582.357
47.055.256
7.262.058
18.151.721
22.801.609
9.007.236
10.808.684
12.610.131
19.304.489
23.165.386
27.026.284
23.494.788
28.193.745
32.892.703
7.247.203
8.696.643
10.146.084
11.804.565
14.165.478
16.526.391
17.403.212
20.883.854
24.364.496
9.857.882
11.829.458
13.801.034
10.963.748
13.156.497
15.349.247
17.151.589
20.581.906
24.012.224
3.050.007
4.868.768
6.716.567
3.660.009
5.842.522
8.059.881
4.270.010
6.816.276
9.403.194
6.430.670
7.716.805
9.002.939
9.639.420
11.567.304
13.495.189
10.906.992
13.088.391
15.269.789
5.814.026
6.976.831
8.139.637
42 B-4-11-III
43 B-4-12-I
No
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
8.278.895
17.791.510
9.934.674
21.349.812
11.590.453
24.908.114
5.837.931
7.005.518
8.173.104
6.801.015
8.161.218
9.521.421
10.077.513
12.093.015
14.108.518
5.831.727
6.803.436
9.113.384
5.125.593
10.704.077
18.567.474
5.840.882
7.815.991
12.163.487
3.889.012
9.708.834
19.672.790
3.787.250
7.127.664
9.841.352
4.858.020
6.814.742
10.153.850
6.998.072
8.164.123
10.936.060
6.150.712
12.844.892
22.280.969
7.009.058
9.379.189
14.596.185
4.666.814
11.650.601
23.607.348
4.544.700
8.553.197
11.809.622
5.829.625
8.177.690
12.184.620
8.164.417
9.524.810
12.758.737
7.175.830
14.985.707
25.994.464
8.177.234
10.942.387
17.028.882
5.444.617
13.592.368
27.541.906
5.302.151
9.978.730
13.777.893
6.801.229
9.540.638
14.215.390
67 D-1-10-I
38.155.635
45.786.762
53.417.889
68 D-1-10-II
58.113.796
69.736.555
81.359.315
69 D-1-10-III
78.760.290
94.512.347
110.264.405
70 D-1-11-I
71 D-1-11-II
72 D-1-11-III
7.858.349
20.065.921
31.443.791
9.430.019
24.079.105
37.732.549
11.001.689
28.092.289
44.021.307
8.559.977
10.271.972
11.983.967
23.590.093
28.308.112
33.026.131
37.420.859
44.905.031
52.389.203
3.731.442
6.123.590
9.633.875
6.783.730
13.842.512
19.016.247
4.597.891
6.377.295
9.792.614
4.477.731
7.348.308
11.560.650
8.140.476
16.611.014
22.819.497
5.517.469
7.652.754
11.751.137
5.224.019
8.573.026
13.487.425
9.497.222
19.379.516
26.622.746
6.437.048
8.928.213
13.709.660
3.762.888
4.515.466
5.268.044
5.325.844
6.391.013
7.456.182
6.811.909
8.174.290
9.536.672
4.226.056
5.071.267
5.916.479
46 B-4-13-I
47 B-4-13-II
48 B-4-13-III
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
B-4-14-I
B-4-14-II
B-4-14-III
C-4-10-I
C-4-10-II
C-4-10-III
C-4-11-I
C-4-11-II
C-4-11-III
C-4-12-I
C-4-12-II
C-4-12-III
C-4-13-I
C-4-13-II
C-4-13-III
C-4-14-I
C-4-14-II
C-4-14-III
73 D-1-20-I
74 D-1-20-II
75 D-1-20-III
76
77
78
79
80
81
82
83
84
D-4-10-I
D-4-10-II
D-4-10-III
D-4-11-I
D-4-11-II
D-4-11-III
D-4-12-I
D-4-12-II
D-4-12-III
85 D-4-13-I
86 D-4-13-II
87 D-4-13-III
88 D-4-14-I
Kode INACBG
89 D-4-14-II
90 D-4-14-III
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
8.914.700
10.697.640
12.480.580
11.520.723
13.824.867
16.129.012
91 E-1-01-I
8.424.152
10.108.982
11.793.813
92 E-1-01-II
11.724.976
14.069.971
16.414.967
93
94
95
96
27.728.370
8.758.383
10.629.981
22.405.102
33.274.044
10.510.060
12.755.977
26.886.122
38.819.718
12.261.736
14.881.973
31.367.143
9.915.250
11.898.299
13.881.349
13.345.651
16.014.781
18.683.911
26.567.673
31.881.208
37.194.743
4.863.836
5.836.603
6.809.370
6.796.243
8.155.492
9.514.741
12.184.652
14.621.583
17.058.513
3.897.827
5.942.669
11.631.616
4.478.602
7.755.798
11.644.109
4.677.393
7.131.202
13.957.939
5.374.322
9.306.958
13.972.931
5.456.958
8.319.736
16.284.263
6.270.043
10.858.118
16.301.753
109 E-4-13-I
4.877.037
5.852.444
6.827.851
110 E-4-13-II
8.092.792
9.711.350
11.329.909
111
112
113
114
115
116
117
11.419.854
5.787.541
6.405.288
9.483.171
5.342.191
6.224.240
7.981.785
13.703.825
6.945.049
7.686.346
11.379.806
6.410.629
7.469.088
9.578.142
15.987.795
8.102.557
8.967.403
13.276.440
7.479.067
8.713.936
11.174.498
E-1-01-III
E-1-10-I
E-1-10-II
E-1-10-III
97 E-1-20-I
98 E-1-20-II
99 E-1-20-III
100 E-4-10-I
101 E-4-10-II
102 E-4-10-III
103
104
105
106
107
108
E-4-11-I
E-4-11-II
E-4-11-III
E-4-12-I
E-4-12-II
E-4-12-III
E-4-13-III
F-4-10-I
F-4-10-II
F-4-10-III
F-4-11-I
F-4-11-II
F-4-11-III
118 F-4-12-I
2.928.415
3.514.098
4.099.781
119 F-4-12-II
4.163.323
4.995.988
5.828.652
120 F-4-12-III
9.044.487
10.853.384
12.662.281
121
122
123
124
125
126
127
128
129
4.303.262
5.678.271
7.351.261
2.455.259
3.149.136
4.237.435
3.910.092
5.826.585
7.692.975
5.163.914
6.813.925
8.821.513
2.946.310
3.778.963
5.084.923
4.692.110
6.991.902
9.231.570
6.024.567
7.949.579
10.291.765
3.437.362
4.408.791
5.932.410
5.474.128
8.157.219
10.770.165
7.693.314
9.231.977
10.770.639
F-4-13-I
F-4-13-II
F-4-13-III
F-4-14-I
F-4-14-II
F-4-14-III
F-4-15-I
F-4-15-II
F-4-15-III
130 F-4-16-I
Kode INACBG
131 F-4-16-II
132 F-4-16-III
133
134
135
136
137
138
139
140
141
F-4-17-I
F-4-17-II
F-4-17-III
F-4-18-I
F-4-18-II
F-4-18-III
F-4-19-I
F-4-19-II
F-4-19-III
142 G-1-01-I
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
8.944.811
10.733.773
12.522.735
11.939.794
14.327.753
16.715.712
1.816.836
5.325.042
5.681.338
6.684.936
7.355.317
11.338.831
5.108.890
6.542.117
8.144.947
2.180.203
6.390.050
6.817.606
8.021.923
8.826.381
13.606.597
6.130.668
7.850.540
9.773.936
2.543.570
7.455.058
7.953.874
9.358.910
10.297.444
15.874.363
7.152.446
9.158.964
11.402.926
16.629.491
19.955.389
23.281.287
143 G-1-01-II
24.908.185
29.889.822
34.871.459
144 G-1-01-III
54.490.237
65.388.285
76.286.332
145
146
147
148
149
150
18.732.612
22.180.811
23.643.306
9.403.205
19.274.160
40.273.801
22.479.134
26.616.973
28.371.968
11.283.846
23.128.993
48.328.561
26.225.656
31.053.135
33.100.629
13.164.488
26.983.825
56.383.321
G-1-10-I
G-1-10-II
G-1-10-III
G-1-11-I
G-1-11-II
G-1-11-III
151 G-1-12-I
6.509.693
7.811.632
9.113.571
152 G-1-12-II
13.618.991
16.342.790
19.066.588
153 G-1-12-III
24.020.914
28.825.097
33.629.280
154
155
156
157
158
159
160
161
162
1.963.791
5.273.746
11.899.894
14.331.856
18.609.665
36.979.198
11.730.874
30.642.672
39.464.647
2.356.549
6.328.495
14.279.873
17.198.228
22.331.597
44.375.038
14.077.049
36.771.207
47.357.576
2.749.307
7.383.244
16.659.852
20.064.599
26.053.530
51.770.877
16.423.223
42.899.741
55.250.505
5.587.891
6.705.470
7.823.048
6.830.261
8.196.313
9.562.365
9.372.307
11.246.769
13.121.230
7.577.197
9.092.637
10.608.076
10.065.318
12.078.382
14.091.446
14.789.434
17.747.321
20.705.208
6.489.452
8.196.610
11.904.625
7.787.343
9.835.932
14.285.550
9.085.233
11.475.254
16.666.474
3.898.350
4.678.021
5.457.691
G-1-13-I
G-1-13-II
G-1-13-III
G-1-20-I
G-1-20-II
G-1-20-III
G-1-30-I
G-1-30-II
G-1-30-III
163 G-4-10-I
164 G-4-10-II
165 G-4-10-III
166 G-4-11-I
167 G-4-11-II
168 G-4-11-III
169 G-4-12-I
170 G-4-12-II
171 G-4-12-III
172 G-4-13-I
Kode INACBG
173 G-4-13-II
174 G-4-13-III
175 G-4-14-I
176 G-4-14-II
177 G-4-14-III
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
6.797.849
8.157.419
9.516.988
8.062.387
9.674.865
11.287.342
6.612.978
7.935.573
9.258.169
8.841.177
10.609.413
12.377.648
11.096.684
13.316.021
15.535.358
178 G-4-15-I
5.403.371
6.484.046
7.564.720
179 G-4-15-II
6.448.693
7.738.432
9.028.171
180 G-4-15-III
9.101.765
10.922.117
12.742.470
181 G-4-16-I
182 G-4-16-II
183 G-4-16-III
4.454.402
5.913.759
12.164.727
5.345.283
7.096.511
14.597.672
6.236.163
8.279.263
17.030.617
184 G-4-17-I
5.932.964
7.119.557
8.306.150
185 G-4-17-II
7.779.366
9.335.239
10.891.112
186 G-4-17-III
13.038.742
15.646.490
18.254.239
5.842.985
7.011.582
8.180.179
7.810.401
9.372.481
10.934.561
8.739.194
10.487.033
12.234.872
4.875.008
5.850.010
6.825.012
8.239.881
9.887.858
11.535.834
11.963.782
14.356.538
16.749.294
3.410.267
4.821.097
7.963.301
3.551.265
6.010.556
7.063.793
3.687.805
4.711.974
5.505.719
3.884.272
4.873.515
6.938.623
3.893.929
4.864.869
9.418.602
3.327.314
4.207.691
5.576.026
4.092.320
5.785.316
9.555.961
4.261.518
7.212.667
8.476.552
4.425.367
5.654.369
6.606.863
4.661.126
5.848.218
8.326.348
4.672.714
5.837.843
11.302.323
3.992.776
5.049.229
6.691.231
4.774.374
6.749.535
11.148.621
4.971.771
8.414.778
9.889.310
5.162.928
6.596.764
7.708.007
5.437.981
6.822.921
9.714.073
5.451.500
6.810.817
13.186.043
4.658.239
5.890.767
7.806.437
187 G-4-18-I
188 G-4-18-II
189 G-4-18-III
190 G-4-19-I
191 G-4-19-II
192 G-4-19-III
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
G-4-20-I
G-4-20-II
G-4-20-III
G-4-21-I
G-4-21-II
G-4-21-III
G-4-22-I
G-4-22-II
G-4-22-III
G-4-23-I
G-4-23-II
G-4-23-III
G-4-24-I
G-4-24-II
G-4-24-III
G-4-25-I
G-4-25-II
G-4-25-III
Kode INACBG
211 G-4-26-I
212 G-4-26-II
213 G-4-26-III
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
H-1-20-I
H-1-20-II
H-1-20-III
H-1-30-I
H-1-30-II
H-1-30-III
H-4-10-I
H-4-10-II
H-4-10-III
H-4-11-I
H-4-11-II
H-4-11-III
H-4-12-I
H-4-12-II
H-4-12-III
229 I-1-01-I
230 I-1-01-II
231 I-1-01-III
232 I-1-02-I
233 I-1-02-II
234 I-1-02-III
235 I-1-03-I
236 I-1-03-II
237 I-1-03-III
238 I-1-04-I
239 I-1-04-II
240 I-1-04-III
241 I-1-05-I
242 I-1-05-II
243 I-1-05-III
244 I-1-06-I
245 I-1-06-II
246 I-1-06-III
247 I-1-07-I
248 I-1-07-II
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
5.842.205
7.010.646
8.179.087
6.796.304
8.155.565
9.514.826
10.630.716
12.756.859
14.883.002
12.441.858
13.750.206
18.699.421
4.796.835
8.439.698
9.387.827
5.834.879
7.916.641
15.560.600
3.887.405
4.434.434
6.349.745
4.583.281
5.476.253
9.177.184
14.930.229
16.500.247
22.439.305
5.756.202
10.127.637
11.265.393
7.001.854
9.499.969
18.672.721
4.664.886
5.321.320
7.619.694
5.499.938
6.571.503
11.012.621
17.418.601
19.250.288
26.179.189
6.715.569
11.815.577
13.142.958
8.168.830
11.083.298
21.784.841
5.442.367
6.208.207
8.889.643
6.416.594
7.666.754
12.848.058
77.356.591
92.827.910
108.299.228
79.058.359
94.870.031
110.681.702
124.792.577
149.751.093
174.709.608
42.917.118
51.500.541
60.083.965
55.362.548
66.435.057
77.507.567
68.237.752
81.885.303
95.532.853
26.389.525
31.667.430
36.945.335
32.047.052
38.456.463
44.865.873
49.778.255
59.733.906
69.689.558
44.269.335
53.123.202
61.977.069
69.868.900
83.842.680
97.816.460
111.615.159
133.938.191
156.261.223
56.801.598
68.161.918
79.522.238
68.162.195
81.794.634
95.427.073
93.790.604
112.548.725
131.306.846
41.877.284
60.662.644
72.381.727
50.252.741
72.795.172
86.858.073
58.628.198
84.927.701
101.334.418
34.511.371
41.413.645
48.315.919
42.576.864
51.092.237
59.607.609
Kode INACBG
249 I-1-07-III
250 I-1-11-I
251 I-1-11-II
252 I-1-11-III
253 I-1-12-I
254 I-1-12-II
255 I-1-12-III
256 I-1-13-I
257 I-1-13-II
258 I-1-13-III
259 I-1-14-I
260 I-1-14-II
261 I-1-14-III
262 I-1-15-I
263 I-1-15-II
264 I-1-15-III
265 I-1-16-I
266 I-1-16-II
267 I-1-16-III
268 I-1-17-I
269 I-1-17-II
270 I-1-17-III
271 I-1-20-I
272 I-1-20-II
273 I-1-20-III
274 I-1-30-I
275 I-1-30-II
276 I-1-30-III
277 I-1-40-I
278 I-1-40-II
279 I-1-40-III
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
46.451.198
55.741.438
65.031.678
5.352.076
6.422.491
7.492.906
5.950.987
7.141.184
8.331.382
7.918.937
9.502.724
11.086.512
22.253.012
26.703.614
31.154.216
25.160.918
30.193.102
35.225.286
42.000.035
50.400.042
58.800.049
16.400.427
19.680.512
22.960.597
19.900.326
23.880.391
27.860.456
25.101.544
30.121.853
35.142.162
44.179.406
53.015.287
61.851.168
54.908.512
65.890.215
76.871.917
71.949.061
86.338.873
100.728.685
10.287.363
13.664.751
29.234.302
12.344.835
16.397.702
35.081.162
14.402.308
19.130.652
40.928.023
18.933.635
22.720.362
26.507.089
49.227.867
59.073.440
68.919.014
56.783.576
68.140.291
79.497.006
32.633.166
39.159.799
45.686.432
40.859.786
49.031.743
57.203.700
50.542.934
60.651.521
70.760.107
28.396.625
34.075.950
39.755.275
35.475.111
42.570.133
49.665.155
37.291.762
44.750.115
52.208.467
21.480.394
25.776.473
30.072.552
44.684.044
53.620.853
62.557.662
69.244.256
83.093.107
96.941.958
19.824.134
49.008.640
65.458.886
23.788.961
58.810.368
78.550.664
27.753.788
68.612.097
91.642.441
Kode INACBG
I-4-10-I
I-4-10-II
I-4-10-III
I-4-11-I
I-4-11-II
I-4-11-III
I-4-12-I
I-4-12-II
I-4-12-III
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
6.701.130
11.965.740
17.261.624
7.959.142
9.849.455
18.220.348
6.939.964
11.230.965
13.873.934
8.041.356
14.358.888
20.713.948
9.550.970
11.819.346
21.864.418
8.327.957
13.477.158
16.648.721
9.381.582
16.752.036
24.166.273
11.142.798
13.789.237
25.508.488
9.715.950
15.723.352
19.423.507
7.695.201
9.234.241
10.773.281
11.146.066
13.375.279
15.604.493
24.954.634
29.945.560
34.936.487
4.396.723
4.548.003
7.972.754
5.276.068
5.457.603
9.567.305
6.155.412
6.367.204
11.161.855
7.780.081
9.336.097
10.892.114
10.041.146
12.049.375
14.057.604
11.444.301
13.733.161
16.022.021
5.432.485
7.718.833
10.981.476
4.458.561
6.044.197
7.335.714
6.933.551
10.556.503
6.518.982
9.262.600
13.177.772
5.350.273
7.253.036
8.802.857
8.320.261
12.667.804
7.605.479
10.806.367
15.374.067
6.241.986
8.461.875
10.270.000
9.706.971
14.779.104
14.332.301
17.198.762
20.065.222
307 I-4-19-I
5.164.223
6.197.067
7.229.912
308 I-4-19-II
8.061.675
9.674.010
11.286.345
309
310
311
312
313
314
315
316
317
318
9.624.162
5.377.546
6.211.033
9.286.747
8.077.117
10.075.680
13.745.364
5.842.157
7.272.712
10.630.366
11.548.994
6.453.055
7.453.240
11.144.097
9.692.540
12.090.815
16.494.436
7.010.588
8.727.254
12.756.439
13.473.827
7.528.565
8.695.446
13.001.446
11.307.964
14.105.951
19.243.509
8.179.020
10.181.797
14.882.513
4.414.197
5.297.037
6.179.876
5.419.315
6.503.178
7.587.040
10.589.083
12.706.899
14.824.716
5.148.867
6.178.641
7.208.414
11.856.645
14.227.974
16.599.303
280
281
282
283
284
285
286
287
288
289 I-4-13-I
290 I-4-13-II
291 I-4-13-III
292 I-4-14-I
293 I-4-14-II
294 I-4-14-III
295 I-4-15-I
296 I-4-15-II
297 I-4-15-III
298
299
300
301
302
303
304
305
I-4-16-I
I-4-16-II
I-4-16-III
I-4-17-I
I-4-17-II
I-4-17-III
I-4-18-I
I-4-18-II
306 I-4-18-III
I-4-19-III
I-4-20-I
I-4-20-II
I-4-20-III
I-4-21-I
I-4-21-II
I-4-21-III
I-4-22-I
I-4-22-II
I-4-22-III
319 I-4-23-I
320 I-4-23-II
321 I-4-23-III
322 I-4-24-I
323 I-4-24-II
Kode INACBG
324 I-4-24-III
325 J-1-01-I
326 J-1-01-II
327 J-1-01-III
328 J-1-02-I
329 J-1-02-II
330 J-1-02-III
331 J-1-10-I
332 J-1-10-II
333 J-1-10-III
334 J-1-20-I
335 J-1-20-II
336 J-1-20-III
337 J-1-30-I
338 J-1-30-II
339 J-1-30-III
340
341
342
343
344
345
346
347
348
349
350
351
352
353
354
355
356
357
358
359
360
361
362
363
364
365
366
367
368
J-4-10-I
J-4-10-II
J-4-10-III
J-4-11-I
J-4-11-II
J-4-11-III
J-4-12-I
J-4-12-II
J-4-12-III
J-4-13-I
J-4-13-II
J-4-13-III
J-4-14-I
J-4-14-II
J-4-14-III
J-4-15-I
J-4-15-II
J-4-15-III
J-4-16-I
J-4-16-II
J-4-16-III
J-4-17-I
J-4-17-II
J-4-17-III
J-4-18-I
J-4-18-II
J-4-18-III
J-4-19-I
J-4-19-II
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
14.990.586
17.988.703
20.986.820
75.098.400
90.118.080
105.137.760
83.442.667
100.131.200
116.819.734
92.714.074
111.256.889
129.799.704
39.852.050
47.822.460
55.792.871
54.480.926
65.377.111
76.273.297
88.360.044
106.032.052
123.704.061
12.452.797
20.410.811
28.911.329
14.943.356
24.492.973
34.693.595
17.433.916
28.575.135
40.475.861
16.040.437
19.248.524
22.456.612
20.203.392
24.244.071
28.284.749
31.197.364
37.436.837
43.676.309
9.643.968
11.572.761
13.501.555
21.794.407
26.153.288
30.512.169
72.838.361
87.406.033
101.973.705
5.691.736
8.137.983
12.311.646
3.517.137
4.898.783
7.020.127
5.973.915
7.110.684
9.495.238
7.629.493
9.922.947
19.813.491
5.823.501
9.476.460
11.211.612
5.840.889
6.978.226
10.786.411
4.866.673
6.838.956
11.319.277
4.866.045
5.827.217
8.768.340
3.883.470
5.341.456
5.622.484
6.802.414
7.772.883
6.830.083
9.765.580
14.773.975
4.220.565
5.878.540
8.424.152
7.168.698
8.532.821
11.394.286
9.155.392
11.907.536
23.776.189
6.988.201
11.371.752
13.453.934
7.009.067
8.373.872
12.943.693
5.840.008
8.206.747
13.583.132
5.839.254
6.992.661
10.522.008
4.660.164
6.409.747
6.746.981
8.162.897
9.327.460
7.968.430
11.393.177
17.236.304
4.923.992
6.858.296
9.828.177
8.363.482
9.954.958
13.293.333
10.681.291
13.892.125
27.738.888
8.152.901
13.267.044
15.696.256
8.177.245
9.769.517
15.100.975
6.813.343
9.574.538
15.846.987
6.812.464
8.158.104
12.275.676
5.436.858
7.478.039
7.871.478
9.523.380
10.882.036
Kode INACBG
J-4-19-III
J-4-20-I
J-4-20-II
J-4-20-III
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
10.802.584
6.801.597
9.741.592
15.366.028
12.963.100
8.161.916
11.689.911
18.439.233
15.123.617
9.522.236
13.638.229
21.512.439
3.885.942
4.663.131
5.440.319
8.846.484
10.615.781
12.385.078
12.617.980
15.141.576
17.665.172
10.476.501
12.571.802
14.667.102
13.165.970
15.799.165
18.432.359
15.430.966
18.517.159
21.603.352
8.138.374
10.684.695
27.116.013
9.766.049
12.821.634
32.539.215
11.393.724
14.958.573
37.962.418
4.395.811
5.274.973
6.154.135
5.717.269
6.860.723
8.004.176
11.326.673
13.592.007
15.857.342
385 K-1-13-I
386 K-1-13-II
387 K-1-13-III
4.957.571
8.657.816
9.266.414
5.949.085
10.389.379
11.119.697
6.940.599
12.120.942
12.972.980
388 K-1-14-I
8.045.275
9.654.331
11.263.386
389 K-1-14-II
9.428.853
11.314.624
13.200.395
390
391
392
393
21.397.943
15.578.128
21.759.141
38.048.576
25.677.532
18.693.753
26.110.969
45.658.291
29.957.120
21.809.379
30.462.797
53.268.006
10.236.443
12.283.731
14.331.020
20.043.217
24.051.860
28.060.503
29.459.477
35.351.373
41.243.268
397 K-1-40-I
10.279.406
12.335.288
14.391.169
398 K-1-40-II
11.333.396
13.600.076
15.866.755
23.520.473
7.854.454
10.199.990
14.414.422
10.072.290
16.011.159
26.574.689
3.905.548
5.829.574
9.774.661
3.897.878
5.245.308
28.224.568
9.425.345
12.239.987
17.297.307
12.086.748
19.213.391
31.889.627
4.686.657
6.995.489
11.729.593
4.677.454
6.294.370
32.928.662
10.996.236
14.279.985
20.180.191
14.101.206
22.415.623
37.204.565
5.467.767
8.161.404
13.684.526
5.457.030
7.343.431
369
370
371
372
373 J-4-21-I
374 J-4-21-II
375 J-4-21-III
376 K-1-10-I
377 K-1-10-II
378 K-1-10-III
379 K-1-11-I
380 K-1-11-II
381 K-1-11-III
382 K-1-12-I
383 K-1-12-II
384 K-1-12-III
K-1-14-III
K-1-20-I
K-1-20-II
K-1-20-III
394 K-1-30-I
395 K-1-30-II
396 K-1-30-III
399
400
401
402
403
404
405
406
407
408
409
410
K-1-40-III
K-1-50-I
K-1-50-II
K-1-50-III
K-4-10-I
K-4-10-II
K-4-10-III
K-4-11-I
K-4-11-II
K-4-11-III
K-4-12-I
K-4-12-II
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
11.873.553
14.248.264
16.622.975
5.838.432
7.006.118
8.173.805
7.552.345
9.062.814
10.573.283
11.633.018
13.959.622
16.286.226
4.627.005
5.552.406
6.477.807
6.210.931
7.453.117
8.695.303
9.966.063
11.959.275
13.952.488
4.833.574
7.444.139
10.595.841
4.863.754
5.832.995
6.806.227
5.800.289
8.932.967
12.715.010
5.836.504
6.999.594
8.167.472
6.767.003
10.421.795
14.834.178
6.809.255
8.166.193
9.528.717
3.528.197
4.233.836
4.939.476
4.993.006
5.991.608
6.990.209
5.632.122
6.758.547
7.884.971
427 K-4-18-I
3.892.698
4.671.237
5.449.777
428 K-4-18-II
5.838.935
7.006.722
8.174.509
429 K-4-18-III
7.162.679
8.595.214
10.027.750
35.876.267
43.051.521
50.226.774
37.491.443
44.989.732
52.488.020
57.197.218
68.636.662
80.076.105
15.808.067
18.969.681
22.131.294
23.612.162
28.334.594
33.057.026
24.964.725
29.957.670
34.950.615
6.567.339
7.880.806
9.194.274
13.172.581
15.807.097
18.441.613
32.026.792
38.432.151
44.837.509
12.075.501
18.588.055
23.079.043
5.863.055
6.805.393
12.421.855
4.970.942
6.832.121
15.524.555
5.830.989
14.490.601
22.305.666
27.694.852
7.035.666
8.166.472
14.906.226
5.965.131
8.198.545
18.629.466
6.997.187
16.905.701
26.023.277
32.310.661
8.208.277
9.527.551
17.390.597
6.959.319
9.564.970
21.734.377
8.163.385
412 K-4-13-I
413 K-4-13-II
414 K-4-13-III
415 K-4-14-I
416 K-4-14-II
417 K-4-14-III
418
419
420
421
422
423
K-4-15-I
K-4-15-II
K-4-15-III
K-4-16-I
K-4-16-II
K-4-16-III
424 K-4-17-I
425 K-4-17-II
426 K-4-17-III
430 L-1-20-I
431 L-1-20-II
432 L-1-20-III
433 L-1-30-I
434 L-1-30-II
435 L-1-30-III
436 L-1-40-I
437 L-1-40-II
438 L-1-40-III
439
440
441
442
443
444
445
446
447
448
L-1-50-I
L-1-50-II
L-1-50-III
L-4-10-I
L-4-10-II
L-4-10-III
L-4-11-I
L-4-11-II
L-4-11-III
L-4-12-I
451 L-4-13-I
452 L-4-13-II
453 L-4-13-III
454 L-4-14-I
455 L-4-14-II
456 L-4-14-III
457 M-1-01-I
458 M-1-01-II
459 M-1-01-III
460 M-1-02-I
461 M-1-02-II
462 M-1-02-III
463 M-1-03-I
464 M-1-03-II
465 M-1-03-III
466 M-1-04-I
467 M-1-04-II
468 M-1-04-III
469 M-1-05-I
470 M-1-05-II
471 M-1-05-III
472 M-1-07-I
473 M-1-07-II
474 M-1-07-III
475 M-1-10-I
476 M-1-10-II
477 M-1-10-III
478 M-1-20-I
479 M-1-20-II
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
7.712.250
14.333.282
9.254.700
17.199.938
10.797.150
20.066.594
3.310.085
3.972.102
4.634.119
3.890.192
4.668.231
5.446.269
5.724.543
6.869.452
8.014.360
3.883.565
4.660.278
5.436.991
5.833.200
6.999.840
8.166.480
8.222.629
9.867.155
11.511.681
17.481.414
20.977.697
24.473.980
19.512.444
23.414.933
27.317.421
27.409.199
32.891.039
38.372.879
12.167.305
19.960.025
35.188.806
14.600.766
23.952.030
42.226.567
17.034.228
27.944.035
49.264.329
32.528.569
39.034.282
45.539.996
39.052.525
46.863.030
54.673.535
40.618.000
48.741.600
56.865.200
8.017.853
9.621.424
11.224.994
10.251.011
12.301.213
14.351.415
12.827.009
15.392.411
17.957.812
11.476.975
13.772.370
16.067.765
11.749.473
14.099.368
16.449.263
20.012.923
24.015.508
28.018.092
14.045.300
16.854.360
19.663.419
18.815.794
22.578.952
26.342.111
38.329.624
45.995.549
53.661.474
23.660.962
28.393.154
33.125.347
56.572.438
67.886.926
79.201.414
122.021.424
146.425.709
170.829.994
8.487.426
10.184.912
11.882.397
12.109.663
14.531.596
16.953.528
Kode INACBG
480 M-1-20-III
481 M-1-30-I
482 M-1-30-II
483 M-1-30-III
484 M-1-40-I
485 M-1-40-II
486 M-1-40-III
487 M-1-50-I
488 M-1-50-II
489 M-1-50-III
490 M-1-60-I
491 M-1-60-II
492 M-1-60-III
493 M-1-70-I
494 M-1-70-II
495 M-1-70-III
496
497
498
499
500
501
M-1-80-I
M-1-80-II
M-1-80-III
M-4-10-I
M-4-10-II
M-4-10-III
502 M-4-11-I
503 M-4-11-II
504 M-4-11-III
505 M-4-12-I
506 M-4-12-II
507 M-4-12-III
508 M-4-13-I
509 M-4-13-II
510 M-4-13-III
511
512
513
514
515
516
517
518
M-4-14-I
M-4-14-II
M-4-14-III
M-4-15-I
M-4-15-II
M-4-15-III
M-4-16-I
M-4-16-II
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
30.042.751
36.051.301
42.059.851
11.368.552
23.581.017
35.177.905
13.642.263
28.297.220
42.213.486
15.915.973
33.013.424
49.249.067
5.692.964
6.831.556
7.970.149
10.522.710
12.627.252
14.731.794
18.321.475
21.985.770
25.650.065
6.822.045
13.686.089
20.966.373
8.186.454
16.423.307
25.159.648
9.550.863
19.160.524
29.352.922
5.123.068
6.147.682
7.172.296
10.283.447
12.340.136
14.396.826
17.904.164
21.484.996
25.065.829
28.195.698
33.834.837
39.473.977
31.015.267
37.218.321
43.421.374
34.116.794
40.940.153
47.763.512
16.028.076
18.724.613
42.843.367
3.908.872
5.829.330
11.029.255
19.233.691
22.469.535
51.412.040
4.690.646
6.995.196
13.235.106
22.439.306
26.214.458
59.980.713
5.472.420
8.161.062
15.440.957
4.870.819
5.844.982
6.819.146
10.678.931
12.814.717
14.950.503
15.439.986
18.527.984
21.615.981
3.887.993
4.665.591
5.443.190
6.466.716
7.760.059
9.053.402
10.388.458
12.466.150
14.543.841
6.473.823
7.768.587
9.063.352
9.726.684
11.672.021
13.617.358
19.247.416
23.096.899
26.946.382
7.383.269
9.106.112
13.683.876
4.378.017
5.835.590
16.553.384
4.855.322
7.775.190
8.859.923
10.927.335
16.420.651
5.253.621
7.002.708
19.864.061
5.826.386
9.330.228
10.336.577
12.748.557
19.157.427
6.129.224
8.169.826
23.174.738
6.797.451
10.885.266
520 M-4-17-I
521 M-4-17-II
522 M-4-17-III
523 M-4-18-I
524 M-4-18-II
525 M-4-18-III
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
13.061.721
15.674.065
18.286.409
4.864.800
5.837.761
6.810.721
6.803.913
8.164.695
9.525.478
9.501.159
11.401.390
13.301.622
4.762.869
7.177.923
8.642.621
5.715.443
8.613.508
10.371.146
6.668.017
10.049.092
12.099.670
526 M-4-19-I
3.834.498
4.601.398
5.368.298
527 M-4-19-II
6.458.829
7.750.595
9.042.361
528 M-4-19-III
12.614.463
15.137.356
17.660.249
3.867.968
4.641.562
5.415.155
5.664.009
6.796.810
7.929.612
6.330.159
7.596.190
8.862.222
3.894.743
4.673.692
5.452.640
4.871.236
5.845.483
6.819.730
10.921.118
13.105.342
15.289.565
250.000.000
250.000.000
250.000.000
13.121.114
17.764.214
31.467.100
250.000.000
250.000.000
250.000.000
15.745.337
21.317.057
37.760.520
250.000.000
250.000.000
250.000.000
18.369.560
24.869.899
44.053.940
7.022.650
8.427.180
9.831.710
16.465.749
19.758.899
23.052.049
30.004.919
36.005.903
42.006.887
14.393.046
19.073.832
24.516.016
17.271.655
22.888.598
29.419.219
20.150.264
26.703.364
34.322.422
11.456.805
13.748.166
16.039.528
17.331.908
20.798.290
24.264.671
19.947.331
23.936.797
27.926.264
529 M-4-20-I
530 M-4-20-II
531 M-4-20-III
532 M-4-21-I
533 M-4-21-II
534 M-4-21-III
535
536
537
538
539
540
N-1-01-I
N-1-01-II
N-1-01-III
N-1-11-I
N-1-11-II
N-1-11-III
541 N-1-12-I
542 N-1-12-II
543 N-1-12-III
544 N-1-20-I
545 N-1-20-II
546 N-1-20-III
547 N-1-30-I
548 N-1-30-II
549 N-1-30-III
550 N-1-40-I
10.288.983
12.346.779
14.404.576
551 N-1-40-II
13.972.266
16.766.719
19.561.172
552 N-1-40-III
16.261.881
19.514.257
22.766.634
Kode INACBG
553 N-4-10-I
554 N-4-10-II
555 N-4-10-III
556
557
558
559
560
561
562
563
564
N-4-11-I
N-4-11-II
N-4-11-III
N-4-12-I
N-4-12-II
N-4-12-III
N-4-13-I
N-4-13-II
N-4-13-III
565 N-4-14-I
566 N-4-14-II
567 N-4-14-III
568 N-4-15-I
569 N-4-15-II
570 N-4-15-III
571 N-4-16-I
572 N-4-16-II
573 N-4-16-III
574 O-6-10-I
575 O-6-10-II
576 O-6-10-III
577 O-6-11-I
578 O-6-11-II
579 O-6-11-III
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
4.857.134
5.828.561
6.799.987
5.874.748
7.049.697
8.224.647
11.674.107
14.008.928
16.343.750
3.355.756
5.862.966
7.294.738
3.896.721
5.840.327
7.936.624
4.838.426
5.830.732
12.669.563
4.026.907
7.035.560
8.753.686
4.676.066
7.008.392
9.523.948
5.806.111
6.996.878
15.203.476
4.698.058
8.208.153
10.212.634
5.455.410
8.176.458
11.111.273
6.773.797
8.163.025
17.737.389
3.370.324
4.044.389
4.718.454
4.782.278
5.738.734
6.695.190
7.756.039
9.307.247
10.858.454
4.423.902
5.308.682
6.193.463
5.489.326
6.587.191
7.685.057
6.264.306
7.517.167
8.770.029
4.875.378
5.850.454
6.825.530
7.493.322
8.991.986
10.490.651
13.295.446
15.954.535
18.613.625
5.632.815
6.215.783
8.512.017
6.759.378
7.458.940
10.214.421
7.885.941
8.702.097
11.916.824
4.531.933
5.438.320
6.344.707
5.036.677
6.044.012
7.051.348
9.050.455
10.860.547
12.670.638
580 O-6-12-I
3.210.830
3.852.995
4.495.161
581 O-6-12-II
3.856.184
4.627.421
5.398.658
582 O-6-12-III
4.845.358
5.814.430
6.783.501
583 O-6-13-I
584 O-6-13-II
585 O-6-13-III
2.820.000
3.337.653
4.184.060
3.384.000
4.005.184
5.020.872
3.948.000
4.672.714
5.857.684
Kode INACBG
586 P-8-01-I
587 P-8-01-II
588 P-8-01-III
589 P-8-02-I
590 P-8-02-II
591 P-8-02-III
592 P-8-03-I
593 P-8-03-II
594 P-8-03-III
595 P-8-04-I
596 P-8-04-II
597 P-8-04-III
598 P-8-05-I
599 P-8-05-II
600 P-8-05-III
601 P-8-06-I
602 P-8-06-II
603 P-8-06-III
604 P-8-07-I
605 P-8-07-II
606 P-8-07-III
607 P-8-08-I
608 P-8-08-II
609 P-8-08-III
610 P-8-10-I
611 P-8-10-II
612 P-8-10-III
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
90.092.466
108.110.959
126.129.452
111.475.814
133.770.977
156.066.140
130.841.303
157.009.564
183.177.824
106.985.505
128.382.606
149.779.707
122.723.139
147.267.767
171.812.395
140.219.887
168.263.864
196.307.841
6.037.750
7.245.301
8.452.851
8.452.851
10.143.421
11.833.991
11.763.892
14.116.670
16.469.448
48.638.380
58.366.056
68.093.732
63.122.131
75.746.557
88.370.983
90.501.248
108.601.497
126.701.747
26.447.974
31.737.569
37.027.164
37.486.438
44.983.725
52.481.013
55.231.234
66.277.481
77.323.727
5.236.116
6.283.339
7.330.562
9.715.581
11.658.697
13.601.813
18.918.385
22.702.062
26.485.739
8.452.851
10.143.421
11.833.991
23.699.758
28.439.710
33.179.662
31.396.302
37.675.563
43.954.823
4.890.855
5.869.026
6.847.197
6.939.891
8.327.869
9.715.847
12.692.898
15.231.478
17.770.057
3.427.992
4.113.591
4.799.189
5.395.702
6.474.842
7.553.983
10.593.963
12.712.755
14.831.548
Kode INACBG
613 P-8-11-I
614 P-8-11-II
615 P-8-11-III
616 P-8-12-I
617 P-8-12-II
618 P-8-12-III
619 P-8-13-I
620 P-8-13-II
621 P-8-13-III
622 P-8-14-I
623 P-8-14-II
624 P-8-14-III
625 P-8-15-I
626 P-8-15-II
627 P-8-15-III
628 P-8-16-I
629 P-8-16-II
630 P-8-16-III
631 P-8-17-I
632 P-8-17-II
633 P-8-17-III
634 S-4-10-I
635 S-4-10-II
636 S-4-10-III
637
638
639
640
641
642
S-4-11-I
S-4-11-II
S-4-11-III
S-4-12-I
S-4-12-II
S-4-12-III
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
8.579.499
10.295.398
12.011.298
18.281.103
21.937.324
25.593.545
21.910.997
26.293.196
30.675.395
10.915.784
13.098.941
15.282.098
13.808.231
16.569.877
19.331.523
14.614.267
17.537.120
20.459.973
2.744.334
3.293.201
3.842.067
6.799.245
8.159.094
9.518.943
16.563.487
19.876.185
23.188.882
4.676.432
5.611.718
6.547.005
9.519.405
11.423.286
13.327.167
10.444.512
12.533.415
14.622.317
3.507.375
4.208.850
4.910.325
7.023.690
8.428.428
9.833.165
8.241.093
9.889.312
11.537.530
3.174.261
3.809.113
4.443.965
6.562.891
7.875.469
9.188.047
17.237.688
20.685.225
24.132.763
2.329.177
2.795.012
3.260.847
6.055.658
7.266.789
8.477.921
14.352.783
17.223.340
20.093.897
3.578.910
4.294.692
5.010.475
4.409.740
5.291.688
6.173.636
6.036.528
7.243.834
8.451.139
2.279.739
3.343.018
5.713.609
2.923.539
3.891.178
6.749.535
2.735.687
4.011.622
6.856.331
3.508.247
4.669.414
8.099.442
3.191.634
4.680.226
7.999.052
4.092.955
5.447.649
9.449.349
643 S-4-13-I
3.885.622
4.662.747
5.439.871
644 S-4-13-II
6.893.352
8.272.022
9.650.692
646 S-4-14-I
647 S-4-14-II
648 S-4-14-III
649 S-4-15-I
650 S-4-15-II
651 S-4-15-III
652 S-4-16-I
653 S-4-16-II
654 S-4-16-III
655 S-4-17-I
656 S-4-17-II
657 S-4-17-III
658 T-1-10-I
659 T-1-10-II
660 T-1-10-III
661 T-4-10-I
662 T-4-10-II
663 T-4-10-III
664 T-4-11-I
665 T-4-11-II
666 T-4-11-III
667 T-4-12-I
668 T-4-12-II
669 T-4-12-III
670 U-1-10-I
671 U-1-10-II
672 U-1-10-III
673 U-1-11-I
674 U-1-11-II
675 U-1-11-III
676 U-1-12-I
677 U-1-12-II
678 U-1-12-III
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
13.860.913
16.633.095
19.405.278
2.184.917
2.621.900
3.058.884
4.640.869
5.569.042
6.497.216
8.800.667
10.560.801
12.320.934
1.652.551
1.983.062
2.313.572
3.118.636
3.742.363
4.366.090
4.039.185
4.847.022
5.654.859
6.809.991
8.660.836
14.451.506
8.171.989
10.393.003
17.341.807
9.533.987
12.125.170
20.232.108
3.282.347
3.938.817
4.595.286
4.871.266
5.845.520
6.819.773
7.487.083
8.984.500
10.481.917
2.759.567
3.311.480
3.863.393
3.706.456
4.447.748
5.189.039
6.742.603
8.091.124
9.439.645
1.511.142
1.813.370
2.115.598
2.879.487
3.455.385
4.031.282
4.185.447
5.022.536
5.859.625
1.459.414
1.751.296
2.043.179
2.296.705
2.756.046
3.215.387
3.699.319
4.439.183
5.179.047
3.419.484
4.103.380
4.787.277
5.162.128
6.194.554
7.226.979
7.990.221
9.588.265
11.186.309
3.339.533
6.814.523
29.426.485
4.007.440
8.177.427
35.311.782
4.675.347
9.540.332
41.197.079
12.809.519
15.371.423
17.933.327
19.320.801
23.184.962
27.049.122
29.250.990
35.101.188
40.951.386
8.675.566
19.216.066
28.224.480
10.410.679
23.059.279
33.869.376
12.145.792
26.902.492
39.514.271
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
9.749.637
10.647.683
17.650.551
11.699.564
12.777.219
21.180.661
13.649.491
14.906.756
24.710.771
5.216.967
6.260.361
7.303.754
6.402.470
7.682.964
8.963.458
7.586.946
9.104.335
10.621.725
3.067.989
4.361.820
7.993.108
3.681.587
5.234.184
9.591.729
4.295.185
6.106.549
11.190.351
7.920.106
9.504.128
11.088.149
14.144.267
16.973.120
19.801.974
33.816.186
40.579.423
47.342.660
6.792.346
9.210.190
18.010.870
8.150.815
11.052.228
21.613.044
9.509.284
12.894.265
25.215.218
6.331.756
7.598.107
8.864.458
14.495.176
17.394.211
20.293.247
22.254.681
26.705.617
31.156.553
3.883.592
5.648.065
5.941.729
3.519.255
4.093.637
5.310.485
4.660.310
6.777.678
7.130.075
4.223.106
4.912.365
6.372.582
5.437.029
7.907.292
8.318.421
4.926.957
5.731.092
7.434.679
3.454.782
4.145.738
4.836.695
4.072.799
4.887.358
5.701.918
4.871.308
5.845.570
6.819.831
4.865.300
5.826.011
9.783.744
5.838.359
6.991.214
11.740.493
6.811.419
8.156.416
13.697.242
3.906.699
4.688.039
5.469.379
4.867.207
5.840.649
6.814.090
6.811.742
8.174.090
9.536.438
11.397.626
13.677.151
15.956.677
13.126.336
15.751.603
18.376.870
714 V-1-10-III
19.728.063
23.673.675
27.619.288
715 V-1-11-I
716 V-1-11-II
717 V-1-11-III
12.122.728
13.842.685
21.678.146
14.547.274
16.611.222
26.013.776
16.971.819
19.379.758
30.349.405
682 U-1-14-I
683 U-1-14-II
684 U-1-14-III
685 U-1-15-I
686 U-1-15-II
687 U-1-15-III
688 U-1-20-I
689 U-1-20-II
690 U-1-20-III
691 U-1-30-I
692 U-1-30-II
693 U-1-30-III
694 U-4-10-I
695 U-4-10-II
696 U-4-10-III
697
698
699
700
701
702
U-4-11-I
U-4-11-II
U-4-11-III
U-4-12-I
U-4-12-II
U-4-12-III
703 U-4-13-I
704 U-4-13-II
705 U-4-13-III
706 U-4-14-I
707 U-4-14-II
708 U-4-14-III
709 U-4-15-I
710 U-4-15-II
711 U-4-15-III
712 V-1-10-I
713 V-1-10-II
Kode INACBG
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
6.372.093
7.646.511
8.920.930
22.481.994
26.978.393
31.474.792
23.252.173
27.902.608
32.553.042
9.660.885
11.593.062
13.525.239
18.458.762
22.150.515
25.842.267
28.959.550
34.751.460
40.543.370
11.658.387
13.990.064
16.321.742
16.939.405
20.327.286
23.715.167
21.142.120
25.370.544
29.598.968
5.489.764
9.747.557
16.055.534
6.587.717
11.697.069
19.266.641
7.685.670
13.646.580
22.477.748
727 V-1-15-I
728 V-1-15-II
729 V-1-15-III
730 V-4-10-I
8.143.529
9.772.235
11.400.940
731 V-4-10-II
9.969.376
11.963.251
13.957.127
732 V-4-10-III
21.130.336
25.356.403
29.582.470
4.871.388
5.845.666
6.819.944
6.803.432
8.164.118
9.524.804
8.835.390
10.602.468
12.369.546
13.277.768
15.933.321
18.588.875
15.914.331
19.097.197
22.280.063
28.754.670
34.505.604
40.256.538
3.690.050
5.693.816
9.209.714
4.428.060
6.832.579
11.051.657
5.166.070
7.971.342
12.893.600
3.826.855
4.592.227
5.357.598
6.728.046
8.073.656
9.419.265
14.167.371
17.000.845
19.834.320
3.486.329
4.183.594
4.880.860
3.952.814
4.743.377
5.533.940
6.072.327
7.286.793
8.501.258
4.231.890
5.078.268
5.924.646
4.594.425
5.513.310
6.432.195
718 V-1-12-I
719 V-1-12-II
720 V-1-12-III
721 V-1-13-I
722 V-1-13-II
723 V-1-13-III
724 V-1-14-I
725 V-1-14-II
726 V-1-14-III
733 V-4-11-I
734 V-4-11-II
735 V-4-11-III
736 W-1-01-I
737 W-1-01-II
738 W-1-01-III
739 W-1-10-I
740 W-1-10-II
741 W-1-10-III
742 W-1-11-I
743 W-1-11-II
744 W-1-11-III
745 W-1-12-I
746 W-1-12-II
747 W-1-12-III
748 W-1-13-I
749 W-1-13-II
Kode INACBG
750 W-1-13-III
751
752
753
754
755
756
757
758
759
760
761
762
W-1-20-I
W-1-20-II
W-1-20-III
W-1-30-I
W-1-30-II
W-1-30-III
W-4-10-I
W-4-10-II
W-4-10-III
W-4-11-I
W-4-11-II
W-4-11-III
763 W-4-12-I
764 W-4-12-II
765 W-4-12-III
766
767
768
769
770
771
772
773
774
775
776
777
778
779
780
781
782
783
784
785
786
W-4-13-I
W-4-13-II
W-4-13-III
W-4-14-I
W-4-14-II
W-4-14-III
W-4-15-I
W-4-15-II
W-4-15-III
W-4-16-I
W-4-16-II
W-4-16-III
W-4-17-I
W-4-17-II
W-4-17-III
Z-4-10-I
Z-4-10-II
Z-4-10-III
Z-4-11-I
Z-4-11-II
Z-4-11-III
787 Z-4-12-I
788 Z-4-12-II
789 Z-4-12-III
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
6.171.420
7.405.703
8.639.987
10.901.709
13.559.377
22.809.427
6.154.154
9.815.869
24.083.729
4.585.472
6.797.809
15.605.918
4.170.197
6.330.898
7.705.962
13.082.051
16.271.253
27.371.312
7.384.984
11.779.043
28.900.474
5.502.567
8.157.370
18.727.102
5.004.236
7.597.078
9.247.154
15.262.393
18.983.128
31.933.197
8.615.815
13.742.217
33.717.220
6.419.661
9.516.932
21.848.285
5.838.275
8.863.257
10.788.347
3.901.033
4.681.240
5.461.446
5.355.813
6.426.976
7.498.139
5.838.050
7.005.660
8.173.270
2.132.943
2.913.659
3.623.361
2.850.480
3.392.779
4.340.574
2.194.969
2.437.738
3.375.146
2.920.418
3.905.404
5.293.115
2.154.955
3.890.856
7.383.251
6.152.704
8.166.404
11.601.825
4.300.415
5.164.964
10.228.649
2.559.532
3.496.390
4.348.033
3.420.577
4.071.335
5.208.689
2.633.963
2.925.286
4.050.175
3.504.501
4.686.485
6.351.738
2.585.946
4.669.027
8.859.901
7.383.244
9.799.685
13.922.190
5.160.498
6.197.957
12.274.378
2.986.121
4.079.122
5.072.705
3.990.673
4.749.891
6.076.804
3.072.957
3.412.834
4.725.205
4.088.585
5.467.566
7.410.361
3.016.937
5.447.198
10.336.552
8.613.785
11.432.965
16.242.555
6.020.581
7.230.950
14.320.108
2.914.895
3.497.874
4.080.852
5.852.702
7.023.242
8.193.782
12.347.684
14.817.220
17.286.757
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Kode INACBG
B-2-10-0
B-2-11-0
B-2-12-0
B-2-13-0
B-2-14-0
B-3-10-0
B-3-11-0
B-3-12-0
C-3-10-0
C-3-11-0
C-3-12-0
C-3-13-0
C-3-14-0
C-3-15-0
C-3-16-0
C-3-17-0
C-3-18-0
C-3-19-0
C-3-20-0
C-3-21-0
C-3-22-0
C-3-23-0
D-2-10-0
D-2-11-0
D-2-21-0
D-2-22-0
D-3-10-0
D-3-11-0
E-2-10-0
E-2-21-0
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
E-2-22-0
E-3-10-0
F-3-10-0
F-5-10-0
F-5-11-0
F-5-12-0
F-5-13-0
F-5-14-0
F-5-15-0
F-5-16-0
G-2-10-0
G-2-11-0
G-2-12-0
G-2-13-0
G-2-21-0
G-2-22-0
G-2-31-0
G-2-32-0
G-3-10-0
G-3-11-0
G-3-12-0
G-3-13-0
H-2-21-0
H-2-22-0
H-2-23-0
H-2-31-0
No
57
58
59
60
61
62
63
64
65
66
Kode INACBG
H-2-32-0
H-2-33-0
H-2-34-0
H-2-35-0
H-2-36-0
H-2-37-0
H-3-10-0
H-3-11-0
H-3-12-0
H-3-13-0
67
68
69
70
71
I-2-11-0
I-2-12-0
I-2-13-0
I-2-14-0
I-2-15-0
72
73
74
75
76
77
78
79
I-2-16-0
I-2-17-0
I-2-21-0
I-2-22-0
I-2-23-0
I-2-31-0
I-2-32-0
I-2-41-0
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
No
I-2-42-0
I-3-10-0
I-3-11-0
I-3-12-0
I-3-13-0
I-3-14-0
I-3-15-0
J-2-10-0
J-2-21-0
J-2-22-0
J-2-31-0
J-2-32-0
J-3-10-0
J-3-11-0
J-3-12-0
J-3-13-0
J-3-14-0
J-3-15-0
J-3-16-0
J-3-17-0
K-2-10-0
K-2-11-0
K-2-12-0
K-2-13-0
K-2-14-0
K-2-21-0
K-2-22-0
K-2-31-0
K-2-32-0
K-2-41-0
K-2-42-0
2.158.514
3.513.098
457.488
457.488
5.861.442
1.977.083
457.488
2.177.798
6.285.901
5.290.643
1.744.173
4.083.624
3.145.818
788.366
6.120.449
8.003.385
5.366.368
5.083.873
628.349
418.028
2.429.419
663.967
512.613
452.587
2.805.057
450.869
1.853.551
2.955.649
1.789.985
457.488
1.048.877
498.469
598.189
633.421
556.728
634.941
372.202
1.068.221
2.811.923
Kode INACBG
K-2-51-0
K-2-52-0
K-2-53-0
K-3-10-0
K-3-11-0
K-3-12-0
K-3-13-0
K-3-14-0
K-3-15-0
K-3-16-0
L-2-21-0
L-2-22-0
L-2-31-0
L-2-32-0
L-2-41-0
L-2-42-0
L-2-51-0
L-2-52-0
L-2-53-0
L-3-10-0
L-3-11-0
L-3-12-0
M-2-10-0
M-2-21-0
M-2-22-0
M-2-31-0
M-2-32-0
M-2-41-0
M-2-42-0
M-2-51-0
M-2-52-0
M-2-61-0
M-2-62-0
M-2-63-0
M-2-64-0
M-2-65-0
M-2-71-0
M-2-72-0
M-2-81-0
M-2-82-0
M-2-83-0
M-2-84-0
M-3-10-0
M-3-11-0
M-3-12-0
M-3-13-0
M-3-14-0
M-3-15-0
M-3-16-0
M-3-17-0
N-2-11-0
N-2-12-0
N-2-21-0
N-2-22-0
N-2-23-0
N-2-24-0
N-2-31-0
N-2-32-0
Kode INACBG
N-2-41-0
N-2-42-0
N-3-10-0
N-3-11-0
N-3-12-0
N-3-13-0
N-3-14-0
N-3-15-0
O-7-10-0
178 O-7-11-0
179 O-7-12-0
180 O-7-13-0
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
P-9-10-0
P-9-11-0
P-9-12-0
P-9-13-0
P-9-14-0
P-9-15-0
P-9-16-0
P-9-17-0
Q-5-10-0
Q-5-11-0
Q-5-12-0
Q-5-13-0
Q-5-14-0
Q-5-15-0
Q-5-16-0
Q-5-17-0
Q-5-18-0
Q-5-19-0
Q-5-20-0
Q-5-21-0
Q-5-22-0
Q-5-23-0
Q-5-24-0
Q-5-25-0
Q-5-26-0
Q-5-27-0
Q-5-28-0
Q-5-29-0
Q-5-30-0
Q-5-31-0
Q-5-32-0
Q-5-33-0
Q-5-34-0
Q-5-35-0
Q-5-36-0
Q-5-37-0
Q-5-38-0
Q-5-39-0
Q-5-40-0
Q-5-41-0
Q-5-42-0
Q-5-43-0
Q-5-44-0
Kode INACBG
T-2-10-0
U-2-10-0
U-2-11-0
U-2-12-0
U-2-13-0
U-2-14-0
U-2-15-0
U-2-21-0
U-2-22-0
U-2-23-0
U-2-24-0
U-2-25-0
U-2-31-0
U-2-32-0
238 U-3-10-0
239 U-3-11-0
240 U-3-12-0
241
242
243
244
245
246
247
248
249
250
251
252
253
254
255
256
257
258
259
260
261
262
263
264
265
266
267
268
U-3-13-0
U-3-14-0
U-3-15-0
U-3-16-0
V-2-10-0
V-2-11-0
V-2-12-0
V-2-13-0
V-2-14-0
V-2-15-0
V-3-10-0
V-3-11-0
V-3-12-0
W-2-10-0
W-2-11-0
W-2-12-0
W-2-13-0
W-2-21-0
W-2-22-0
W-2-23-0
W-2-31-0
W-2-32-0
W-2-33-0
W-2-34-0
W-3-10-0
W-3-11-0
W-3-12-0
Z-3-10-0
269
270
271
272
273
274
275
276
277
Z-3-11-0
Z-3-12-0
Z-3-13-0
Z-3-14-0
Z-3-15-0
Z-3-16-0
Z-3-17-0
Z-3-18-0
Z-3-19-0
Kode INACBG
Z-3-20-0
Z-3-21-0
Z-3-22-0
Z-3-23-0
Z-3-24-0
Z-3-25-0
Z-3-26-0
Z-3-27-0
Z-3-28-0
Z-3-29-0
Z-3-30-0
1
2
3
4
5
6
7
8
9
10
11
12
Kode INACBG
A-4-10-I
A-4-10-II
A-4-10-III
A-4-11-I
A-4-11-II
A-4-11-III
A-4-12-I
A-4-12-II
A-4-12-III
A-4-13-I
A-4-13-II
A-4-13-III
13
A-4-14-I
14
A-4-14-II
15
A-4-14-III
16
17
18
19
20
21
22
23
24
25
26
27
A-4-15-I
A-4-15-II
A-4-15-III
B-1-01-I
B-1-01-II
B-1-01-III
B-1-10-I
B-1-10-II
B-1-10-III
B-1-11-I
B-1-11-II
B-1-11-III
28
B-1-12-I
29
B-1-12-II
30
B-1-12-III
31
B-1-13-I
32
B-1-13-II
33
B-1-13-III
34
B-1-14-I
35
B-1-14-II
36
B-1-14-III
37
38
39
B-4-10-I
B-4-10-II
B-4-10-III
40
B-4-11-I
41
B-4-11-II
42
B-4-11-III
43
44
45
B-4-12-I
B-4-12-II
B-4-12-III
46
B-4-13-I
No
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
SEPTIKEMIA RINGAN
SEPTIKEMIA SEDANG
SEPTIKEMIA BERAT
INFEKSI SESUDAH OPERASI & TRAUMA RINGAN
INFEKSI SESUDAH OPERASI & TRAUMA SEDANG
INFEKSI SESUDAH OPERASI & TRAUMA BERAT
DEMAM RINGAN
DEMAM SEDANG
DEMAM BERAT
INFEKSI NON BAKTERI RINGAN
INFEKSI NON BAKTERI SEDANG
INFEKSI NON BAKTERI BERAT
PENYAKIT INFEKSI BAKTERI DAN PARASIT LAIN-LAIN
RINGAN
PENYAKIT INFEKSI BAKTERI DAN PARASIT LAIN-LAIN
SEDANG
PENYAKIT INFEKSI BAKTERI DAN PARASIT LAIN-LAIN
BERAT
INFEKSI HIV RINGAN
INFEKSI HIV SEDANG
INFEKSI HIV BERAT
PROSEDUR PENCANGKOKAN HATI RINGAN
PROSEDUR PENCANGKOKAN HATI SEDANG
PROSEDUR PENCANGKOKAN HATI BERAT
PROSEDUR HATI DAN PANKREAS RINGAN
PROSEDUR HATI DAN PANKREAS SEDANG
PROSEDUR HATI DAN PANKREAS BERAT
PROSEDUR SALURAN EMPEDU KOMPLEK (RINGAN)
PROSEDUR SALURAN EMPEDU KOMPLEK (SEDANG)
PROSEDUR SALURAN EMPEDU KOMPLEK (BERAT)
PROSEDUR CHOLESISTEKTOMI TANPA LAPAROSKOPIK
RINGAN
PROSEDUR CHOLESISTEKTOMI TANPA LAPAROSKOPIK
SEDANG
PROSEDUR CHOLESISTEKTOMI TANPA LAPAROSKOPIK
BERAT
PROSEDUR PANKREAS DAN HEPATOBILLIARI LAIN-LAIN
(RINGAN)
PROSEDUR PANKREAS DAN HEPATOBILLIARI LAIN-LAIN
(SEDANG)
PROSEDUR PANKREAS DAN HEPATOBILLIARI LAIN-LAIN
(BERAT)
PROSEDUR CHOLESISTEKTOMI DENGAN LAPAROSKOPIK
RINGAN
PROSEDUR CHOLESISTEKTOMI DENGAN LAPAROSKOPIK
SEDANG
PROSEDUR CHOLESISTEKTOMI DENGAN LAPAROSKOPIK
BERAT
SIROSIS DAN HEPATITIS ALKOHOLIK RINGAN
SIROSIS DAN HEPATITIS ALKOHOLIK SEDANG
SIROSIS DAN HEPATITIS ALKOHOLIK BERAT
TUMOR SISTEM HEPATOBILLIARI DAN PANCREAS
RINGAN
TUMOR SISTEM HEPATOBILLIARI DAN PANCREAS
SEDANG
2.349.366
3.547.702
4.097.270
5.623.129
8.680.182
14.198.881
2.000.667
3.164.368
3.616.831
2.515.873
3.019.793
3.665.022
2.819.240
4.257.243
4.916.723
6.747.754
10.416.219
17.038.658
2.400.800
3.797.241
4.340.198
3.019.048
3.623.751
4.398.026
3.289.113
4.966.783
5.736.177
7.872.380
12.152.255
19.878.434
2.800.933
4.430.115
5.063.564
3.522.222
4.227.710
5.131.030
3.134.316
3.761.179
4.388.042
4.031.523
4.837.828
5.644.132
4.619.177
5.543.012
6.466.848
3.162.795
4.526.437
7.702.840
32.553.633
35.915.361
63.002.933
4.220.468
10.755.785
24.931.416
3.979.819
10.006.131
12.516.805
3.795.354
5.431.724
9.243.408
39.064.360
43.098.433
75.603.520
5.064.562
12.906.943
29.917.699
4.775.783
12.007.357
15.020.166
4.427.913
6.337.011
10.783.975
45.575.086
50.281.505
88.204.107
5.908.655
15.058.100
34.903.983
5.571.746
14.008.583
17.523.527
6.933.547
8.320.256
9.706.966
14.860.287
17.832.344
20.804.402
17.572.465
21.086.958
24.601.450
5.575.577
6.690.693
7.805.808
9.081.806
10.898.167
12.714.528
13.389.130
16.066.956
18.744.782
7.541.663
9.049.996
10.558.329
8.387.852
10.065.422
11.742.992
13.121.797
15.746.156
18.370.516
2.118.658
3.062.792
4.981.957
2.542.389
3.675.350
5.978.348
2.966.121
4.287.908
6.974.740
4.142.873
4.971.447
5.800.022
6.315.130
7.578.156
8.841.182
6.812.876
8.175.452
9.538.027
3.611.038
6.353.666
11.646.440
4.333.245
7.624.400
13.975.728
5.055.453
8.895.133
16.305.016
3.020.447
3.624.537
4.228.626
Kode INACBG
47
B-4-13-II
48
B-4-13-III
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
4.394.344
5.273.212
6.152.081
5.501.734
6.602.080
7.702.427
B-4-14-I
B-4-14-II
B-4-14-III
C-4-10-I
C-4-10-II
C-4-10-III
C-4-11-I
C-4-11-II
C-4-11-III
C-4-12-I
C-4-12-II
C-4-12-III
C-4-13-I
C-4-13-II
C-4-13-III
C-4-14-I
C-4-14-II
C-4-14-III
3.565.329
4.363.876
5.556.644
3.937.316
7.686.085
11.326.249
3.980.289
4.559.139
9.168.583
2.007.105
7.429.847
15.050.572
2.006.154
4.025.664
5.231.481
3.017.182
5.112.991
7.805.182
4.278.394
5.236.651
6.667.973
4.724.779
9.223.302
13.591.498
4.776.347
5.470.967
11.002.300
2.408.526
8.915.816
18.060.687
2.407.385
4.830.797
6.277.777
3.620.618
6.135.589
9.366.218
4.991.460
6.109.427
7.779.302
5.512.242
10.760.519
15.856.748
5.572.404
6.382.794
12.836.016
2.809.947
10.401.786
21.070.801
2.808.616
5.635.930
7.324.073
4.224.054
7.158.187
10.927.254
67
D-1-10-I
20.830.585
24.996.702
29.162.819
68
D-1-10-II
31.726.579
38.071.895
44.417.210
69
D-1-10-III
42.998.184
51.597.820
60.197.457
70
71
72
D-1-11-I
D-1-11-II
D-1-11-III
5.894.335
13.484.309
20.460.357
7.073.202
16.181.171
24.552.428
8.252.069
18.878.032
28.644.500
73
D-1-20-I
4.429.551
5.315.462
6.201.372
74
D-1-20-II
13.021.956
15.626.347
18.230.738
75
D-1-20-III
20.429.481
24.515.378
28.601.274
76
77
78
79
80
81
82
83
84
D-4-10-I
D-4-10-II
D-4-10-III
D-4-11-I
D-4-11-II
D-4-11-III
D-4-12-I
D-4-12-II
D-4-12-III
2.245.919
3.343.016
5.259.438
2.500.898
5.049.871
12.170.398
2.510.083
3.481.731
5.346.201
2.695.103
4.011.620
6.311.325
3.001.078
6.059.845
14.604.478
3.012.099
4.178.078
6.415.441
3.144.287
4.680.223
7.363.213
3.501.258
7.069.819
17.038.558
3.514.116
4.874.424
7.484.681
85
D-4-13-I
2.013.234
2.415.881
2.818.528
86
D-4-13-II
3.019.332
3.623.198
4.227.065
87
D-4-13-III
4.167.023
5.000.427
5.833.832
88
D-4-14-I
2.501.968
3.002.361
3.502.755
89
D-4-14-II
4.485.581
5.382.698
6.279.814
90
D-4-14-III
6.289.764
7.547.716
8.805.669
91
92
93
94
E-1-01-I
E-1-01-II
E-1-01-III
E-1-10-I
6.248.897
8.185.461
16.224.945
4.781.344
7.498.677
9.822.553
19.469.934
5.737.613
8.748.456
11.459.645
22.714.924
6.693.881
95
96
Kode INACBG
E-1-10-II
E-1-10-III
97
E-1-20-I
98
E-1-20-II
99
E-1-20-III
100
E-4-10-I
101
E-4-10-II
102
E-4-10-III
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
E-4-11-I
E-4-11-II
E-4-11-III
E-4-12-I
E-4-12-II
E-4-12-III
E-4-13-I
E-4-13-II
E-4-13-III
F-4-10-I
F-4-10-II
F-4-10-III
F-4-11-I
F-4-11-II
F-4-11-III
118
F-4-12-I
1.928.507
2.314.209
2.699.910
119
F-4-12-II
2.556.670
3.068.004
3.579.339
120
F-4-12-III
5.007.966
6.009.559
7.011.152
121
122
123
124
125
126
127
128
129
F-4-13-I
F-4-13-II
F-4-13-III
F-4-14-I
F-4-14-II
F-4-14-III
F-4-15-I
F-4-15-II
F-4-15-III
3.298.919
4.365.264
5.628.451
1.890.014
2.424.326
3.262.039
2.744.555
3.877.414
4.842.841
3.958.703
5.238.317
6.754.141
2.268.017
2.909.191
3.914.447
3.293.466
4.652.897
5.811.410
4.618.487
6.111.370
7.879.832
2.646.020
3.394.057
4.566.855
3.842.377
5.428.379
6.779.978
130
F-4-16-I
5.923.447
7.108.136
8.292.825
131
F-4-16-II
6.883.337
8.260.004
9.636.671
132
F-4-16-III
9.188.105
11.025.726
12.863.347
133
134
135
136
137
138
139
140
141
F-4-17-I
F-4-17-II
F-4-17-III
F-4-18-I
F-4-18-II
F-4-18-III
F-4-19-I
F-4-19-II
F-4-19-III
991.879
2.907.104
3.101.666
4.958.656
5.455.922
8.410.779
3.934.523
5.038.258
6.272.698
1.190.255
3.488.525
3.721.999
5.950.387
6.547.106
10.092.935
4.721.427
6.045.909
7.527.238
1.388.631
4.069.946
4.342.333
6.942.118
7.638.291
11.775.091
5.508.332
7.053.561
8.781.778
142
G-1-01-I
9.078.640
10.894.369
12.710.097
No
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
5.803.429
12.231.920
6.964.115
14.678.304
8.124.801
17.124.688
6.001.185
7.201.422
8.401.659
9.819.150
11.782.980
13.746.810
18.420.470
22.104.565
25.788.659
3.142.066
3.770.479
4.398.892
4.349.556
5.219.467
6.089.378
6.635.933
7.963.120
9.290.307
2.300.690
4.444.742
7.340.818
2.757.944
4.415.350
6.356.839
3.046.338
5.149.233
8.780.731
4.444.101
4.925.443
7.292.228
4.092.684
4.768.365
6.114.787
2.760.828
5.333.690
8.808.982
3.309.533
5.298.420
7.628.207
3.655.605
6.179.079
10.536.877
5.332.921
5.910.532
8.750.673
4.911.220
5.722.038
7.337.744
3.220.966
6.222.639
10.277.146
3.861.122
6.181.490
8.899.574
4.264.873
7.208.926
12.293.023
6.221.742
6.895.621
10.209.119
5.729.757
6.675.711
8.560.701
Kode INACBG
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
143
G-1-01-II
12.982.169
15.578.603
18.175.036
144
G-1-01-III
25.178.040
30.213.648
35.249.256
145
146
147
148
149
150
G-1-10-I
G-1-10-II
G-1-10-III
G-1-11-I
G-1-11-II
G-1-11-III
6.268.932
8.845.999
10.444.523
7.201.314
14.833.688
27.115.211
7.522.719
10.615.199
12.533.428
8.641.577
17.800.426
32.538.253
8.776.505
12.384.399
14.622.333
10.081.840
20.767.164
37.961.296
151
G-1-12-I
4.584.388
5.501.266
6.418.144
152
G-1-12-II
9.888.686
11.866.424
13.844.161
153
G-1-12-III
14.687.557
17.625.069
20.562.580
154
155
156
157
158
159
160
161
162
G-1-13-I
G-1-13-II
G-1-13-III
G-1-20-I
G-1-20-II
G-1-20-III
G-1-30-I
G-1-30-II
G-1-30-III
1.071.941
2.879.114
6.496.494
11.465.485
14.887.732
29.583.358
8.983.874
23.138.217
25.989.495
1.286.329
3.454.937
7.795.793
13.758.582
17.865.278
35.500.030
10.780.649
27.765.860
31.187.394
1.500.717
4.030.760
9.095.092
16.051.679
20.842.824
41.416.702
12.577.424
32.393.504
36.385.293
163
G-4-10-I
3.006.202
3.607.442
4.208.682
164
G-4-10-II
4.115.684
4.938.820
5.761.957
165
G-4-10-III
7.126.435
8.551.722
9.977.009
166
G-4-11-I
5.460.549
6.552.659
7.644.769
167
G-4-11-II
6.885.905
8.263.087
9.640.268
168
G-4-11-III
8.833.637
10.600.365
12.367.092
169
170
171
G-4-12-I
G-4-12-II
G-4-12-III
4.987.049
6.079.860
8.830.273
5.984.459
7.295.832
10.596.327
6.981.868
8.511.804
12.362.382
172
G-4-13-I
2.778.084
3.333.701
3.889.318
173
G-4-13-II
3.853.364
4.624.037
5.394.710
174
G-4-13-III
4.517.331
5.420.797
6.324.263
175
G-4-14-I
3.784.345
4.541.214
5.298.083
176
G-4-14-II
6.843.496
8.212.195
9.580.894
177
G-4-14-III
8.557.337
10.268.804
11.980.272
178
G-4-15-I
2.949.760
3.539.712
4.129.664
179
G-4-15-II
3.520.552
4.224.662
4.928.772
180
G-4-15-III
5.026.038
6.031.246
7.036.454
181
G-4-16-I
2.431.829
2.918.195
3.404.561
182
183
Kode INACBG
G-4-16-II
G-4-16-III
184
No
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
3.325.672
5.849.384
3.990.807
7.019.260
4.655.941
8.189.137
G-4-17-I
3.919.024
4.702.829
5.486.633
185
G-4-17-II
4.867.501
5.841.001
6.814.501
186
G-4-17-III
8.157.971
9.789.565
11.421.159
187
G-4-18-I
3.042.395
3.650.874
4.259.354
188
G-4-18-II
5.818.621
6.982.345
8.146.070
189
G-4-18-III
6.159.366
7.391.239
8.623.112
190
G-4-19-I
3.335.190
4.002.228
4.669.266
191
G-4-19-II
4.498.536
5.398.244
6.297.951
192
G-4-19-III
6.899.170
8.279.004
9.658.838
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
G-4-20-I
G-4-20-II
G-4-20-III
G-4-21-I
G-4-21-II
G-4-21-III
G-4-22-I
G-4-22-II
G-4-22-III
G-4-23-I
G-4-23-II
G-4-23-III
G-4-24-I
G-4-24-II
G-4-24-III
G-4-25-I
G-4-25-II
G-4-25-III
1.978.127
2.631.974
4.347.280
2.259.796
2.927.354
5.431.252
2.009.170
2.514.192
2.882.511
2.361.406
2.562.807
3.648.807
3.141.102
3.924.328
7.597.673
2.012.747
2.507.110
3.132.471
2.373.753
3.158.369
5.216.736
2.711.755
3.512.825
6.517.502
2.411.004
3.017.030
3.459.013
2.833.687
3.075.368
4.378.569
3.769.323
4.709.193
9.117.207
2.415.296
3.008.532
3.758.966
2.769.378
3.684.764
6.086.192
3.163.714
4.098.296
7.603.752
2.812.838
3.519.869
4.035.515
3.305.968
3.587.930
5.108.330
4.397.543
5.494.059
10.636.742
2.817.846
3.509.954
4.385.460
211
G-4-26-I
3.360.733
4.032.879
4.705.026
212
G-4-26-II
4.604.308
5.525.170
6.446.032
213
G-4-26-III
5.529.586
6.635.504
7.741.421
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
H-1-20-I
H-1-20-II
H-1-20-III
H-1-30-I
H-1-30-II
H-1-30-III
H-4-10-I
H-4-10-II
H-4-10-III
H-4-11-I
H-4-11-II
H-4-11-III
H-4-12-I
H-4-12-II
H-4-12-III
9.953.486
11.000.165
14.959.537
3.090.075
4.339.318
7.239.995
3.443.775
4.617.247
8.494.917
2.760.978
3.047.590
3.899.235
3.122.783
4.234.740
7.064.882
11.944.183
13.200.198
17.951.444
3.708.091
5.207.181
8.687.994
4.132.530
5.540.697
10.193.900
3.313.174
3.657.107
4.679.082
3.747.339
5.081.688
8.477.858
13.934.881
15.400.231
20.943.351
4.326.106
6.075.045
10.135.993
4.821.285
6.464.146
11.892.884
3.865.369
4.266.625
5.458.928
4.371.896
5.928.636
9.890.835
229
I-1-01-I
42.231.657
50.677.988
59.124.320
Kode INACBG
230
I-1-01-II
231
I-1-01-III
232
I-1-02-I
233
I-1-02-II
234
I-1-02-III
235
I-1-03-I
236
I-1-03-II
237
I-1-03-III
238
I-1-04-I
239
I-1-04-II
240
I-1-04-III
241
I-1-05-I
242
I-1-05-II
243
I-1-05-III
244
245
246
I-1-06-I
I-1-06-II
I-1-06-III
247
I-1-07-I
248
I-1-07-II
249
I-1-07-III
250
I-1-11-I
251
I-1-11-II
252
I-1-11-III
253
I-1-12-I
254
I-1-12-II
255
I-1-12-III
256
I-1-13-I
257
I-1-13-II
258
I-1-13-III
259
I-1-14-I
260
I-1-14-II
261
I-1-14-III
262
I-1-15-I
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
43.160.974
51.793.168
60.425.363
68.128.769
81.754.523
95.380.277
23.429.880
28.115.856
32.801.832
30.224.545
36.269.454
42.314.363
37.253.509
44.704.211
52.154.913
14.406.839
17.288.207
20.169.574
16.427.708
19.713.249
22.998.791
27.175.922
32.611.107
38.046.291
23.441.694
28.130.033
32.818.372
55.895.120
67.074.144
78.253.168
89.292.127
107.150.553
125.008.978
31.010.135
37.212.162
43.414.189
37.212.162
44.654.595
52.097.027
51.203.701
61.444.441
71.685.181
33.501.827
48.530.115
57.905.382
40.202.193
58.236.138
69.486.458
46.902.558
67.942.161
81.067.534
25.599.313
30.719.176
35.839.039
31.581.953
37.898.344
44.214.735
34.455.706
41.346.847
48.237.988
4.119.693
4.943.632
5.767.570
4.580.687
5.496.824
6.412.962
6.095.498
7.314.598
8.533.697
12.447.458
14.936.950
17.426.442
14.179.239
17.015.087
19.850.935
22.929.528
27.515.434
32.101.340
13.120.341
15.744.410
18.368.478
15.920.261
19.104.313
22.288.365
18.619.421
22.343.305
26.067.189
24.118.994
28.942.793
33.766.592
29.976.464
35.971.757
41.967.050
39.279.505
47.135.406
54.991.307
6.319.241
7.583.089
8.846.937
263
264
Kode INACBG
I-1-15-II
I-1-15-III
265
I-1-16-I
266
I-1-16-II
267
I-1-16-III
268
I-1-17-I
269
I-1-17-II
270
I-1-17-III
271
I-1-20-I
272
I-1-20-II
273
I-1-20-III
274
I-1-30-I
275
I-1-30-II
276
I-1-30-III
277
278
279
280
281
282
283
284
285
286
287
288
I-1-40-I
I-1-40-II
I-1-40-III
I-4-10-I
I-4-10-II
I-4-10-III
I-4-11-I
I-4-11-II
I-4-11-III
I-4-12-I
I-4-12-II
I-4-12-III
289
I-4-13-I
290
I-4-13-II
291
I-4-13-III
292
293
294
I-4-14-I
I-4-14-II
I-4-14-III
295
I-4-15-I
296
I-4-15-II
297
I-4-15-III
298
299
300
301
302
303
304
I-4-16-I
I-4-16-II
I-4-16-III
I-4-17-I
I-4-17-II
I-4-17-III
I-4-18-I
No
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
11.886.029
18.607.719
14.263.235
22.329.262
16.640.441
26.050.806
10.336.712
12.404.054
14.471.396
26.875.451
32.250.541
37.625.631
31.000.173
37.200.207
43.400.242
26.106.533
31.327.839
36.549.146
32.687.828
39.225.394
45.762.960
40.434.347
48.521.216
56.608.086
22.717.300
27.260.760
31.804.220
28.380.089
34.056.106
39.732.124
29.833.410
35.800.092
41.766.774
11.727.053
14.072.464
16.417.875
24.394.640
29.273.568
34.152.496
37.802.832
45.363.398
52.923.964
16.019.502
22.844.913
27.459.386
5.150.045
8.124.249
11.698.905
5.257.829
6.130.170
9.946.963
5.353.904
7.640.945
9.303.351
19.223.403
27.413.895
32.951.263
6.180.054
9.749.099
14.038.686
6.309.395
7.356.204
11.936.356
6.424.685
9.169.134
11.164.021
22.427.303
31.982.878
38.443.140
7.210.063
11.373.949
16.378.468
7.360.961
8.582.238
13.925.749
7.495.465
10.697.323
13.024.691
5.902.404
7.082.885
8.263.366
7.484.676
8.981.612
10.478.547
13.623.803
16.348.563
19.073.324
2.988.172
3.501.605
5.398.410
3.585.806
4.201.926
6.478.092
4.183.440
4.902.247
7.557.774
4.024.730
4.829.676
5.634.622
5.776.373
6.931.647
8.086.922
6.583.675
7.900.410
9.217.145
2.965.689
3.732.583
5.130.728
3.596.573
4.875.652
5.917.476
4.358.743
3.558.827
4.479.099
6.156.874
4.315.887
5.850.782
7.100.971
5.230.491
4.151.965
5.225.616
7.183.019
5.035.202
6.825.913
8.284.466
6.102.240
305
Kode INACBG
I-4-18-II
306
I-4-18-III
307
I-4-19-I
308
I-4-19-II
5.529.536
6.635.444
7.741.351
309
310
311
312
313
314
315
316
317
318
I-4-19-III
I-4-20-I
I-4-20-II
I-4-20-III
I-4-21-I
I-4-21-II
I-4-21-III
I-4-22-I
I-4-22-II
I-4-22-III
6.333.908
4.134.722
4.751.730
6.314.156
5.498.194
6.830.631
9.366.024
3.189.394
3.749.006
5.470.916
7.600.689
4.961.667
5.702.075
7.576.987
6.597.833
8.196.757
11.239.229
3.827.273
4.498.807
6.565.099
8.867.471
5.788.611
6.652.421
8.839.818
7.697.472
9.562.883
13.112.433
4.465.152
5.248.608
7.659.282
319
I-4-23-I
2.409.793
2.891.752
3.373.711
320
I-4-23-II
2.958.671
3.550.405
4.142.139
321
I-4-23-III
5.780.973
6.937.167
8.093.362
322
I-4-24-I
3.234.436
3.881.324
4.528.211
323
I-4-24-II
8.078.393
9.694.071
11.309.750
324
I-4-24-III
10.166.125
12.199.350
14.232.575
325
J-1-01-I
30.837.320
37.004.785
43.172.249
326
J-1-01-II
32.943.397
39.532.077
46.120.756
327
J-1-01-III
47.378.120
56.853.744
66.329.368
328
J-1-02-I
13.295.739
15.954.886
18.614.034
329
J-1-02-II
13.445.878
16.135.053
18.824.229
330
J-1-02-III
21.135.753
25.362.904
29.590.055
331
332
333
J-1-10-I
J-1-10-II
J-1-10-III
6.377.201
12.569.177
18.940.657
7.652.641
15.083.012
22.728.788
8.928.081
17.596.847
26.516.920
334
J-1-20-I
12.832.350
15.398.820
17.965.289
335
J-1-20-II
16.162.714
19.395.256
22.627.799
336
J-1-20-III
24.957.891
29.949.469
34.941.047
337
J-1-30-I
3.715.837
4.459.005
5.202.172
338
J-1-30-II
11.898.340
14.278.008
16.657.676
339
J-1-30-III
35.524.086
42.628.903
49.733.720
340
341
342
343
344
345
346
J-4-10-I
J-4-10-II
J-4-10-III
J-4-11-I
J-4-11-II
J-4-11-III
J-4-12-I
3.107.195
4.442.916
6.721.469
2.709.838
3.633.684
5.207.163
3.112.698
3.728.634
5.331.499
8.065.762
3.251.806
4.360.421
6.248.595
3.735.238
4.350.073
6.220.083
9.410.056
3.793.774
5.087.158
7.290.028
4.357.778
No
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
6.685.495
8.022.594
9.359.693
9.019.198
10.823.038
12.626.877
3.411.544
4.093.852
4.776.161
347
348
349
350
351
352
353
354
355
356
357
358
359
360
361
362
363
364
365
366
367
368
369
370
371
372
Kode INACBG
J-4-12-II
J-4-12-III
J-4-13-I
J-4-13-II
J-4-13-III
J-4-14-I
J-4-14-II
J-4-14-III
J-4-15-I
J-4-15-II
J-4-15-III
J-4-16-I
J-4-16-II
J-4-16-III
J-4-17-I
J-4-17-II
J-4-17-III
J-4-18-I
J-4-18-II
J-4-18-III
J-4-19-I
J-4-19-II
J-4-19-III
J-4-20-I
J-4-20-II
J-4-20-III
373
J-4-21-I
374
J-4-21-II
375
J-4-21-III
376
K-1-10-I
377
K-1-10-II
378
K-1-10-III
379
380
381
K-1-11-I
K-1-11-II
K-1-11-III
382
K-1-12-I
383
K-1-12-II
384
K-1-12-III
385
386
387
K-1-13-I
K-1-13-II
K-1-13-III
388
K-1-14-I
5.009.440
6.011.328
7.013.216
389
K-1-14-II
6.209.319
7.451.182
8.693.046
390
391
392
393
K-1-14-III
K-1-20-I
K-1-20-II
K-1-20-III
13.996.636
11.986.958
16.769.532
27.973.483
16.795.963
14.384.350
20.123.438
33.568.180
19.595.290
16.781.742
23.477.344
39.162.876
394
K-1-30-I
7.729.693
9.275.631
10.821.570
395
K-1-30-II
10.844.760
13.013.712
15.182.665
No
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
3.881.950
5.183.951
5.210.691
7.628.142
14.696.775
4.331.131
7.272.593
8.609.864
4.711.651
5.629.103
7.479.999
3.925.783
5.516.758
9.130.883
3.004.977
3.860.963
5.508.625
2.106.804
2.936.473
3.184.260
3.953.213
5.364.975
5.897.708
4.359.362
5.763.996
9.374.408
4.658.339
6.220.742
6.252.829
9.153.770
17.636.130
5.197.357
8.727.112
10.331.836
5.653.981
6.754.923
8.975.999
4.710.940
6.620.109
10.957.060
3.605.972
4.633.156
6.610.350
2.528.165
3.523.768
3.821.112
4.743.856
6.437.970
7.077.250
5.231.235
6.916.795
11.249.289
5.434.729
7.257.532
7.294.967
10.679.399
20.575.485
6.063.584
10.181.630
12.053.809
6.596.311
7.880.744
10.471.998
5.496.097
7.723.461
12.783.236
4.206.968
5.405.348
7.712.074
2.949.526
4.111.063
4.457.963
5.534.498
7.510.965
8.256.792
6.103.107
8.069.594
13.124.171
2.352.129
2.822.555
3.292.981
4.390.863
5.269.036
6.147.208
6.143.362
7.372.035
8.600.707
5.407.702
6.489.242
7.570.782
10.160.089
12.192.106
14.224.124
11.888.794
14.266.552
16.644.311
6.248.914
8.204.069
20.820.313
7.498.696
9.844.883
24.984.375
8.748.479
11.485.697
29.148.438
3.368.957
4.042.748
4.716.540
4.379.136
5.254.963
6.130.790
8.734.088
10.480.906
12.227.724
3.829.647
6.421.865
7.144.274
4.595.576
7.706.238
8.573.129
5.361.505
8.990.611
10.001.984
Kode INACBG
396
K-1-30-III
397
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
19.953.979
23.944.775
27.935.571
K-1-40-I
7.112.568
8.535.082
9.957.595
398
K-1-40-II
8.722.411
10.466.893
12.211.375
399
400
401
402
403
404
405
406
407
408
409
410
411
K-1-40-III
K-1-50-I
K-1-50-II
K-1-50-III
K-4-10-I
K-4-10-II
K-4-10-III
K-4-11-I
K-4-11-II
K-4-11-III
K-4-12-I
K-4-12-II
K-4-12-III
14.465.278
5.455.344
7.822.753
8.952.709
8.057.832
12.808.927
15.099.855
2.246.936
3.240.927
5.022.397
2.314.207
4.032.700
7.260.091
17.358.334
6.546.413
9.387.304
10.743.250
9.669.398
15.370.713
18.119.826
2.696.324
3.889.113
6.026.877
2.777.048
4.839.240
8.712.109
20.251.389
7.637.481
10.951.855
12.533.792
11.280.965
17.932.498
21.139.797
3.145.711
4.537.298
7.031.356
3.239.890
5.645.779
10.164.127
412
K-4-13-I
3.184.328
3.821.194
4.458.059
413
K-4-13-II
4.080.717
4.896.861
5.713.004
414
K-4-13-III
6.350.946
7.621.135
8.891.324
415
K-4-14-I
2.525.950
3.031.140
3.536.330
416
K-4-14-II
3.390.684
4.068.821
4.746.958
417
K-4-14-III
5.952.962
7.143.554
8.334.147
418
419
420
421
422
423
K-4-15-I
K-4-15-II
K-4-15-III
K-4-16-I
K-4-16-II
K-4-16-III
2.638.880
4.067.686
5.708.802
2.674.201
3.355.610
4.509.527
3.166.656
4.881.223
6.850.562
3.209.041
4.026.732
5.411.433
3.694.431
5.694.760
7.992.322
3.743.882
4.697.854
6.313.338
424
K-4-17-I
2.846.079
3.415.295
3.984.510
425
K-4-17-II
4.027.692
4.833.230
5.638.768
426
K-4-17-III
4.543.245
5.451.894
6.360.543
427
K-4-18-I
3.140.109
3.768.131
4.396.153
428
K-4-18-II
4.710.074
5.652.089
6.594.104
429
K-4-18-III
5.777.894
6.933.473
8.089.052
430
L-1-20-I
27.581.742
33.098.090
38.614.439
431
L-1-20-II
28.425.542
34.110.650
39.795.758
432
L-1-20-III
39.978.701
47.974.442
55.970.182
433
L-1-30-I
8.630.123
10.356.148
12.082.173
434
L-1-30-II
16.093.483
19.312.179
22.530.876
435
L-1-30-III
19.114.748
22.937.698
26.760.648
436
L-1-40-I
4.102.206
4.922.647
5.743.088
Kode INACBG
437
L-1-40-II
438
L-1-40-III
439
440
441
442
443
444
445
446
447
448
449
450
L-1-50-I
L-1-50-II
L-1-50-III
L-4-10-I
L-4-10-II
L-4-10-III
L-4-11-I
L-4-11-II
L-4-11-III
L-4-12-I
L-4-12-II
L-4-12-III
451
L-4-13-I
452
L-4-13-II
453
L-4-13-III
454
L-4-14-I
455
L-4-14-II
456
L-4-14-III
457
M-1-01-I
458
M-1-01-II
459
M-1-01-III
460
461
462
M-1-02-I
M-1-02-II
M-1-02-III
463
M-1-03-I
464
M-1-03-II
465
M-1-03-III
466
M-1-04-I
467
M-1-04-II
468
M-1-04-III
469
M-1-05-I
470
M-1-05-II
471
M-1-05-III
472
M-1-07-I
473
M-1-07-II
474
M-1-07-III
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
8.845.638
10.614.766
12.383.894
15.131.438
18.157.726
21.184.013
5.529.726
9.925.307
11.958.003
3.338.207
4.632.178
9.533.531
3.105.175
4.297.178
11.611.224
3.285.161
5.356.798
8.675.142
6.635.671
11.910.368
14.349.604
4.005.848
5.558.614
11.440.237
3.726.210
5.156.614
13.933.469
3.942.193
6.428.157
10.410.170
7.741.616
13.895.429
16.741.204
4.673.489
6.485.050
13.346.943
4.347.245
6.016.049
16.255.714
4.599.226
7.499.517
12.145.199
2.003.311
2.403.973
2.804.636
2.678.109
3.213.731
3.749.353
3.535.158
4.242.189
4.949.221
2.318.771
2.782.525
3.246.279
3.445.839
4.135.007
4.824.175
6.099.062
7.318.875
8.538.687
9.543.787
11.452.545
13.361.302
10.652.411
12.782.893
14.913.375
14.963.751
17.956.501
20.949.252
9.345.092
15.356.706
21.516.242
11.214.111
18.428.047
25.819.491
13.083.129
21.499.388
30.122.739
17.597.048
21.116.457
24.635.867
20.488.707
24.586.448
28.684.190
25.844.741
31.013.689
36.182.638
6.139.963
7.367.955
8.595.948
7.863.698
9.436.437
11.009.177
9.839.936
11.807.923
13.775.910
7.788.079
9.345.695
10.903.311
9.044.475
10.853.370
12.662.265
16.010.338
19.212.406
22.414.474
7.667.700
9.201.240
10.734.780
10.272.322
12.326.786
14.381.251
20.925.694
25.110.833
29.295.972
Kode INACBG
475
M-1-10-I
476
M-1-10-II
477
M-1-10-III
478
M-1-20-I
479
M-1-20-II
480
M-1-20-III
481
482
483
M-1-30-I
M-1-30-II
M-1-30-III
484
M-1-40-I
485
M-1-40-II
486
M-1-40-III
487
488
489
M-1-50-I
M-1-50-II
M-1-50-III
490
M-1-60-I
491
M-1-60-II
492
M-1-60-III
493
M-1-70-I
494
M-1-70-II
495
M-1-70-III
496
497
498
499
500
501
M-1-80-I
M-1-80-II
M-1-80-III
M-4-10-I
M-4-10-II
M-4-10-III
502
M-4-11-I
503
M-4-11-II
504
M-4-11-III
505
M-4-12-I
506
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
18.928.769
22.714.523
26.500.277
45.257.951
54.309.541
63.361.131
97.617.139
117.140.567
136.663.995
6.527.800
7.833.360
9.138.920
7.410.752
8.892.903
10.375.053
18.184.431
21.821.318
25.458.204
9.094.842
18.864.814
28.142.324
10.913.810
22.637.776
33.770.789
12.732.778
26.410.739
39.399.254
3.867.468
4.640.962
5.414.455
6.365.919
7.639.103
8.912.287
9.428.955
11.314.746
13.200.537
5.503.116
11.040.112
16.912.874
6.603.740
13.248.134
20.295.449
7.704.363
15.456.156
23.678.024
3.938.932
4.726.718
5.514.505
7.899.215
9.479.058
11.058.901
12.248.819
14.698.583
17.148.347
22.556.558
27.067.870
31.579.181
24.812.214
29.774.657
34.737.100
27.293.435
32.752.122
38.210.810
12.822.461
14.979.690
34.274.693
2.297.028
4.124.343
7.105.187
15.386.953
17.975.628
41.129.632
2.756.433
4.949.212
8.526.224
17.951.445
20.971.566
47.984.571
3.215.839
5.774.081
9.947.261
3.575.349
4.290.419
5.005.488
6.649.432
7.979.318
9.309.205
11.885.242
14.262.291
16.639.339
2.000.923
2.401.107
2.801.292
M-4-12-II
3.530.360
4.236.432
4.942.504
507
M-4-12-III
6.541.780
7.850.136
9.158.493
508
M-4-13-I
4.496.525
5.395.830
6.295.135
509
M-4-13-II
5.594.811
6.713.773
7.832.735
510
M-4-13-III
11.434.116
13.720.939
16.007.762
511
512
M-4-14-I
M-4-14-II
4.022.339
5.328.411
4.826.807
6.394.093
5.631.274
7.459.775
513
514
515
516
517
518
519
Kode INACBG
M-4-14-III
M-4-15-I
M-4-15-II
M-4-15-III
M-4-16-I
M-4-16-II
M-4-16-III
520
M-4-17-I
521
M-4-17-II
522
M-4-17-III
523
524
525
M-4-18-I
M-4-18-II
M-4-18-III
526
M-4-19-I
2.945.636
3.534.763
4.123.890
527
M-4-19-II
4.705.788
5.646.945
6.588.103
528
M-4-19-III
7.513.887
9.016.665
10.519.442
529
M-4-20-I
2.111.635
2.533.962
2.956.289
530
M-4-20-II
3.017.885
3.621.462
4.225.040
531
M-4-20-III
3.341.745
4.010.094
4.678.443
532
M-4-21-I
2.105.081
2.526.097
2.947.113
533
M-4-21-II
3.525.237
4.230.285
4.935.332
534
M-4-21-III
5.962.177
7.154.612
8.347.048
535
536
537
538
539
540
N-1-01-I
N-1-01-II
N-1-01-III
N-1-11-I
N-1-11-II
N-1-11-III
250.000.000
250.000.000
250.000.000
7.548.385
12.153.139
17.178.847
250.000.000
250.000.000
250.000.000
9.058.062
14.583.767
20.614.617
250.000.000
250.000.000
250.000.000
10.567.739
17.014.395
24.050.386
541
N-1-12-I
3.833.798
4.600.558
5.367.317
542
N-1-12-II
12.721.818
15.266.182
17.810.545
543
N-1-12-III
23.110.003
27.732.004
32.354.004
544
545
546
N-1-20-I
N-1-20-II
N-1-20-III
11.514.437
14.661.724
16.730.013
13.817.324
17.594.068
20.076.016
16.120.211
20.526.413
23.422.018
547
N-1-30-I
7.590.650
9.108.780
10.626.910
548
N-1-30-II
11.345.612
13.614.734
15.883.856
549
N-1-30-III
11.914.516
14.297.420
16.680.323
550
N-1-40-I
7.923.825
9.508.590
11.093.355
551
N-1-40-II
10.749.569
12.899.483
15.049.397
No
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
8.450.640
3.370.703
4.189.521
9.422.299
3.376.080
4.925.787
9.688.504
10.140.768
4.044.843
5.027.425
11.306.759
4.051.296
5.910.944
11.626.205
11.830.897
4.718.984
5.865.329
13.191.218
4.726.512
6.896.102
13.563.906
2.884.590
3.461.509
4.038.427
3.775.379
4.530.455
5.285.530
5.202.764
6.243.317
7.283.870
3.224.152
3.918.515
5.473.395
3.868.982
4.702.218
6.568.075
4.513.812
5.485.921
7.662.754
552
Kode INACBG
N-1-40-III
553
N-4-10-I
554
N-4-10-II
555
N-4-10-III
556
557
558
559
560
561
562
563
564
N-4-11-I
N-4-11-II
N-4-11-III
N-4-12-I
N-4-12-II
N-4-12-III
N-4-13-I
N-4-13-II
N-4-13-III
565
N-4-14-I
566
N-4-14-II
567
N-4-14-III
568
N-4-15-I
569
N-4-15-II
570
N-4-15-III
571
N-4-16-I
572
N-4-16-II
573
N-4-16-III
574
575
576
O-6-10-I
O-6-10-II
O-6-10-III
577
O-6-11-I
578
O-6-11-II
579
O-6-11-III
580
O-6-12-I
2.471.747
2.966.097
3.460.446
581
O-6-12-II
2.968.562
3.562.275
4.155.987
582
O-6-12-III
3.876.286
4.651.544
5.426.801
583
584
585
O-6-13-I
O-6-13-II
O-6-13-III
2.274.800
2.692.374
3.375.142
2.729.760
3.230.848
4.050.170
3.184.720
3.769.323
4.725.199
586
P-8-01-I
49.184.923
59.021.908
68.858.893
No
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
12.484.633
14.981.559
17.478.486
3.082.739
3.699.287
4.315.834
4.154.582
4.985.498
5.816.414
7.268.522
8.722.226
10.175.930
2.586.495
4.366.303
5.007.582
2.369.058
3.307.594
4.501.517
2.932.181
3.509.429
8.619.333
3.103.794
5.239.563
6.009.099
2.842.870
3.969.112
5.401.821
3.518.617
4.211.315
10.343.199
3.621.093
6.112.824
7.010.615
3.316.682
4.630.631
6.302.124
4.105.053
4.913.201
12.067.066
1.755.850
2.107.020
2.458.190
2.611.004
3.133.205
3.655.405
4.234.216
5.081.059
5.927.902
2.825.910
3.391.092
3.956.274
3.865.827
4.638.992
5.412.158
4.411.606
5.293.927
6.176.249
3.403.687
4.084.424
4.765.161
4.090.701
4.908.841
5.726.981
7.282.013
8.738.415
10.194.818
4.543.804
5.014.065
5.258.981
5.452.565
6.016.878
6.310.777
6.361.326
7.019.691
7.362.574
2.566.377
3.079.652
3.592.928
3.629.466
4.355.359
5.081.253
6.163.542
7.396.250
8.628.958
Kode INACBG
587
P-8-01-II
588
P-8-01-III
589
P-8-02-I
590
P-8-02-II
591
P-8-02-III
592
P-8-03-I
593
P-8-03-II
594
P-8-03-III
595
P-8-04-I
596
P-8-04-II
597
P-8-04-III
598
P-8-05-I
599
P-8-05-II
600
P-8-05-III
601
P-8-06-I
602
P-8-06-II
603
P-8-06-III
604
P-8-07-I
605
P-8-07-II
606
P-8-07-III
607
P-8-08-I
608
P-8-08-II
609
P-8-08-III
610
P-8-10-I
611
P-8-10-II
612
P-8-10-III
613
P-8-11-I
614
P-8-11-II
615
P-8-11-III
616
P-8-12-I
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
60.858.649
73.030.379
85.202.109
71.430.994
85.717.192
100.003.391
79.357.531
95.229.037
111.100.543
91.031.257
109.237.508
127.443.759
104.009.719
124.811.663
145.613.607
2.750.024
3.300.029
3.850.034
4.098.708
4.918.450
5.738.191
7.448.897
8.938.677
10.428.456
33.114.381
39.737.257
46.360.133
42.808.030
51.369.637
59.931.243
61.375.941
73.651.129
85.926.317
17.981.234
21.577.481
25.173.728
25.476.925
30.572.310
35.667.695
37.411.288
44.893.545
52.375.803
3.047.542
3.657.051
4.266.559
6.617.048
7.940.458
9.263.868
12.084.000
14.500.800
16.917.600
4.765.316
5.718.379
6.671.443
11.792.398
14.150.878
16.509.357
15.852.636
19.023.163
22.193.691
3.945.289
4.734.347
5.523.405
5.598.178
6.717.814
7.837.450
9.064.683
10.877.619
12.690.556
2.334.022
2.800.826
3.267.630
4.002.492
4.802.990
5.603.488
7.858.070
9.429.685
11.001.299
2.817.219
3.380.663
3.944.107
13.977.631
16.773.158
19.568.684
14.270.465
17.124.558
19.978.651
3.800.560
4.560.672
5.320.784
Kode INACBG
617
P-8-12-II
618
P-8-12-III
619
P-8-13-I
620
P-8-13-II
621
P-8-13-III
622
P-8-14-I
623
P-8-14-II
624
P-8-14-III
625
P-8-15-I
626
P-8-15-II
627
P-8-15-III
628
P-8-16-I
629
P-8-16-II
630
P-8-16-III
631
P-8-17-I
632
P-8-17-II
633
P-8-17-III
634
S-4-10-I
635
S-4-10-II
636
S-4-10-III
637
638
639
640
641
642
S-4-11-I
S-4-11-II
S-4-11-III
S-4-12-I
S-4-12-II
S-4-12-III
643
S-4-13-I
644
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
5.917.522
7.101.026
8.284.530
6.974.329
8.369.195
9.764.061
2.213.763
2.656.515
3.099.268
5.439.396
6.527.275
7.615.154
13.250.790
15.900.948
18.551.106
3.580.412
4.296.494
5.012.577
7.328.456
8.794.147
10.259.838
8.049.917
9.659.901
11.269.884
2.699.162
3.238.994
3.778.826
5.399.082
6.478.898
7.558.714
6.329.413
7.595.296
8.861.178
2.448.966
2.938.759
3.428.552
5.250.312
6.300.375
7.350.437
13.790.150
16.548.180
19.306.210
1.878.869
2.254.643
2.630.417
4.884.897
5.861.877
6.838.856
9.232.667
11.079.201
12.925.734
1.953.810
2.344.572
2.735.334
2.515.252
3.018.302
3.521.353
3.271.872
3.926.246
4.580.620
1.252.742
2.011.917
3.098.820
1.548.713
2.108.688
3.684.984
1.503.291
2.414.301
3.718.584
1.858.455
2.530.426
4.421.981
1.753.839
2.816.684
4.338.348
2.168.198
2.952.163
5.158.977
2.400.486
2.880.583
3.360.680
S-4-13-II
3.973.849
4.768.619
5.563.389
645
S-4-13-III
7.567.212
9.080.654
10.594.096
646
S-4-14-I
1.192.695
1.431.234
1.669.773
647
S-4-14-II
2.533.685
3.040.422
3.547.159
648
S-4-14-III
4.804.769
5.765.723
6.726.677
649
S-4-15-I
902.046
1.082.456
1.262.865
650
S-4-15-II
1.702.469
2.042.963
2.383.456
Kode INACBG
651
S-4-15-III
652
653
654
S-4-16-I
S-4-16-II
S-4-16-III
655
S-4-17-I
656
S-4-17-II
657
S-4-17-III
658
T-1-10-I
659
T-1-10-II
660
T-1-10-III
661
T-4-10-I
662
T-4-10-II
663
T-4-10-III
664
T-4-11-I
665
T-4-11-II
666
T-4-11-III
667
T-4-12-I
668
T-4-12-II
669
T-4-12-III
670
671
672
U-1-10-I
U-1-10-II
U-1-10-III
673
U-1-11-I
674
U-1-11-II
675
U-1-11-III
676
677
678
679
680
681
U-1-12-I
U-1-12-II
U-1-12-III
U-1-13-I
U-1-13-II
U-1-13-III
682
U-1-14-I
683
U-1-14-II
684
U-1-14-III
685
686
687
U-1-15-I
U-1-15-II
U-1-15-III
688
U-1-20-I
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
2.205.093
2.646.111
3.087.130
3.840.920
6.678.880
9.704.016
4.609.104
8.014.656
11.644.819
5.377.288
9.350.432
13.585.622
2.038.540
2.446.247
2.853.955
2.938.366
3.526.039
4.113.712
4.087.375
4.904.850
5.722.325
2.124.352
2.549.223
2.974.093
2.852.861
3.423.433
3.994.005
5.190.284
6.228.341
7.266.398
824.819
989.782
1.154.746
1.571.922
1.886.306
2.200.690
2.285.147
2.742.177
3.199.206
1.125.668
1.350.801
1.575.935
1.771.480
2.125.776
2.480.073
2.853.333
3.424.000
3.994.666
1.854.533
2.225.439
2.596.346
2.763.302
3.315.962
3.868.623
4.239.621
5.087.545
5.935.469
1.823.173
3.720.296
16.064.988
2.187.807
4.464.355
19.277.986
2.552.442
5.208.414
22.490.983
6.421.824
7.706.189
8.990.553
8.786.449
10.543.738
12.301.028
19.961.692
23.954.030
27.946.368
4.964.597
9.875.352
12.846.675
5.322.843
6.735.706
9.636.235
5.957.516
11.850.423
15.416.010
6.387.411
8.082.847
11.563.482
6.950.436
13.825.493
17.985.345
7.451.980
9.429.989
13.490.729
4.024.311
4.829.174
5.634.036
4.938.639
5.926.367
6.914.095
5.852.427
7.022.912
8.193.397
2.363.603
3.346.281
5.367.381
2.836.323
4.015.537
6.440.857
3.309.044
4.684.793
7.514.333
6.112.500
7.335.001
8.557.501
Kode INACBG
689
U-1-20-II
690
U-1-20-III
691
692
693
U-1-30-I
U-1-30-II
U-1-30-III
694
U-4-10-I
695
U-4-10-II
696
U-4-10-III
697
698
699
700
701
702
U-4-11-I
U-4-11-II
U-4-11-III
U-4-12-I
U-4-12-II
U-4-12-III
703
U-4-13-I
704
U-4-13-II
705
U-4-13-III
706
707
708
U-4-14-I
U-4-14-II
U-4-14-III
709
U-4-15-I
710
U-4-15-II
711
U-4-15-III
712
V-1-10-I
713
V-1-10-II
714
V-1-10-III
715
716
717
V-1-11-I
V-1-11-II
V-1-11-III
718
V-1-12-I
719
V-1-12-II
720
V-1-12-III
721
V-1-13-I
722
V-1-13-II
723
V-1-13-III
724
V-1-14-I
725
V-1-14-II
726
V-1-14-III
727
V-1-15-I
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
8.947.826
10.737.391
12.526.956
16.187.546
19.425.055
22.662.564
5.200.927
7.071.033
10.850.341
6.241.112
8.485.239
13.020.409
7.281.298
9.899.446
15.190.477
4.882.233
5.858.679
6.835.126
11.596.141
13.915.369
16.234.597
14.457.951
17.349.541
20.241.131
2.265.255
3.018.584
4.550.991
1.956.416
2.679.697
4.087.747
2.718.307
3.622.301
5.461.189
2.347.699
3.215.636
4.905.296
3.171.358
4.226.018
6.371.387
2.738.982
3.751.576
5.722.846
2.010.410
2.412.492
2.814.574
2.292.662
2.751.195
3.209.727
2.932.053
3.518.463
4.104.874
2.517.199
3.020.614
5.072.745
3.020.638
3.624.737
6.087.293
3.524.078
4.228.860
7.101.842
2.168.226
2.601.871
3.035.517
2.842.062
3.410.475
3.978.887
3.865.537
4.638.645
5.411.752
6.687.613
8.025.136
9.362.659
7.540.360
9.048.432
10.556.505
9.703.956
11.644.747
13.585.538
6.738.809
7.567.931
11.133.696
8.086.571
9.081.518
13.360.435
9.434.333
10.595.104
15.587.174
4.916.367
5.899.640
6.882.913
12.260.576
14.712.691
17.164.806
12.694.199
15.233.039
17.771.879
7.465.159
8.958.191
10.451.223
10.618.835
12.742.602
14.866.369
13.165.343
15.798.412
18.431.481
7.945.803
9.534.964
11.124.124
10.612.121
12.734.545
14.856.969
14.427.888
17.313.466
20.199.044
3.453.000
4.143.600
4.834.200
728
729
Kode INACBG
V-1-15-II
V-1-15-III
730
No
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
5.321.501
8.765.302
6.385.801
10.518.363
7.450.101
12.271.423
V-4-10-I
5.557.153
6.668.584
7.780.014
731
V-4-10-II
7.184.435
8.621.323
10.058.210
732
V-4-10-III
13.727.842
16.473.411
19.218.979
733
V-4-11-I
2.773.190
3.327.828
3.882.466
734
V-4-11-II
3.893.489
4.672.187
5.450.884
735
V-4-11-III
6.822.922
8.187.506
9.552.091
736
W-1-01-I
10.166.707
12.200.048
14.233.389
737
W-1-01-II
11.401.880
13.682.256
15.962.632
738
W-1-01-III
18.053.047
21.663.657
25.274.266
739
740
741
W-1-10-I
W-1-10-II
W-1-10-III
2.643.589
4.320.879
7.061.615
3.172.307
5.185.055
8.473.938
3.701.024
6.049.231
9.886.261
742
W-1-11-I
3.086.997
3.704.396
4.321.795
743
W-1-11-II
5.427.291
6.512.749
7.598.207
744
W-1-11-III
11.428.346
13.714.015
15.999.684
745
W-1-12-I
2.685.979
3.223.175
3.760.371
746
W-1-12-II
3.036.811
3.644.174
4.251.536
747
W-1-12-III
4.664.925
5.597.910
6.530.895
748
W-1-13-I
2.310.363
2.772.435
3.234.508
749
W-1-13-II
2.508.388
3.010.065
3.511.743
750
W-1-13-III
3.369.228
4.043.073
4.716.919
751
752
753
754
755
756
757
758
759
760
761
762
W-1-20-I
W-1-20-II
W-1-20-III
W-1-30-I
W-1-30-II
W-1-30-III
W-4-10-I
W-4-10-II
W-4-10-III
W-4-11-I
W-4-11-II
W-4-11-III
7.082.306
8.809.079
9.621.809
3.843.994
6.131.369
18.116.465
3.419.748
4.772.124
8.576.468
2.276.802
3.139.580
3.790.515
8.498.767
10.570.895
11.546.171
4.612.793
7.357.643
21.739.758
4.103.697
5.726.549
10.291.761
2.732.162
3.767.496
4.548.618
9.915.229
12.332.711
13.470.533
5.381.591
8.583.917
25.363.052
4.787.647
6.680.973
12.007.055
3.187.523
4.395.412
5.306.721
763
W-4-12-I
2.012.371
2.414.845
2.817.319
764
W-4-12-II
3.256.032
3.907.239
4.558.445
765
W-4-12-III
4.141.018
4.969.221
5.797.425
766
767
768
769
W-4-13-I
W-4-13-II
W-4-13-III
W-4-14-I
1.103.747
1.508.639
2.013.199
1.502.518
1.324.496
1.810.366
2.415.839
1.803.022
1.545.245
2.112.094
2.818.479
2.103.526
770
771
772
773
774
775
776
777
778
779
780
781
782
783
784
785
786
Kode INACBG
W-4-14-II
W-4-14-III
W-4-15-I
W-4-15-II
W-4-15-III
W-4-16-I
W-4-16-II
W-4-16-III
W-4-17-I
W-4-17-II
W-4-17-III
Z-4-10-I
Z-4-10-II
Z-4-10-III
Z-4-11-I
Z-4-11-II
Z-4-11-III
787
Z-4-12-I
788
Z-4-12-II
789
Z-4-12-III
No
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
1.974.563
2.433.361
1.371.177
1.542.120
2.043.397
2.355.804
3.150.359
4.269.779
1.509.719
2.012.054
3.789.651
3.358.913
4.458.472
6.333.685
3.290.126
3.956.084
6.211.908
2.369.476
2.920.033
1.645.413
1.850.544
2.452.077
2.826.965
3.780.431
5.123.735
1.811.663
2.414.464
4.547.581
4.030.696
5.350.166
7.600.422
3.948.151
4.747.300
7.454.290
2.764.388
3.406.705
1.919.648
2.158.968
2.860.756
3.298.125
4.410.503
5.977.691
2.113.607
2.816.875
5.305.511
4.702.478
6.241.861
8.867.159
4.606.176
5.538.517
8.696.671
1.564.899
1.877.878
2.190.858
4.065.022
4.878.026
5.691.031
5.253.983
6.304.779
7.355.576
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Kode INACBG
B-2-10-0
B-2-11-0
B-2-12-0
B-2-13-0
B-2-14-0
B-3-10-0
B-3-11-0
B-3-12-0
C-3-10-0
C-3-11-0
C-3-12-0
C-3-13-0
C-3-14-0
C-3-15-0
C-3-16-0
C-3-17-0
C-3-18-0
C-3-19-0
C-3-20-0
C-3-21-0
C-3-22-0
C-3-23-0
D-2-10-0
D-2-11-0
D-2-21-0
D-2-22-0
D-3-10-0
D-3-11-0
E-2-10-0
E-2-21-0
31
E-2-22-0
32
33
34
35
36
37
38
39
E-3-10-0
F-3-10-0
F-5-10-0
F-5-11-0
F-5-12-0
F-5-13-0
F-5-14-0
F-5-15-0
40
F-5-16-0
41
42
43
44
45
46
47
48
49
50
51
52
53
G-2-10-0
G-2-11-0
G-2-12-0
G-2-13-0
G-2-21-0
G-2-22-0
G-2-31-0
G-2-32-0
G-3-10-0
G-3-11-0
G-3-12-0
G-3-13-0
H-2-21-0
PROSEDUR KRANIOTOMI
PROSEDUR SHUNT VENTRIKEL
PROSEDUR PADA PEMBULUH DARAH EKSTRAKRANIAL
PROSEDUR CARPAL TUNNEL RELEASE
PROSEDUR BESAR PADA SARAF PERIFER
PROSEDUR KECIL PADA SARAF PERIFER
PROSEDUR BESAR PADA TULANG BELAKANG
PROSEDUR KECIL PADA TULANG BELAKANG
PROSEDUR TAP & INJEKSI PADA SPINAL
PROSEDUR INJEKSI PADA SARAF PERIFER
PROSEDUR PEMERIKSAAN NEUROLOGIS LAIN
PROSEDUR ELEKROENSEFALOGRAFI (EEG)
PROSEDUR BESAR PADA MATA
No
54
55
56
57
58
59
60
61
62
63
64
65
66
Kode INACBG
H-2-22-0
H-2-23-0
H-2-31-0
H-2-32-0
H-2-33-0
H-2-34-0
H-2-35-0
H-2-36-0
H-2-37-0
H-3-10-0
H-3-11-0
H-3-12-0
H-3-13-0
67
I-2-11-0
68
69
I-2-12-0
I-2-13-0
70
I-2-14-0
3.660.325
71
I-2-15-0
3.791.545
72
I-2-16-0
73
74
75
76
77
78
79
I-2-17-0
I-2-21-0
I-2-22-0
I-2-23-0
I-2-31-0
I-2-32-0
I-2-41-0
80
I-2-42-0
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
I-3-10-0
I-3-11-0
I-3-12-0
I-3-13-0
I-3-14-0
I-3-15-0
J-2-10-0
J-2-21-0
J-2-22-0
J-2-31-0
J-2-32-0
J-3-10-0
J-3-11-0
J-3-12-0
J-3-13-0
J-3-14-0
J-3-15-0
J-3-16-0
J-3-17-0
K-2-10-0
K-2-11-0
No
102 K-2-12-0
103 K-2-13-0
104 K-2-14-0
2.311.958
621.640
1.784.503
1.359.785
343.191
2.674.575
3.497.400
2.345.049
2.205.828
343.982
182.674
1.061.632
348.941
222.880
198.023
1.225.782
197.644
807.487
1.291.589
784.601
199.918
460.607
216.898
261.845
277.725
243.041
277.186
161.873
480.909
1.228.782
943.249
1.535.189
199.918
Kode INACBG
K-2-21-0
K-2-22-0
K-2-31-0
K-2-32-0
K-2-41-0
K-2-42-0
K-2-51-0
K-2-52-0
K-2-53-0
K-3-10-0
K-3-11-0
K-3-12-0
K-3-13-0
K-3-14-0
K-3-15-0
K-3-16-0
L-2-21-0
L-2-22-0
L-2-31-0
L-2-32-0
L-2-41-0
L-2-42-0
L-2-51-0
L-2-52-0
L-2-53-0
L-3-10-0
L-3-11-0
L-3-12-0
M-2-10-0
M-2-21-0
M-2-22-0
M-2-31-0
M-2-32-0
M-2-41-0
M-2-42-0
M-2-51-0
M-2-52-0
M-2-61-0
M-2-62-0
M-2-63-0
M-2-64-0
M-2-65-0
M-2-71-0
M-2-72-0
M-2-81-0
M-2-82-0
M-2-83-0
M-2-84-0
M-3-10-0
M-3-11-0
M-3-12-0
M-3-13-0
M-3-14-0
M-3-15-0
M-3-16-0
M-3-17-0
Kode INACBG
N-2-11-0
N-2-12-0
N-2-21-0
N-2-22-0
N-2-23-0
N-2-24-0
N-2-31-0
N-2-32-0
N-2-41-0
N-2-42-0
N-3-10-0
N-3-11-0
N-3-12-0
N-3-13-0
N-3-14-0
N-3-15-0
O-7-10-0
185 P-9-14-0
153.457
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
97.180
153.087
187.498
245.556
149.858
131.977
99.829
130.974
93.317
105.209
90.823
139.570
156.566
110.443
103.298
110.023
134.952
92.221
143.842
203.771
145.245
117.785
332.760
385.757
138.073
158.588
167.409
P-9-15-0
P-9-16-0
P-9-17-0
Q-5-10-0
Q-5-11-0
Q-5-12-0
Q-5-13-0
Q-5-14-0
Q-5-15-0
Q-5-16-0
Q-5-17-0
Q-5-18-0
Q-5-19-0
Q-5-20-0
Q-5-21-0
Q-5-22-0
Q-5-23-0
Q-5-24-0
Q-5-25-0
Q-5-26-0
Q-5-27-0
Q-5-28-0
Q-5-29-0
Q-5-30-0
Q-5-31-0
Q-5-32-0
Q-5-33-0
Kode INACBG
Q-5-34-0
Q-5-35-0
Q-5-36-0
Q-5-37-0
Q-5-38-0
Q-5-39-0
Q-5-40-0
Q-5-41-0
Q-5-42-0
Q-5-43-0
Q-5-44-0
T-2-10-0
U-2-10-0
U-2-11-0
U-2-12-0
U-2-13-0
U-2-14-0
U-2-15-0
U-2-21-0
U-2-22-0
U-2-23-0
U-2-24-0
U-2-25-0
U-2-31-0
U-2-32-0
238 U-3-10-0
239 U-3-11-0
240 U-3-12-0
241 U-3-13-0
242 U-3-14-0
243
244
245
246
247
248
249
250
251
252
253
254
255
256
257
258
259
260
261
262
263
264
U-3-15-0
U-3-16-0
V-2-10-0
V-2-11-0
V-2-12-0
V-2-13-0
V-2-14-0
V-2-15-0
V-3-10-0
V-3-11-0
V-3-12-0
W-2-10-0
W-2-11-0
W-2-12-0
W-2-13-0
W-2-21-0
W-2-22-0
W-2-23-0
W-2-31-0
W-2-32-0
W-2-33-0
W-2-34-0
Kode INACBG
W-3-10-0
W-3-11-0
W-3-12-0
Z-3-10-0
269 Z-3-11-0
270
271
272
273
274
275
276
277
278
279
280
281
282
283
284
285
286
287
288
Z-3-12-0
Z-3-13-0
Z-3-14-0
Z-3-15-0
Z-3-16-0
Z-3-17-0
Z-3-18-0
Z-3-19-0
Z-3-20-0
Z-3-21-0
Z-3-22-0
Z-3-23-0
Z-3-24-0
Z-3-25-0
Z-3-26-0
Z-3-27-0
Z-3-28-0
Z-3-29-0
Z-3-30-0
1
2
3
4
5
6
7
8
9
10
11
12
Kode INACBG
A-4-10-I
A-4-10-II
A-4-10-III
A-4-11-I
A-4-11-II
A-4-11-III
A-4-12-I
A-4-12-II
A-4-12-III
A-4-13-I
A-4-13-II
A-4-13-III
13
A-4-14-I
14
A-4-14-II
15
A-4-14-III
16
17
18
19
20
21
22
23
24
25
26
27
A-4-15-I
A-4-15-II
A-4-15-III
B-1-01-I
B-1-01-II
B-1-01-III
B-1-10-I
B-1-10-II
B-1-10-III
B-1-11-I
B-1-11-II
B-1-11-III
28
B-1-12-I
29
B-1-12-II
30
B-1-12-III
31
B-1-13-I
32
B-1-13-II
33
B-1-13-III
34
B-1-14-I
35
B-1-14-II
36
B-1-14-III
37
38
39
B-4-10-I
B-4-10-II
B-4-10-III
40
B-4-11-I
41
B-4-11-II
42
B-4-11-III
4.914.423
5.897.307
6.880.192
43
44
45
B-4-12-I
B-4-12-II
B-4-12-III
2.649.198
5.082.933
7.303.213
3.179.038
6.099.520
8.763.856
3.708.877
7.116.106
10.224.498
46
B-4-13-I
2.395.587
2.874.704
3.353.822
No
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
1.925.795
2.588.192
3.358.566
4.498.503
5.738.079
9.386.243
1.598.964
2.042.408
2.179.961
1.995.420
2.389.382
2.908.876
2.310.954
3.105.831
4.030.279
5.398.203
6.885.694
11.263.492
1.918.757
2.450.890
2.615.953
2.394.504
2.867.258
3.490.651
2.696.113
3.623.469
4.701.992
6.297.904
8.033.310
13.140.740
2.238.550
2.859.372
3.051.945
2.793.588
3.345.135
4.072.426
2.849.378
3.419.254
3.989.129
3.665.021
4.398.025
5.131.029
4.199.252
5.039.102
5.878.952
2.396.976
3.597.434
6.162.272
26.551.062
29.292.920
51.385.809
3.442.255
8.772.524
19.945.133
3.183.855
8.004.905
10.013.444
2.876.371
4.316.921
7.394.726
31.861.274
35.151.503
61.662.971
4.130.706
10.527.029
23.934.159
3.820.626
9.605.886
12.016.133
3.355.766
5.036.407
8.627.180
37.171.486
41.010.087
71.940.132
4.819.157
12.281.533
27.923.186
4.457.397
11.206.866
14.018.822
5.546.837
6.656.205
7.765.572
11.888.230
14.265.875
16.643.521
14.057.972
16.869.566
19.681.160
4.460.462
5.352.554
6.244.646
7.265.445
8.718.534
10.171.623
10.711.304
12.853.565
14.995.826
6.033.331
7.239.997
8.446.663
6.710.281
8.052.338
9.394.394
10.497.438
12.596.925
14.696.413
1.694.926
1.996.731
3.985.566
2.033.911
2.396.077
4.782.679
2.372.896
2.795.424
5.579.792
2.877.922
3.453.506
4.029.090
4.313.804
5.176.564
6.039.325
Kode INACBG
47
B-4-13-II
48
B-4-13-III
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
3.627.472
4.352.967
5.078.461
4.509.817
5.411.780
6.313.744
B-4-14-I
B-4-14-II
B-4-14-III
C-4-10-I
C-4-10-II
C-4-10-III
C-4-11-I
C-4-11-II
C-4-11-III
C-4-12-I
C-4-12-II
C-4-12-III
C-4-13-I
C-4-13-II
C-4-13-III
C-4-14-I
C-4-14-II
C-4-14-III
2.396.474
2.782.193
3.718.722
3.149.852
6.148.868
7.553.730
2.391.393
3.185.438
7.334.867
1.599.442
5.943.878
12.040.458
1.597.139
3.194.946
4.178.992
2.413.745
4.090.393
6.244.145
2.875.769
3.338.632
4.462.467
3.779.823
7.378.642
9.064.475
2.869.672
3.822.526
8.801.840
1.919.330
7.132.653
14.448.550
1.916.567
3.833.935
5.014.790
2.896.494
4.908.471
7.492.974
3.355.064
3.895.071
5.206.211
4.409.793
8.608.415
10.575.221
3.347.950
4.459.613
10.268.813
2.239.219
8.321.429
16.856.641
2.235.994
4.472.925
5.850.588
3.379.244
5.726.550
8.741.803
67
D-1-10-I
16.989.629
20.387.555
23.785.481
68
D-1-10-II
25.876.508
31.051.810
36.227.111
69
D-1-10-III
35.069.739
42.083.687
49.097.635
70
71
72
D-1-11-I
D-1-11-II
D-1-11-III
4.715.468
9.120.059
12.914.074
5.658.561
10.944.071
15.496.889
6.601.655
12.768.083
18.079.704
73
D-1-20-I
3.630.940
4.357.128
5.083.316
74
D-1-20-II
9.660.156
11.592.187
13.524.218
75
D-1-20-III
16.746.216
20.095.459
23.444.702
76
77
78
79
80
81
82
83
84
D-4-10-I
D-4-10-II
D-4-10-III
D-4-11-I
D-4-11-II
D-4-11-III
D-4-12-I
D-4-12-II
D-4-12-III
1.528.029
2.740.298
3.987.864
1.990.430
4.039.897
6.981.303
2.047.248
2.839.734
4.360.413
1.833.635
3.288.358
4.785.437
2.388.516
4.847.876
8.377.564
2.456.698
3.407.681
5.232.496
2.139.241
3.836.418
5.583.010
2.786.601
5.655.855
9.773.824
2.866.147
3.975.628
6.104.579
85
D-4-13-I
1.594.006
1.912.807
2.231.608
86
D-4-13-II
2.388.576
2.866.291
3.344.007
87
D-4-13-III
2.790.525
3.348.629
3.906.734
88
D-4-14-I
1.924.170
2.309.004
2.693.838
89
D-4-14-II
3.676.868
4.412.242
5.147.616
90
D-4-14-III
5.155.772
6.186.926
7.218.080
91
92
93
94
E-1-01-I
E-1-01-II
E-1-01-III
E-1-10-I
4.999.118
6.548.369
11.371.263
3.899.711
5.998.941
7.858.042
13.645.516
4.679.653
6.998.765
9.167.716
15.919.768
5.459.595
95
96
Kode INACBG
E-1-10-II
E-1-10-III
97
E-1-20-I
98
E-1-20-II
99
E-1-20-III
100
E-4-10-I
101
E-4-10-II
102
E-4-10-III
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
E-4-11-I
E-4-11-II
E-4-11-III
E-4-12-I
E-4-12-II
E-4-12-III
E-4-13-I
E-4-13-II
E-4-13-III
F-4-10-I
F-4-10-II
F-4-10-III
F-4-11-I
F-4-11-II
F-4-11-III
118
F-4-12-I
1.193.514
1.432.217
1.670.920
119
F-4-12-II
1.708.015
2.049.618
2.391.221
120
F-4-12-III
3.715.090
4.458.108
5.201.125
121
122
123
124
125
126
127
128
129
F-4-13-I
F-4-13-II
F-4-13-III
F-4-14-I
F-4-14-II
F-4-14-III
F-4-15-I
F-4-15-II
F-4-15-III
2.592.930
2.639.135
3.343.252
1.512.011
1.939.461
2.609.631
2.195.644
2.398.116
3.152.133
3.111.516
3.166.962
4.011.903
1.814.414
2.327.353
3.131.557
2.634.773
2.877.739
3.782.560
3.630.102
3.694.789
4.680.553
2.116.816
2.715.245
3.653.484
3.073.902
3.357.363
4.412.986
130
F-4-16-I
4.738.757
5.686.509
6.634.260
131
F-4-16-II
5.506.669
6.608.003
7.709.337
132
F-4-16-III
7.350.484
8.820.581
10.290.678
133
134
135
136
137
138
139
140
141
F-4-17-I
F-4-17-II
F-4-17-III
F-4-18-I
F-4-18-II
F-4-18-III
F-4-19-I
F-4-19-II
F-4-19-III
808.987
2.371.062
2.529.749
3.966.925
4.364.737
6.728.623
3.147.618
4.030.606
5.018.159
970.784
2.845.275
3.035.699
4.760.310
5.237.685
8.074.348
3.777.142
4.836.728
6.021.790
1.132.581
3.319.487
3.541.649
5.553.694
6.110.632
9.420.073
4.406.666
5.642.849
7.025.422
142
G-1-01-I
7.404.628
8.885.554
10.366.479
No
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
4.733.334
9.976.474
5.680.000
11.971.769
6.626.667
13.967.063
4.919.221
5.903.066
6.886.910
7.847.618
9.417.142
10.986.665
14.148.269
16.977.923
19.807.576
1.995.351
2.394.421
2.793.491
3.479.644
4.175.573
4.871.502
4.410.430
5.292.515
6.174.601
1.697.305
2.659.410
5.872.655
2.033.899
3.528.817
5.210.754
2.147.513
3.672.156
7.024.585
3.555.281
3.940.355
5.833.782
3.274.147
3.814.692
4.891.829
2.036.766
3.191.292
7.047.186
2.440.679
4.234.580
6.252.904
2.577.016
4.406.587
8.429.502
4.266.337
4.728.426
7.000.538
3.928.976
4.577.630
5.870.195
2.376.227
3.723.174
8.221.717
2.847.459
4.940.344
7.295.055
3.006.519
5.141.018
9.834.419
4.977.393
5.516.497
8.167.295
4.583.806
5.340.569
6.848.561
Kode INACBG
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
143
G-1-01-II
10.190.677
12.228.812
14.266.948
144
G-1-01-III
19.778.706
23.734.447
27.690.188
145
146
147
148
149
150
G-1-10-I
G-1-10-II
G-1-10-III
G-1-11-I
G-1-11-II
G-1-11-III
5.015.146
7.076.800
8.355.619
5.761.052
11.866.951
18.335.798
6.018.175
8.492.159
10.026.742
6.913.262
14.240.341
22.002.957
7.021.204
9.907.519
11.697.866
8.065.472
16.613.731
25.670.117
151
G-1-12-I
2.913.071
3.495.685
4.078.299
152
G-1-12-II
7.910.949
9.493.139
11.075.329
153
G-1-12-III
10.749.565
12.899.478
15.049.391
154
155
156
157
158
159
160
161
162
G-1-13-I
G-1-13-II
G-1-13-III
G-1-20-I
G-1-20-II
G-1-20-III
G-1-30-I
G-1-30-II
G-1-30-III
874.285
2.348.234
5.298.604
5.480.176
6.516.952
15.209.887
7.187.100
18.510.573
20.791.596
1.049.142
2.817.881
6.358.325
6.576.211
7.820.342
18.251.864
8.624.519
22.212.688
24.949.915
1.223.999
3.287.527
7.418.046
7.672.246
9.123.732
21.293.842
10.061.939
25.914.803
29.108.234
163
G-4-10-I
2.397.444
2.876.933
3.356.422
164
G-4-10-II
2.784.286
3.341.143
3.898.000
165
G-4-10-III
5.701.148
6.841.378
7.981.607
166
G-4-11-I
3.390.953
4.069.143
4.747.334
167
G-4-11-II
5.508.724
6.610.469
7.712.214
168
G-4-11-III
6.697.931
8.037.517
9.377.103
169
170
171
G-4-12-I
G-4-12-II
G-4-12-III
3.989.639
4.863.888
7.064.218
4.787.567
5.836.665
8.477.062
5.585.495
6.809.443
9.889.905
172
G-4-13-I
2.222.467
2.666.961
3.111.454
173
G-4-13-II
2.782.607
3.339.128
3.895.649
174
G-4-13-III
3.307.513
3.969.015
4.630.518
175
G-4-14-I
3.008.997
3.610.796
4.212.596
176
G-4-14-II
5.474.797
6.569.756
7.664.715
177
G-4-14-III
6.845.870
8.215.043
9.584.217
178
G-4-15-I
2.417.943
2.901.531
3.385.120
179
G-4-15-II
2.885.825
3.462.990
4.040.156
180
G-4-15-III
3.751.440
4.501.728
5.252.017
181
G-4-16-I
1.993.391
2.392.069
2.790.747
182
183
Kode INACBG
G-4-16-II
G-4-16-III
184
No
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
2.271.734
4.403.377
2.726.081
5.284.052
3.180.428
6.164.728
G-4-17-I
2.654.923
3.185.907
3.716.892
185
G-4-17-II
3.530.912
4.237.095
4.943.277
186
G-4-17-III
5.917.838
7.101.405
8.284.973
187
G-4-18-I
2.390.253
2.868.304
3.346.354
188
G-4-18-II
4.654.897
5.585.876
6.516.856
189
G-4-18-III
4.927.493
5.912.991
6.898.490
190
G-4-19-I
2.668.152
3.201.783
3.735.413
191
G-4-19-II
3.687.488
4.424.985
5.162.483
192
G-4-19-III
4.635.498
5.562.597
6.489.697
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
G-4-20-I
G-4-20-II
G-4-20-III
G-4-21-I
G-4-21-II
G-4-21-III
G-4-22-I
G-4-22-II
G-4-22-III
G-4-23-I
G-4-23-II
G-4-23-III
G-4-24-I
G-4-24-II
G-4-24-III
G-4-25-I
G-4-25-II
G-4-25-III
1.396.659
1.984.855
3.385.326
1.620.827
2.735.518
4.345.001
1.591.282
1.998.072
2.288.516
1.596.923
1.992.094
2.854.670
2.855.548
3.567.571
6.906.975
1.519.148
1.907.526
2.480.794
1.675.991
2.381.826
4.062.392
1.944.992
3.282.621
5.214.002
1.909.538
2.397.686
2.746.219
1.916.307
2.390.513
3.425.604
3.426.657
4.281.085
8.288.370
1.822.978
2.289.031
2.976.953
1.955.323
2.778.797
4.739.457
2.269.157
3.829.725
6.083.002
2.227.795
2.797.300
3.203.922
2.235.692
2.788.932
3.996.538
3.997.767
4.994.599
9.669.765
2.126.807
2.670.536
3.473.112
211
G-4-26-I
2.396.694
2.876.033
3.355.372
212
G-4-26-II
2.780.982
3.337.178
3.893.375
213
G-4-26-III
4.083.467
4.900.160
5.716.853
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
H-1-20-I
H-1-20-II
H-1-20-III
H-1-30-I
H-1-30-II
H-1-30-III
H-4-10-I
H-4-10-II
H-4-10-III
H-4-11-I
H-4-11-II
H-4-11-III
H-4-12-I
H-4-12-II
H-4-12-III
4.256.821
5.426.309
7.379.441
2.382.700
3.327.731
5.552.199
2.399.457
3.409.726
6.510.736
1.631.607
1.819.327
2.604.932
2.498.226
3.387.792
5.651.905
5.108.185
6.511.571
8.855.330
2.859.240
3.993.277
6.662.639
2.879.349
4.091.672
7.812.883
1.957.928
2.183.192
3.125.918
2.997.872
4.065.350
6.782.287
5.959.550
7.596.833
10.331.218
3.335.780
4.658.824
7.773.079
3.359.240
4.773.617
9.115.031
2.284.250
2.547.058
3.646.904
3.497.517
4.742.909
7.912.668
229
I-1-01-I
34.444.553
41.333.463
48.222.374
Kode INACBG
230
I-1-01-II
231
I-1-01-III
232
I-1-02-I
233
I-1-02-II
234
I-1-02-III
235
I-1-03-I
236
I-1-03-II
237
I-1-03-III
238
I-1-04-I
239
I-1-04-II
240
I-1-04-III
241
I-1-05-I
242
I-1-05-II
243
I-1-05-III
244
245
246
I-1-06-I
I-1-06-II
I-1-06-III
247
I-1-07-I
248
I-1-07-II
249
I-1-07-III
250
I-1-11-I
251
I-1-11-II
252
I-1-11-III
253
I-1-12-I
254
I-1-12-II
255
I-1-12-III
256
I-1-13-I
257
I-1-13-II
258
I-1-13-III
259
I-1-14-I
260
I-1-14-II
261
I-1-14-III
262
I-1-15-I
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
35.202.512
42.243.015
49.283.517
55.566.490
66.679.789
77.793.087
19.109.639
22.931.567
26.753.495
24.651.435
29.581.722
34.512.009
30.384.327
36.461.192
42.538.057
11.750.359
14.100.430
16.450.502
13.465.929
16.159.115
18.852.300
22.276.330
26.731.596
31.186.862
18.299.611
21.959.533
25.619.455
18.753.355
22.504.026
26.254.697
43.508.653
52.210.384
60.912.115
25.292.170
30.350.604
35.409.038
30.350.604
36.420.724
42.490.845
41.762.239
50.114.687
58.467.135
13.193.309
14.432.083
23.156.061
15.831.971
17.318.499
27.787.273
18.470.632
20.204.916
32.418.485
20.479.451
24.575.341
28.671.231
25.265.563
30.318.675
35.371.788
27.564.565
33.077.478
38.590.391
3.295.755
3.954.905
4.614.056
3.664.549
4.397.459
5.130.369
4.876.398
5.851.678
6.826.958
9.131.940
10.958.328
12.784.716
10.377.536
12.453.043
14.528.551
17.667.794
21.201.353
24.734.911
4.358.365
5.230.038
6.101.711
6.243.006
7.491.607
8.740.208
14.895.537
17.874.644
20.853.752
19.671.688
23.606.025
27.540.363
24.449.097
29.338.917
34.228.736
32.036.748
38.444.098
44.851.448
5.055.393
6.066.471
7.077.550
263
264
Kode INACBG
I-1-15-II
I-1-15-III
265
I-1-16-I
266
I-1-16-II
267
I-1-16-III
268
I-1-17-I
269
I-1-17-II
270
I-1-17-III
271
I-1-20-I
272
I-1-20-II
273
I-1-20-III
274
I-1-30-I
275
I-1-30-II
276
I-1-30-III
277
278
279
280
281
282
283
284
285
286
287
288
I-1-40-I
I-1-40-II
I-1-40-III
I-4-10-I
I-4-10-II
I-4-10-III
I-4-11-I
I-4-11-II
I-4-11-III
I-4-12-I
I-4-12-II
I-4-12-III
289
I-4-13-I
290
I-4-13-II
291
I-4-13-III
292
293
294
I-4-14-I
I-4-14-II
I-4-14-III
295
I-4-15-I
296
I-4-15-II
297
I-4-15-III
298
299
300
301
302
303
304
I-4-16-I
I-4-16-II
I-4-16-III
I-4-17-I
I-4-17-II
I-4-17-III
I-4-18-I
No
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
9.161.401
13.416.564
10.993.681
16.099.877
12.825.961
18.783.189
8.430.723
10.116.868
11.803.013
21.919.880
26.303.857
30.687.833
25.284.044
30.340.853
35.397.662
11.885.348
14.262.418
16.639.488
15.431.900
18.518.280
21.604.660
32.347.478
38.816.973
45.286.469
10.545.917
12.655.100
14.764.284
13.334.951
16.001.942
18.668.932
15.127.875
18.153.450
21.179.025
9.564.699
11.477.639
13.390.579
19.896.507
23.875.808
27.855.110
30.832.359
36.998.831
43.165.303
10.497.318
14.587.411
18.208.247
4.120.036
6.499.399
6.949.051
3.561.890
4.407.852
8.153.609
4.283.123
6.112.756
7.442.681
12.596.781
17.504.893
21.849.896
4.944.043
7.799.279
8.338.861
4.274.268
5.289.423
9.784.330
5.139.748
7.335.307
8.931.217
14.696.245
20.422.376
25.491.546
5.768.051
9.099.159
9.728.671
4.986.645
6.170.993
11.415.052
5.996.372
8.557.859
10.419.753
4.721.923
5.666.308
6.610.692
5.987.741
7.185.289
8.382.837
10.385.816
12.462.980
14.540.143
2.074.019
2.390.537
4.318.728
2.488.823
2.868.645
5.182.474
2.903.627
3.346.752
6.046.219
3.188.060
3.825.672
4.463.284
4.569.218
5.483.061
6.396.905
5.207.809
6.249.371
7.290.933
2.394.535
3.059.629
3.975.701
3.269.612
4.432.411
5.379.524
3.160.888
2.873.442
3.671.555
4.770.842
3.923.534
5.318.893
6.455.428
3.793.066
3.352.349
4.283.481
5.565.982
4.577.456
6.205.375
7.531.333
4.425.243
305
Kode INACBG
I-4-18-II
306
I-4-18-III
307
I-4-19-I
308
I-4-19-II
3.937.524
4.725.029
5.512.534
309
310
311
312
313
314
315
316
317
318
I-4-19-III
I-4-20-I
I-4-20-II
I-4-20-III
I-4-21-I
I-4-21-II
I-4-21-III
I-4-22-I
I-4-22-II
I-4-22-III
4.423.629
3.307.778
3.801.384
5.051.325
4.398.556
5.464.505
7.492.819
2.596.072
2.980.528
4.353.428
5.308.355
3.969.333
4.561.660
6.061.590
5.278.267
6.557.406
8.991.383
3.115.287
3.576.634
5.224.114
6.193.081
4.630.889
5.321.937
7.071.855
6.157.978
7.650.307
10.489.947
3.634.501
4.172.739
6.094.799
319
I-4-23-I
1.965.451
2.358.541
2.751.631
320
I-4-23-II
2.413.121
2.895.745
3.378.369
321
I-4-23-III
4.715.018
5.658.022
6.601.025
322
I-4-24-I
2.346.278
2.815.534
3.284.790
323
I-4-24-II
6.462.714
7.755.257
9.047.800
324
I-4-24-III
8.132.900
9.759.480
11.386.060
325
J-1-01-I
19.210.982
23.053.179
26.895.375
326
J-1-01-II
20.928.082
25.113.699
29.299.315
327
J-1-01-III
37.902.496
45.482.995
53.063.494
328
J-1-02-I
9.007.130
10.808.556
12.609.982
329
J-1-02-II
10.360.396
12.432.475
14.504.554
330
J-1-02-III
16.908.603
20.290.323
23.672.044
331
332
333
J-1-10-I
J-1-10-II
J-1-10-III
5.101.761
10.055.341
12.938.179
6.122.113
12.066.410
15.525.814
7.142.465
14.077.478
18.113.450
334
J-1-20-I
5.916.458
7.099.749
8.283.041
335
J-1-20-II
7.817.610
9.381.132
10.944.654
336
J-1-20-III
11.971.821
14.366.186
16.760.550
337
J-1-30-I
2.972.670
3.567.204
4.161.738
338
J-1-30-II
9.753.169
11.703.802
13.654.436
339
J-1-30-III
26.288.337
31.546.004
36.803.672
340
341
342
343
344
345
346
J-4-10-I
J-4-10-II
J-4-10-III
J-4-11-I
J-4-11-II
J-4-11-III
J-4-12-I
2.534.259
3.623.686
5.482.096
2.167.871
2.906.948
4.165.730
2.438.104
3.041.111
4.348.423
6.578.515
2.601.445
3.488.337
4.998.876
2.925.725
3.547.962
5.073.160
7.674.934
3.035.019
4.069.727
5.832.022
3.413.346
No
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
4.724.272
5.669.127
6.613.981
6.485.186
7.782.223
9.079.260
2.311.133
2.773.359
3.235.586
347
348
349
350
351
352
353
354
355
356
357
358
359
360
361
362
363
364
365
366
367
368
369
370
371
372
Kode INACBG
J-4-12-II
J-4-12-III
J-4-13-I
J-4-13-II
J-4-13-III
J-4-14-I
J-4-14-II
J-4-14-III
J-4-15-I
J-4-15-II
J-4-15-III
J-4-16-I
J-4-16-II
J-4-16-III
J-4-17-I
J-4-17-II
J-4-17-III
J-4-18-I
J-4-18-II
J-4-18-III
J-4-19-I
J-4-19-II
J-4-19-III
J-4-20-I
J-4-20-II
J-4-20-III
373
J-4-21-I
374
J-4-21-II
375
J-4-21-III
376
K-1-10-I
377
K-1-10-II
378
K-1-10-III
379
380
381
K-1-11-I
K-1-11-II
K-1-11-III
382
K-1-12-I
383
K-1-12-II
384
K-1-12-III
385
386
387
K-1-13-I
K-1-13-II
K-1-13-III
388
K-1-14-I
3.666.321
4.399.586
5.132.850
389
K-1-14-II
5.089.830
6.107.796
7.125.762
390
391
392
393
K-1-14-III
K-1-20-I
K-1-20-II
K-1-20-III
11.191.954
9.589.567
13.415.625
22.378.787
13.430.345
11.507.480
16.098.751
26.854.544
15.668.736
13.425.393
18.781.876
31.330.301
394
K-1-30-I
6.183.754
7.420.505
8.657.256
395
K-1-30-II
8.589.893
10.307.872
12.025.850
No
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
3.166.156
4.228.081
4.168.552
6.102.514
11.757.420
2.568.966
5.122.435
5.818.074
4.283.319
5.117.366
6.799.999
3.568.894
5.015.234
8.300.803
2.463.205
3.164.863
3.500.361
1.594.263
2.407.052
2.610.164
2.789.362
3.199.157
4.834.401
2.793.424
4.611.197
6.282.039
3.799.387
5.073.698
5.002.263
7.323.016
14.108.904
3.082.759
6.146.922
6.981.689
5.139.982
6.140.839
8.159.999
4.282.673
6.018.281
9.960.963
2.955.845
3.797.836
4.200.433
1.913.116
2.888.462
3.132.197
3.347.235
3.838.989
5.801.281
3.352.108
5.533.436
7.538.447
4.432.618
5.919.314
5.835.973
8.543.519
16.460.388
3.596.552
7.171.409
8.145.304
5.996.646
7.164.312
9.519.999
4.996.451
7.021.328
11.621.124
3.448.486
4.430.809
4.900.505
2.231.969
3.369.872
3.654.230
3.905.107
4.478.820
6.768.161
3.910.793
6.455.675
8.794.855
1.590.649
1.908.779
2.226.909
3.219.027
3.862.832
4.506.638
4.567.322
5.480.786
6.394.251
4.300.549
5.160.659
6.020.769
8.128.071
9.753.685
11.379.299
9.511.035
11.413.242
13.315.449
4.999.131
6.563.255
16.656.250
5.998.957
7.875.906
19.987.500
6.998.783
9.188.557
23.318.750
2.695.166
3.234.199
3.773.232
3.503.309
4.203.971
4.904.632
6.987.271
8.384.725
9.782.179
2.923.555
5.132.455
5.476.358
3.508.266
6.158.946
6.571.630
4.092.977
7.185.437
7.666.901
Kode INACBG
396
K-1-30-III
397
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
15.963.183
19.155.820
22.348.457
K-1-40-I
5.830.231
6.996.278
8.162.324
398
K-1-40-II
6.691.961
8.030.354
9.368.746
399
400
401
402
403
404
405
406
407
408
409
410
411
K-1-40-III
K-1-50-I
K-1-50-II
K-1-50-III
K-4-10-I
K-4-10-II
K-4-10-III
K-4-11-I
K-4-11-II
K-4-11-III
K-4-12-I
K-4-12-II
K-4-12-III
11.097.974
4.471.791
6.022.295
7.338.610
3.142.177
4.378.734
9.901.982
1.593.185
2.390.954
3.549.053
1.593.908
3.226.160
5.313.533
13.317.569
5.366.149
7.226.755
8.806.332
3.770.613
5.254.481
11.882.378
1.911.822
2.869.144
4.258.863
1.912.689
3.871.392
6.376.239
15.537.163
6.260.507
8.431.214
10.274.054
4.399.048
6.130.228
13.862.774
2.230.459
3.347.335
4.968.674
2.231.471
4.516.624
7.438.946
412
K-4-13-I
2.394.456
2.873.347
3.352.239
413
K-4-13-II
3.094.645
3.713.574
4.332.503
414
K-4-13-III
5.075.775
6.090.930
7.106.085
415
K-4-14-I
1.998.073
2.397.688
2.797.303
416
K-4-14-II
2.704.329
3.245.195
3.786.061
417
K-4-14-III
4.074.543
4.889.452
5.704.360
418
419
420
421
422
423
K-4-15-I
K-4-15-II
K-4-15-III
K-4-16-I
K-4-16-II
K-4-16-III
1.990.063
2.950.722
4.141.197
1.994.779
2.393.040
3.607.622
2.388.075
3.540.866
4.969.436
2.393.735
2.871.649
4.329.146
2.786.088
4.131.011
5.797.675
2.792.691
3.350.257
5.050.671
424
K-4-17-I
2.587.344
3.104.813
3.622.282
425
K-4-17-II
3.661.538
4.393.846
5.126.153
426
K-4-17-III
4.130.223
4.956.268
5.782.312
427
K-4-18-I
2.854.645
3.425.574
3.996.503
428
K-4-18-II
4.281.886
5.138.263
5.994.640
429
K-4-18-III
5.252.631
6.303.157
7.353.683
430
L-1-20-I
22.065.394
26.478.472
30.891.551
431
L-1-20-II
22.740.433
27.288.520
31.836.606
432
L-1-20-III
34.176.725
41.012.071
47.847.416
433
L-1-30-I
7.074.184
8.489.021
9.903.857
434
L-1-30-II
12.874.786
15.449.743
18.024.701
435
L-1-30-III
15.291.799
18.350.158
21.408.518
436
L-1-40-I
3.362.612
4.035.135
4.707.657
Kode INACBG
437
L-1-40-II
438
L-1-40-III
439
440
441
442
443
444
445
446
447
448
449
450
L-1-50-I
L-1-50-II
L-1-50-III
L-4-10-I
L-4-10-II
L-4-10-III
L-4-11-I
L-4-11-II
L-4-11-III
L-4-12-I
L-4-12-II
L-4-12-III
451
L-4-13-I
452
L-4-13-II
453
L-4-13-III
454
L-4-14-I
455
L-4-14-II
456
L-4-14-III
457
M-1-01-I
458
M-1-01-II
459
M-1-01-III
460
461
462
M-1-02-I
M-1-02-II
M-1-02-III
463
M-1-03-I
464
M-1-03-II
465
M-1-03-III
466
M-1-04-I
467
M-1-04-II
468
M-1-04-III
469
M-1-05-I
470
M-1-05-II
471
M-1-05-III
472
M-1-07-I
473
M-1-07-II
474
M-1-07-III
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
7.132.943
8.559.532
9.986.121
12.110.474
14.532.569
16.954.664
5.236.122
9.468.454
11.475.600
2.384.639
2.779.273
7.626.825
2.265.351
3.099.741
6.947.312
2.396.658
4.285.438
5.902.202
6.283.346
11.362.144
13.770.720
2.861.567
3.335.128
9.152.190
2.718.421
3.719.689
8.336.774
2.875.989
5.142.526
7.082.642
7.330.571
13.255.835
16.065.840
3.338.495
3.890.982
10.677.555
3.171.491
4.339.637
9.726.237
3.355.321
5.999.613
8.263.082
1.502.550
1.803.060
2.103.570
2.142.487
2.570.985
2.999.482
2.593.529
3.112.235
3.630.941
1.593.623
1.912.348
2.231.073
2.391.784
2.870.141
3.348.498
4.879.250
5.855.100
6.830.950
7.784.006
9.340.808
10.897.609
8.688.210
10.425.853
12.163.495
12.204.582
14.645.498
17.086.414
7.476.074
12.285.365
15.747.360
8.971.289
14.742.437
18.896.832
10.466.504
17.199.510
22.046.304
13.993.866
16.792.639
19.591.412
16.283.619
19.540.342
22.797.066
16.630.342
19.956.411
23.282.479
4.911.970
5.894.364
6.876.758
6.290.958
7.549.150
8.807.342
7.871.948
9.446.338
11.020.728
6.230.464
7.476.556
8.722.649
7.235.580
8.682.696
10.129.812
12.808.271
15.369.925
17.931.579
6.253.851
7.504.621
8.755.392
8.378.206
10.053.848
11.729.489
17.067.201
20.480.641
23.894.081
Kode INACBG
475
M-1-10-I
476
M-1-10-II
477
M-1-10-III
478
M-1-20-I
479
M-1-20-II
480
M-1-20-III
481
482
483
M-1-30-I
M-1-30-II
M-1-30-III
484
M-1-40-I
485
M-1-40-II
486
M-1-40-III
487
488
489
M-1-50-I
M-1-50-II
M-1-50-III
490
M-1-60-I
491
M-1-60-II
492
M-1-60-III
493
M-1-70-I
494
M-1-70-II
495
M-1-70-III
496
497
498
499
500
501
M-1-80-I
M-1-80-II
M-1-80-III
M-4-10-I
M-4-10-II
M-4-10-III
502
M-4-11-I
503
M-4-11-II
504
M-4-11-III
505
M-4-12-I
506
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
5.294.558
6.353.469
7.412.381
13.028.026
15.633.631
18.239.237
17.756.651
21.307.982
24.859.312
5.222.240
6.266.688
7.311.136
5.517.448
6.620.937
7.724.427
14.547.545
17.457.054
20.366.563
4.164.165
9.525.337
12.694.591
4.996.998
11.430.404
15.233.510
5.829.831
13.335.471
17.772.428
3.036.513
3.643.815
4.251.118
5.575.774
6.690.928
7.806.083
9.039.758
10.847.709
12.655.661
5.002.833
10.036.465
15.375.340
6.003.400
12.043.758
18.450.408
7.003.966
14.051.051
21.525.476
3.026.977
3.632.372
4.237.768
6.085.218
7.302.262
8.519.305
10.040.459
12.048.551
14.056.643
9.365.525
11.238.630
13.111.735
11.745.470
14.094.564
16.443.658
12.360.869
14.833.043
17.305.217
5.334.910
7.013.505
15.229.943
1.593.934
2.440.548
4.935.746
6.401.892
8.416.206
18.275.932
1.912.721
2.928.657
5.922.895
7.468.874
9.818.907
21.321.920
2.231.507
3.416.767
6.910.045
2.116.118
2.539.341
2.962.565
4.842.269
5.810.723
6.779.177
9.508.194
11.409.833
13.311.471
1.592.215
1.910.658
2.229.101
M-4-12-II
2.893.865
3.472.638
4.051.411
507
M-4-12-III
5.233.424
6.280.109
7.326.794
508
M-4-13-I
3.597.220
4.316.664
5.036.108
509
M-4-13-II
3.973.659
4.768.391
5.563.123
510
M-4-13-III
8.763.418
10.516.102
12.268.786
511
512
M-4-14-I
M-4-14-II
3.187.468
4.149.355
3.824.962
4.979.226
4.462.456
5.809.098
513
514
515
516
517
518
519
Kode INACBG
M-4-14-III
M-4-15-I
M-4-15-II
M-4-15-III
M-4-16-I
M-4-16-II
M-4-16-III
520
M-4-17-I
521
M-4-17-II
522
M-4-17-III
523
524
525
M-4-18-I
M-4-18-II
M-4-18-III
526
M-4-19-I
2.356.509
2.827.811
3.299.112
527
M-4-19-II
3.764.630
4.517.556
5.270.482
528
M-4-19-III
5.718.504
6.862.205
8.005.905
529
M-4-20-I
1.592.451
1.910.941
2.229.431
530
M-4-20-II
2.395.213
2.874.255
3.353.298
531
M-4-20-III
2.648.608
3.178.330
3.708.052
532
M-4-21-I
1.589.324
1.907.189
2.225.054
533
M-4-21-II
2.088.302
2.505.962
2.923.622
534
M-4-21-III
4.887.246
5.864.695
6.842.144
535
536
537
538
539
540
N-1-01-I
N-1-01-II
N-1-01-III
N-1-11-I
N-1-11-II
N-1-11-III
250.000.000
250.000.000
250.000.000
5.970.912
9.722.511
14.081.644
250.000.000
250.000.000
250.000.000
7.165.095
11.667.014
16.897.973
250.000.000
250.000.000
250.000.000
8.359.277
13.611.516
19.714.302
541
N-1-12-I
3.142.596
3.771.115
4.399.635
542
N-1-12-II
10.177.454
12.212.945
14.248.436
543
N-1-12-III
18.488.003
22.185.603
25.883.204
544
545
546
N-1-20-I
N-1-20-II
N-1-20-III
10.362.993
11.729.379
13.384.011
12.435.592
14.075.255
16.060.813
14.508.190
16.421.131
18.737.615
547
N-1-30-I
6.072.520
7.287.024
8.501.528
548
N-1-30-II
7.905.078
9.486.094
11.067.110
549
N-1-30-III
9.082.778
10.899.334
12.715.890
550
N-1-40-I
6.339.060
7.606.872
8.874.684
551
N-1-40-II
8.599.655
10.319.586
12.039.517
No
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
6.199.719
2.696.562
3.351.617
6.776.186
2.700.864
3.192.958
7.750.803
7.439.663
3.235.875
4.021.940
8.131.424
3.241.037
3.831.549
9.300.964
8.679.607
3.775.187
4.692.263
9.486.661
3.781.209
4.470.141
10.851.125
1.989.691
2.387.629
2.785.567
2.798.230
3.357.876
3.917.522
3.909.891
4.691.869
5.473.848
2.131.342
3.195.979
3.867.748
2.557.610
3.835.175
4.641.298
2.983.879
4.474.371
5.414.847
552
Kode INACBG
N-1-40-III
553
N-4-10-I
554
N-4-10-II
555
N-4-10-III
556
557
558
559
560
561
562
563
564
N-4-11-I
N-4-11-II
N-4-11-III
N-4-12-I
N-4-12-II
N-4-12-III
N-4-13-I
N-4-13-II
N-4-13-III
565
N-4-14-I
566
N-4-14-II
567
N-4-14-III
568
N-4-15-I
569
N-4-15-II
570
N-4-15-III
571
N-4-16-I
572
N-4-16-II
573
N-4-16-III
574
575
576
O-6-10-I
O-6-10-II
O-6-10-III
577
O-6-11-I
578
O-6-11-II
579
O-6-11-III
580
O-6-12-I
1.977.398
2.372.877
2.768.357
581
O-6-12-II
2.374.850
2.849.820
3.324.790
582
O-6-12-III
3.101.029
3.721.235
4.341.441
583
584
585
O-6-13-I
O-6-13-II
O-6-13-III
2.068.000
2.447.612
3.068.311
2.481.600
2.937.135
3.681.973
2.895.200
3.426.657
4.295.635
586
P-8-01-I
40.115.705
48.138.846
56.161.987
No
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
9.987.706
11.985.248
13.982.789
1.992.860
2.391.432
2.790.004
3.323.665
3.988.398
4.653.132
4.446.319
5.335.583
6.224.847
2.069.196
2.987.486
3.493.042
1.592.388
2.385.911
3.074.943
2.109.046
2.531.503
6.895.466
2.483.035
3.584.983
4.191.650
1.910.866
2.863.093
3.689.931
2.530.855
3.037.804
8.274.559
2.896.874
4.182.480
4.890.259
2.229.344
3.340.275
4.304.920
2.952.664
3.544.105
9.653.653
1.379.625
1.655.550
1.931.475
2.129.560
2.555.472
2.981.384
3.453.468
4.144.162
4.834.855
1.979.848
2.375.817
2.771.787
2.456.473
2.947.768
3.439.062
2.803.279
3.363.935
3.924.591
2.664.479
3.197.375
3.730.271
3.185.523
3.822.627
4.459.732
5.439.607
6.527.529
7.615.450
4.130.731
4.558.241
4.780.892
4.956.878
5.469.889
5.737.070
5.783.024
6.381.538
6.693.249
2.103.681
2.524.417
2.945.153
2.794.794
3.353.753
3.912.712
4.746.106
5.695.327
6.644.548
Kode INACBG
587
P-8-01-II
588
P-8-01-III
589
P-8-02-I
590
P-8-02-II
591
P-8-02-III
592
P-8-03-I
593
P-8-03-II
594
P-8-03-III
595
P-8-04-I
596
P-8-04-II
597
P-8-04-III
598
P-8-05-I
599
P-8-05-II
600
P-8-05-III
601
P-8-06-I
602
P-8-06-II
603
P-8-06-III
604
P-8-07-I
605
P-8-07-II
606
P-8-07-III
607
P-8-08-I
608
P-8-08-II
609
P-8-08-III
610
P-8-10-I
611
P-8-10-II
612
P-8-10-III
613
P-8-11-I
614
P-8-11-II
615
P-8-11-III
616
P-8-12-I
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
49.636.909
59.564.291
69.491.673
58.259.817
69.911.781
81.563.744
63.486.025
76.183.230
88.880.435
72.825.005
87.390.006
101.955.007
83.207.776
99.849.331
116.490.886
2.184.211
2.621.053
3.057.895
3.064.632
3.677.559
4.290.485
4.826.980
5.792.376
6.757.772
19.616.769
23.540.123
27.463.477
34.246.424
41.095.709
47.944.994
49.100.753
58.920.903
68.741.054
14.384.987
17.261.985
20.138.982
20.381.540
24.457.848
28.534.156
29.929.030
35.914.836
41.900.642
2.148.362
2.578.035
3.007.707
5.293.639
6.352.366
7.411.094
8.466.116
10.159.339
11.852.562
3.074.658
3.689.590
4.304.521
8.602.423
10.322.908
12.043.392
11.360.255
13.632.306
15.904.358
3.586.627
4.303.952
5.021.277
5.089.253
6.107.104
7.124.954
8.240.621
9.888.745
11.536.869
1.867.217
2.240.661
2.614.104
3.201.993
3.842.392
4.482.791
6.286.456
7.543.748
8.801.039
2.235.931
2.683.118
3.130.304
11.182.105
13.418.526
15.654.947
11.416.372
13.699.647
15.982.921
3.040.448
3.648.538
4.256.627
Kode INACBG
617
P-8-12-II
618
P-8-12-III
619
P-8-13-I
620
P-8-13-II
621
P-8-13-III
622
P-8-14-I
623
P-8-14-II
624
P-8-14-III
625
P-8-15-I
626
P-8-15-II
627
P-8-15-III
628
P-8-16-I
629
P-8-16-II
630
P-8-16-III
631
P-8-17-I
632
P-8-17-II
633
P-8-17-III
634
S-4-10-I
635
S-4-10-II
636
S-4-10-III
637
638
639
640
641
642
S-4-11-I
S-4-11-II
S-4-11-III
S-4-12-I
S-4-12-II
S-4-12-III
643
S-4-13-I
644
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
4.734.017
5.680.821
6.627.624
5.579.463
6.695.356
7.811.249
2.012.511
2.415.014
2.817.516
3.479.846
4.175.816
4.871.785
5.180.179
6.216.215
7.252.251
2.126.734
2.552.081
2.977.428
5.862.764
7.035.317
8.207.870
6.439.934
7.727.921
9.015.907
2.159.329
2.591.195
3.023.061
4.319.265
5.183.118
6.046.972
5.063.531
6.076.237
7.088.943
1.959.172
2.351.007
2.742.841
2.663.449
3.196.139
3.728.828
2.770.328
3.324.394
3.878.460
1.708.063
2.049.676
2.391.288
4.440.816
5.328.979
6.217.142
8.393.334
10.072.001
11.750.667
1.593.547
1.912.256
2.230.965
1.993.636
2.392.363
2.791.091
2.592.767
3.111.320
3.629.874
997.429
1.521.570
2.449.529
1.197.362
1.598.104
3.020.612
1.196.915
1.825.884
2.939.435
1.436.835
1.917.725
3.624.734
1.396.401
2.130.198
3.429.341
1.676.307
2.237.345
4.228.857
1.594.326
1.913.191
2.232.056
S-4-13-II
2.825.694
3.390.833
3.955.972
645
S-4-13-III
5.737.688
6.885.226
8.032.764
646
S-4-14-I
972.774
1.167.329
1.361.884
647
S-4-14-II
2.066.498
2.479.798
2.893.097
648
S-4-14-III
3.918.817
4.702.580
5.486.344
649
S-4-15-I
735.718
882.861
1.030.005
650
S-4-15-II
1.388.550
1.666.260
1.943.970
Kode INACBG
651
S-4-15-III
652
653
654
S-4-16-I
S-4-16-II
S-4-16-III
655
S-4-17-I
656
S-4-17-II
657
S-4-17-III
658
T-1-10-I
659
T-1-10-II
660
T-1-10-III
661
T-4-10-I
662
T-4-10-II
663
T-4-10-III
664
T-4-11-I
665
T-4-11-II
666
T-4-11-III
667
T-4-12-I
668
T-4-12-II
669
T-4-12-III
670
671
672
U-1-10-I
U-1-10-II
U-1-10-III
673
U-1-11-I
674
U-1-11-II
675
U-1-11-III
676
677
678
679
680
681
U-1-12-I
U-1-12-II
U-1-12-III
U-1-13-I
U-1-13-II
U-1-13-III
682
U-1-14-I
683
U-1-14-II
684
U-1-14-III
685
686
687
U-1-15-I
U-1-15-II
U-1-15-III
688
U-1-20-I
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
1.798.495
2.158.194
2.517.893
2.791.715
3.952.983
6.467.043
3.350.058
4.743.580
7.760.451
3.908.401
5.534.177
9.053.860
1.487.197
1.784.636
2.082.076
1.992.174
2.390.609
2.789.044
3.256.642
3.907.971
4.559.299
1.699.482
2.039.378
2.379.275
2.282.289
2.738.747
3.195.204
4.152.227
4.982.673
5.813.118
672.730
807.276
941.822
1.282.075
1.538.490
1.794.905
1.863.789
2.236.546
2.609.304
900.534
1.080.641
1.260.748
1.417.184
1.700.621
1.984.058
2.282.667
2.739.200
3.195.733
1.399.367
1.679.241
1.959.114
2.115.095
2.538.114
2.961.133
3.274.371
3.929.245
4.584.119
1.486.997
3.034.309
13.102.761
1.784.397
3.641.171
15.723.314
2.081.796
4.248.033
18.343.866
5.264.022
6.316.827
7.369.631
6.980.715
8.376.858
9.773.001
13.090.212
15.708.254
18.326.297
3.947.436
7.895.853
10.267.264
4.297.731
4.858.757
7.898.902
4.736.923
9.475.024
12.320.716
5.157.277
5.830.508
9.478.682
5.526.410
11.054.195
14.374.169
6.016.823
6.802.259
11.058.463
3.219.449
3.863.339
4.507.229
3.950.912
4.741.094
5.531.276
4.681.941
5.618.330
6.554.718
1.815.596
2.579.600
4.113.528
2.178.715
3.095.520
4.936.234
2.541.834
3.611.440
5.758.939
4.890.000
5.868.000
6.846.001
Kode INACBG
689
U-1-20-II
690
U-1-20-III
691
692
693
U-1-30-I
U-1-30-II
U-1-30-III
694
U-4-10-I
695
U-4-10-II
696
U-4-10-III
697
698
699
700
701
702
U-4-11-I
U-4-11-II
U-4-11-III
U-4-12-I
U-4-12-II
U-4-12-III
703
U-4-13-I
704
U-4-13-II
705
U-4-13-III
706
707
708
U-4-14-I
U-4-14-II
U-4-14-III
709
U-4-15-I
710
U-4-15-II
711
U-4-15-III
712
V-1-10-I
713
V-1-10-II
714
V-1-10-III
715
716
717
V-1-11-I
V-1-11-II
V-1-11-III
718
V-1-12-I
719
V-1-12-II
720
V-1-12-III
721
V-1-13-I
722
V-1-13-II
723
V-1-13-III
724
V-1-14-I
725
V-1-14-II
726
V-1-14-III
727
V-1-15-I
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
6.417.781
7.701.338
8.984.894
12.892.639
15.471.166
18.049.694
4.160.742
5.656.826
8.159.738
4.992.890
6.788.191
9.791.686
5.825.038
7.919.556
11.423.633
3.905.786
4.686.944
5.468.101
6.486.612
7.783.934
9.081.256
9.959.078
11.950.894
13.942.709
1.590.490
2.388.426
3.640.793
1.595.672
2.143.758
3.270.198
1.908.588
2.866.111
4.368.951
1.914.806
2.572.509
3.924.237
2.226.686
3.343.796
5.097.110
2.233.941
3.001.261
4.578.277
1.565.288
1.878.346
2.191.404
1.826.819
2.192.183
2.557.547
2.066.948
2.480.338
2.893.727
1.988.205
2.391.175
4.015.679
2.385.846
2.869.410
4.818.815
2.783.487
3.347.644
5.621.951
1.598.464
1.918.157
2.237.849
1.998.823
2.398.587
2.798.352
2.794.571
3.353.485
3.912.399
4.676.155
5.611.386
6.546.617
5.368.024
6.441.629
7.515.234
7.954.414
9.545.296
11.136.179
5.364.077
6.012.352
8.893.777
6.436.893
7.214.823
10.672.532
7.509.708
8.417.293
12.451.287
3.933.093
4.719.712
5.506.331
9.051.742
10.862.090
12.672.439
10.405.541
12.486.649
14.567.757
5.720.959
6.865.150
8.009.342
8.704.347
10.445.217
12.186.086
12.072.118
14.486.541
16.900.965
6.356.643
7.627.971
8.899.300
7.727.991
9.273.589
10.819.187
9.461.328
11.353.594
13.245.859
2.490.799
2.988.958
3.487.118
728
729
Kode INACBG
V-1-15-II
V-1-15-III
730
No
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
4.362.079
7.184.991
5.234.494
8.621.990
6.106.910
10.058.988
V-4-10-I
3.644.196
4.373.035
5.101.874
731
V-4-10-II
4.461.471
5.353.765
6.246.059
732
V-4-10-III
9.456.157
11.347.388
13.238.619
733
V-4-11-I
2.045.886
2.455.063
2.864.241
734
V-4-11-II
2.984.076
3.580.891
4.177.706
735
V-4-11-III
5.458.337
6.550.005
7.641.672
736
W-1-01-I
8.133.365
9.760.038
11.386.711
737
W-1-01-II
9.121.504
10.945.805
12.770.105
738
W-1-01-III
12.868.029
15.441.635
18.015.240
739
740
741
W-1-10-I
W-1-10-II
W-1-10-III
2.114.871
3.456.703
5.649.292
2.537.845
4.148.044
6.779.150
2.960.819
4.839.384
7.909.009
742
W-1-11-I
2.806.361
3.367.633
3.928.905
743
W-1-11-II
4.933.901
5.920.681
6.907.461
744
W-1-11-III
10.389.406
12.467.287
14.545.168
745
W-1-12-I
2.148.783
2.578.540
3.008.297
746
W-1-12-II
2.429.449
2.915.339
3.401.229
747
W-1-12-III
3.731.940
4.478.328
5.224.716
748
W-1-13-I
1.884.354
2.261.225
2.638.096
749
W-1-13-II
2.045.866
2.455.039
2.864.212
750
W-1-13-III
2.747.975
3.297.570
3.847.165
751
752
753
754
755
756
757
758
759
760
761
762
W-1-20-I
W-1-20-II
W-1-20-III
W-1-30-I
W-1-30-II
W-1-30-III
W-4-10-I
W-4-10-II
W-4-10-III
W-4-11-I
W-4-11-II
W-4-11-III
5.415.145
7.645.633
9.218.321
2.804.349
4.473.081
14.493.172
2.735.798
3.817.699
6.361.543
1.866.313
2.573.540
3.107.117
6.498.173
9.174.760
11.061.985
3.365.219
5.367.698
17.391.807
3.282.958
4.581.239
7.633.852
2.239.576
3.088.248
3.728.540
7.581.202
10.703.886
12.905.649
3.926.088
6.262.314
20.290.441
3.830.117
5.344.779
8.906.161
2.612.839
3.602.956
4.349.963
763
W-4-12-I
1.594.824
1.913.788
2.232.753
764
W-4-12-II
2.188.577
2.626.293
3.064.008
765
W-4-12-III
3.312.814
3.975.377
4.637.940
766
767
768
769
W-4-13-I
W-4-13-II
W-4-13-III
W-4-14-I
872.349
1.195.895
1.592.694
1.435.590
1.046.819
1.435.074
1.911.233
1.722.708
1.221.288
1.674.252
2.229.771
2.009.827
770
771
772
773
774
775
776
777
778
779
780
781
782
783
784
785
786
Kode INACBG
W-4-14-II
W-4-14-III
W-4-15-I
W-4-15-II
W-4-15-III
W-4-16-I
W-4-16-II
W-4-16-III
W-4-17-I
W-4-17-II
W-4-17-III
Z-4-10-I
Z-4-10-II
Z-4-10-III
Z-4-11-I
Z-4-11-II
Z-4-11-III
787
Z-4-12-I
788
Z-4-12-II
789
Z-4-12-III
No
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
1.618.566
2.329.462
1.000.329
1.112.398
1.540.220
2.141.640
2.863.963
3.881.618
1.207.776
1.593.071
3.020.119
2.739.562
3.636.373
5.165.815
2.632.101
3.164.867
3.715.047
1.942.279
2.795.354
1.200.395
1.334.877
1.848.264
2.569.968
3.436.756
4.657.941
1.449.331
1.911.685
3.624.143
3.287.475
4.363.648
6.198.978
3.158.521
3.797.840
4.458.057
2.265.992
3.261.246
1.400.461
1.557.357
2.156.309
2.998.296
4.009.548
5.434.265
1.690.886
2.230.300
4.228.167
3.835.387
5.090.923
7.232.141
3.684.941
4.430.814
5.201.066
1.197.639
1.437.167
1.676.695
3.252.017
3.902.421
4.552.824
4.203.186
5.043.824
5.884.461
Kode INACBG
B-2-10-0
B-2-11-0
B-2-12-0
B-2-13-0
B-2-14-0
B-3-10-0
B-3-11-0
B-3-12-0
C-3-10-0
C-3-11-0
C-3-12-0
C-3-13-0
C-3-14-0
C-3-15-0
C-3-16-0
C-3-17-0
C-3-18-0
C-3-19-0
C-3-20-0
C-3-21-0
C-3-22-0
C-3-23-0
D-2-10-0
D-2-11-0
D-2-21-0
D-2-22-0
D-3-10-0
D-3-11-0
E-2-10-0
E-2-21-0
E-2-22-0
E-3-10-0
F-3-10-0
F-5-10-0
F-5-11-0
F-5-12-0
F-5-13-0
F-5-14-0
F-5-15-0
F-5-16-0
G-2-10-0
G-2-11-0
G-2-12-0
G-2-13-0
G-2-21-0
G-2-22-0
G-2-31-0
G-2-32-0
G-3-10-0
G-3-11-0
G-3-12-0
G-3-13-0
H-2-21-0
H-2-22-0
H-2-23-0
H-2-31-0
H-2-32-0
H-2-33-0
H-2-34-0
H-2-35-0
H-2-36-0
H-2-37-0
H-3-10-0
H-3-11-0
65
66
67
68
69
70
71
Kode INACBG
H-3-12-0
H-3-13-0
I-2-11-0
I-2-12-0
I-2-13-0
I-2-14-0
I-2-15-0
72
I-2-16-0
73
74
75
76
77
78
79
I-2-17-0
I-2-21-0
I-2-22-0
I-2-23-0
I-2-31-0
I-2-32-0
I-2-41-0
80
I-2-42-0
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
I-3-10-0
I-3-11-0
I-3-12-0
I-3-13-0
I-3-14-0
I-3-15-0
J-2-10-0
J-2-21-0
J-2-22-0
J-2-31-0
J-2-32-0
J-3-10-0
J-3-11-0
J-3-12-0
J-3-13-0
J-3-14-0
J-3-15-0
J-3-16-0
J-3-17-0
K-2-10-0
K-2-11-0
K-2-12-0
K-2-13-0
K-2-14-0
K-2-21-0
K-2-22-0
K-2-31-0
K-2-32-0
K-2-41-0
K-2-42-0
K-2-51-0
K-2-52-0
K-2-53-0
K-3-10-0
K-3-11-0
K-3-12-0
K-3-13-0
K-3-14-0
K-3-15-0
K-3-16-0
L-2-21-0
L-2-22-0
L-2-31-0
L-2-32-0
L-2-41-0
L-2-42-0
L-2-51-0
No
Kode INACBG
L-2-52-0
L-2-53-0
L-3-10-0
L-3-11-0
L-3-12-0
M-2-10-0
M-2-21-0
M-2-22-0
M-2-31-0
M-2-32-0
M-2-41-0
M-2-42-0
M-2-51-0
M-2-52-0
M-2-61-0
M-2-62-0
M-2-63-0
M-2-64-0
M-2-65-0
M-2-71-0
M-2-72-0
M-2-81-0
M-2-82-0
M-2-83-0
M-2-84-0
M-3-10-0
M-3-11-0
M-3-12-0
M-3-13-0
M-3-14-0
M-3-15-0
M-3-16-0
M-3-17-0
N-2-11-0
N-2-12-0
N-2-21-0
N-2-22-0
N-2-23-0
N-2-24-0
N-2-31-0
N-2-32-0
N-2-41-0
N-2-42-0
N-3-10-0
N-3-11-0
N-3-12-0
N-3-13-0
N-3-14-0
N-3-15-0
O-7-10-0
O-7-11-0
179 O-7-12-0
180
181
182
183
184
185
186
187
188
189
190
191
O-7-13-0
P-9-10-0
P-9-11-0
P-9-12-0
P-9-13-0
P-9-14-0
P-9-15-0
P-9-16-0
P-9-17-0
Q-5-10-0
Q-5-11-0
Q-5-12-0
Kode INACBG
Q-5-13-0
Q-5-14-0
Q-5-15-0
Q-5-16-0
Q-5-17-0
Q-5-18-0
Q-5-19-0
Q-5-20-0
Q-5-21-0
Q-5-22-0
Q-5-23-0
Q-5-24-0
Q-5-25-0
Q-5-26-0
Q-5-27-0
Q-5-28-0
Q-5-29-0
Q-5-30-0
Q-5-31-0
Q-5-32-0
Q-5-33-0
Q-5-34-0
Q-5-35-0
Q-5-36-0
Q-5-37-0
Q-5-38-0
Q-5-39-0
Q-5-40-0
Q-5-41-0
Q-5-42-0
Q-5-43-0
Q-5-44-0
T-2-10-0
U-2-10-0
U-2-11-0
U-2-12-0
U-2-13-0
U-2-14-0
U-2-15-0
U-2-21-0
U-2-22-0
U-2-23-0
U-2-24-0
U-2-25-0
U-2-31-0
U-2-32-0
U-3-10-0
U-3-11-0
U-3-12-0
U-3-13-0
U-3-14-0
U-3-15-0
U-3-16-0
V-2-10-0
V-2-11-0
V-2-12-0
V-2-13-0
V-2-14-0
V-2-15-0
V-3-10-0
V-3-11-0
V-3-12-0
W-2-10-0
W-2-11-0
W-2-12-0
Kode INACBG
W-2-13-0
W-2-21-0
W-2-22-0
W-2-23-0
W-2-31-0
W-2-32-0
W-2-33-0
W-2-34-0
W-3-10-0
W-3-11-0
W-3-12-0
Z-3-10-0
269 Z-3-11-0
270
271
272
273
274
275
276
277
278
279
280
281
282
283
284
285
286
287
288
Z-3-12-0
Z-3-13-0
Z-3-14-0
Z-3-15-0
Z-3-16-0
Z-3-17-0
Z-3-18-0
Z-3-19-0
Z-3-20-0
Z-3-21-0
Z-3-22-0
Z-3-23-0
Z-3-24-0
Z-3-25-0
Z-3-26-0
Z-3-27-0
Z-3-28-0
Z-3-29-0
Z-3-30-0
1
2
3
4
5
6
7
8
9
10
11
12
Kode INACBG
A-4-10-I
A-4-10-II
A-4-10-III
A-4-11-I
A-4-11-II
A-4-11-III
A-4-12-I
A-4-12-II
A-4-12-III
A-4-13-I
A-4-13-II
A-4-13-III
13
A-4-14-I
14
A-4-14-II
15
A-4-14-III
16
17
18
19
20
21
22
23
24
25
26
27
A-4-15-I
A-4-15-II
A-4-15-III
B-1-01-I
B-1-01-II
B-1-01-III
B-1-10-I
B-1-10-II
B-1-10-III
B-1-11-I
B-1-11-II
B-1-11-III
28
B-1-12-I
29
B-1-12-II
30
B-1-12-III
31
B-1-13-I
32
B-1-13-II
33
B-1-13-III
34
B-1-14-I
35
B-1-14-II
36
B-1-14-III
37
38
39
B-4-10-I
B-4-10-II
B-4-10-III
40
B-4-11-I
41
B-4-11-II
42
B-4-11-III
4.706.856
5.648.228
6.589.599
43
44
45
B-4-12-I
B-4-12-II
B-4-12-III
2.494.781
3.744.347
7.120.933
2.993.738
4.493.216
8.545.120
3.492.694
5.242.086
9.969.306
No
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
1.517.619
2.451.024
2.830.707
3.303.476
4.836.237
7.911.028
1.333.836
1.721.407
2.131.316
1.664.194
2.003.193
2.424.900
1.821.143
2.941.229
3.396.849
3.964.171
5.803.485
9.493.233
1.600.603
2.065.689
2.557.579
1.997.032
2.403.831
2.909.879
2.124.667
3.431.434
3.962.990
4.624.866
6.770.732
11.075.439
1.867.371
2.409.970
2.983.842
2.329.871
2.804.470
3.394.859
2.590.344
3.108.412
3.626.481
3.331.837
3.998.205
4.664.572
3.817.502
4.581.002
5.344.502
2.004.087
2.991.243
5.002.409
22.153.184
24.440.884
42.874.340
2.872.085
7.319.456
15.243.710
2.347.825
5.890.956
7.382.069
2.404.904
3.589.492
6.002.890
26.583.820
29.329.061
51.449.208
3.446.502
8.783.347
18.292.452
2.817.390
7.069.147
8.858.483
2.805.721
4.187.741
7.003.372
31.014.457
34.217.238
60.024.076
4.020.919
10.247.239
21.341.193
3.286.954
8.247.338
10.334.897
4.076.787
4.892.145
5.707.502
8.737.552
10.485.063
12.232.573
10.633.930
12.760.716
14.887.502
3.286.200
3.943.440
4.600.680
5.352.742
6.423.291
7.493.839
7.891.444
9.469.733
11.048.022
4.460.067
5.352.080
6.244.094
4.960.494
5.952.593
6.944.692
7.760.104
9.312.125
10.864.145
1.245.728
1.806.653
3.046.097
1.494.874
2.167.983
3.655.316
1.744.020
2.529.314
4.264.535
2.425.605
2.910.726
3.395.847
3.635.812
4.362.975
5.090.137
Kode INACBG
46
B-4-13-I
47
B-4-13-II
48
B-4-13-III
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
B-4-14-I
B-4-14-II
B-4-14-III
C-4-10-I
C-4-10-II
C-4-10-III
C-4-11-I
C-4-11-II
C-4-11-III
C-4-12-I
C-4-12-II
C-4-12-III
C-4-13-I
C-4-13-II
C-4-13-III
C-4-14-I
C-4-14-II
C-4-14-III
67
D-1-10-I
68
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
1.996.518
2.395.822
2.795.125
2.583.461
3.100.153
3.616.845
3.801.019
4.561.222
5.321.426
2.290.778
2.579.414
3.277.656
2.335.706
4.532.259
6.655.914
2.343.655
2.676.016
5.434.805
1.336.184
4.394.347
8.900.763
1.333.656
2.666.273
3.495.095
2.074.078
3.022.922
4.595.810
2.748.933
3.095.297
3.933.188
2.802.847
5.438.711
7.987.097
2.812.386
3.211.219
6.521.766
1.603.421
5.273.217
10.680.916
1.600.387
3.199.528
4.194.114
2.488.893
3.627.506
5.514.972
3.207.089
3.611.180
4.588.719
3.269.988
6.345.162
9.318.279
3.281.117
3.746.422
7.608.727
1.870.657
6.152.086
12.461.068
1.867.118
3.732.783
4.893.133
2.903.709
4.232.090
6.434.134
14.175.492
17.010.591
19.845.689
D-1-10-II
21.590.362
25.908.434
30.226.507
69
D-1-10-III
29.260.840
35.113.008
40.965.176
70
71
72
D-1-11-I
D-1-11-II
D-1-11-III
3.484.509
9.000.642
12.509.989
4.181.411
10.800.770
15.011.987
4.878.313
12.600.898
17.513.984
73
D-1-20-I
3.060.273
3.672.328
4.284.383
74
D-1-20-II
8.816.633
10.579.959
12.343.286
75
D-1-20-III
14.114.249
16.937.099
19.759.949
76
77
78
79
80
81
82
83
84
D-4-10-I
D-4-10-II
D-4-10-III
D-4-11-I
D-4-11-II
D-4-11-III
D-4-12-I
D-4-12-II
D-4-12-III
1.373.213
2.309.612
3.342.932
1.666.186
3.366.728
4.151.335
1.708.145
2.369.365
3.638.161
1.647.856
2.771.534
4.011.519
1.999.423
4.040.074
4.981.603
2.049.774
2.843.238
4.365.793
1.922.498
3.233.456
4.680.105
2.332.660
4.713.419
5.811.870
2.391.403
3.317.111
5.093.426
85
D-4-13-I
1.335.576
1.602.692
1.869.807
86
D-4-13-II
2.002.460
2.402.953
2.803.445
87
D-4-13-III
2.456.144
2.947.373
3.438.601
88
D-4-14-I
1.671.196
2.005.435
2.339.675
89
D-4-14-II
3.098.983
3.718.779
4.338.576
90
D-4-14-III
4.345.450
5.214.540
6.083.630
91
92
93
94
95
96
Kode INACBG
E-1-01-I
E-1-01-II
E-1-01-III
E-1-10-I
E-1-10-II
E-1-10-III
97
E-1-20-I
98
E-1-20-II
99
E-1-20-III
100
E-4-10-I
101
E-4-10-II
102
E-4-10-III
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
E-4-11-I
E-4-11-II
E-4-11-III
E-4-12-I
E-4-12-II
E-4-12-III
E-4-13-I
E-4-13-II
E-4-13-III
F-4-10-I
F-4-10-II
F-4-10-III
F-4-11-I
F-4-11-II
F-4-11-III
118
F-4-12-I
1.179.139
1.414.967
1.650.794
119
F-4-12-II
1.563.214
1.875.857
2.188.500
120
F-4-12-III
3.096.598
3.715.918
4.335.237
121
122
123
124
125
126
127
128
129
F-4-13-I
F-4-13-II
F-4-13-III
F-4-14-I
F-4-14-II
F-4-14-III
F-4-15-I
F-4-15-II
F-4-15-III
1.944.356
2.578.778
3.325.005
1.111.291
1.425.455
1.918.014
1.624.016
2.291.653
2.864.275
2.333.227
3.094.533
3.990.006
1.333.549
1.710.546
2.301.617
1.948.820
2.749.984
3.437.130
2.722.098
3.610.289
4.655.007
1.555.807
1.995.638
2.685.219
2.273.623
3.208.314
4.009.985
130
F-4-16-I
3.508.872
4.210.647
4.912.421
131
F-4-16-II
4.064.637
4.877.565
5.690.492
132
F-4-16-III
5.425.612
6.510.735
7.595.857
133
134
135
136
137
138
F-4-17-I
F-4-17-II
F-4-17-III
F-4-18-I
F-4-18-II
F-4-18-III
674.987
1.978.323
2.110.725
3.031.850
3.335.891
5.142.567
809.985
2.373.988
2.532.870
3.638.220
4.003.069
6.171.080
944.982
2.769.652
2.955.015
4.244.590
4.670.248
7.199.594
No
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
3.820.737
5.004.801
9.920.349
3.253.769
3.949.311
8.323.986
4.584.884
6.005.762
11.904.419
3.904.522
4.739.174
9.988.783
5.349.031
7.006.722
13.888.489
4.555.276
5.529.036
11.653.580
4.146.078
4.975.294
5.804.509
6.037.600
7.245.120
8.452.640
10.020.686
12.024.823
14.028.960
1.847.707
2.217.249
2.586.790
2.839.731
3.407.677
3.975.623
3.934.092
4.720.910
5.507.728
1.589.493
2.622.481
4.313.229
1.828.518
3.004.705
4.391.791
2.104.643
3.557.484
5.176.662
2.621.507
2.914.812
4.315.443
2.411.336
2.809.435
3.602.723
1.907.391
3.146.977
5.175.875
2.194.222
3.605.646
5.270.149
2.525.572
4.268.981
6.211.995
3.145.808
3.497.774
5.178.532
2.893.603
3.371.322
4.323.267
2.225.290
3.671.473
6.038.521
2.559.925
4.206.587
6.148.507
2.946.501
4.980.478
7.247.327
3.670.110
4.080.737
6.041.620
3.375.870
3.933.209
5.043.812
139
140
141
Kode INACBG
F-4-19-I
F-4-19-II
F-4-19-III
142
G-1-01-I
143
G-1-01-II
144
G-1-01-III
16.549.331
19.859.198
23.169.064
145
146
147
148
149
150
G-1-10-I
G-1-10-II
G-1-10-III
G-1-11-I
G-1-11-II
G-1-11-III
3.695.177
5.217.129
6.186.921
4.269.165
8.771.591
17.998.256
4.434.212
6.260.554
7.424.305
5.122.998
10.525.909
21.597.907
5.173.248
7.303.980
8.661.690
5.976.831
12.280.228
25.197.559
151
G-1-12-I
2.455.230
2.946.276
3.437.322
152
G-1-12-II
6.164.086
7.396.903
8.629.720
153
G-1-12-III
9.060.079
10.872.095
12.684.111
154
155
156
157
158
159
160
161
162
G-1-13-I
G-1-13-II
G-1-13-III
G-1-20-I
G-1-20-II
G-1-20-III
G-1-30-I
G-1-30-II
G-1-30-III
729.470
1.959.276
4.420.951
3.407.476
5.628.011
11.284.325
5.325.922
13.907.517
17.865.755
875.364
2.351.131
5.305.142
4.088.971
6.753.614
13.541.189
6.391.107
16.689.020
21.438.906
1.021.258
2.742.986
6.189.332
4.770.466
7.879.216
15.798.054
7.456.291
19.470.523
25.012.057
163
G-4-10-I
1.995.065
2.394.078
2.793.091
164
G-4-10-II
2.432.331
2.918.797
3.405.264
165
G-4-10-III
4.258.816
5.110.579
5.962.343
166
G-4-11-I
3.200.964
3.841.157
4.481.350
167
G-4-11-II
4.590.805
5.508.966
6.427.127
168
G-4-11-III
6.102.953
7.323.543
8.544.134
169
170
171
G-4-12-I
G-4-12-II
G-4-12-III
2.960.557
3.717.383
5.399.056
3.552.668
4.460.859
6.478.867
4.144.779
5.204.336
7.558.678
172
G-4-13-I
1.638.712
1.966.454
2.294.197
173
G-4-13-II
2.329.424
2.795.309
3.261.194
174
G-4-13-III
2.755.636
3.306.763
3.857.890
175
G-4-14-I
2.614.515
3.137.418
3.660.321
176
G-4-14-II
4.039.162
4.846.994
5.654.826
177
G-4-14-III
5.050.703
6.060.844
7.070.984
178
G-4-15-I
1.997.161
2.396.594
2.796.026
No
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
2.319.590
2.970.295
3.698.057
2.783.508
3.564.354
4.437.668
3.247.426
4.158.413
5.177.279
6.178.136
7.413.764
8.649.391
8.513.021
10.215.625
11.918.230
Kode INACBG
179
G-4-15-II
180
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
2.432.266
2.918.720
3.405.173
G-4-15-III
3.133.604
3.760.325
4.387.046
181
182
183
G-4-16-I
G-4-16-II
G-4-16-III
1.663.293
1.914.691
3.690.689
1.995.951
2.297.629
4.428.827
2.328.610
2.680.567
5.166.965
184
G-4-17-I
2.237.654
2.685.185
3.132.716
185
G-4-17-II
2.975.966
3.571.160
4.166.353
186
G-4-17-III
4.987.744
5.985.293
6.982.842
187
G-4-18-I
1.994.204
2.393.044
2.791.885
188
G-4-18-II
3.419.368
4.103.241
4.787.115
189
G-4-18-III
3.630.041
4.356.049
5.082.057
190
G-4-19-I
1.993.137
2.391.764
2.790.392
191
G-4-19-II
3.107.933
3.729.520
4.351.106
192
G-4-19-III
3.906.947
4.688.336
5.469.725
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
G-4-20-I
G-4-20-II
G-4-20-III
G-4-21-I
G-4-21-II
G-4-21-III
G-4-22-I
G-4-22-II
G-4-22-III
G-4-23-I
G-4-23-II
G-4-23-III
G-4-24-I
G-4-24-II
G-4-24-III
G-4-25-I
G-4-25-II
G-4-25-III
1.165.665
1.654.716
2.823.228
1.561.240
2.022.441
3.209.535
1.333.855
1.662.856
1.916.310
1.460.139
1.668.099
2.374.963
2.595.952
3.243.246
6.279.068
1.332.496
1.669.914
2.075.631
1.398.798
1.985.659
3.387.873
1.873.488
2.426.929
3.851.442
1.600.626
1.995.427
2.299.572
1.752.166
2.001.718
2.849.955
3.115.143
3.891.895
7.534.882
1.598.995
2.003.897
2.490.758
1.631.931
2.316.602
3.952.519
2.185.736
2.831.417
4.493.349
1.867.396
2.327.998
2.682.834
2.044.194
2.335.338
3.324.948
3.634.333
4.540.544
8.790.696
1.865.494
2.337.879
2.905.884
211
G-4-26-I
2.321.852
2.786.222
3.250.592
212
G-4-26-II
2.715.949
3.259.139
3.802.328
213
G-4-26-III
3.441.677
4.130.012
4.818.348
214
215
216
217
218
219
220
221
222
H-1-20-I
H-1-20-II
H-1-20-III
H-1-30-I
H-1-30-II
H-1-30-III
H-4-10-I
H-4-10-II
H-4-10-III
1.856.609
4.171.405
5.672.850
1.809.204
2.555.411
4.263.610
2.034.236
2.873.827
5.428.769
2.227.930
5.005.686
6.807.420
2.171.045
3.066.493
5.116.332
2.441.083
3.448.592
6.514.522
2.599.252
5.839.967
7.941.990
2.532.886
3.577.575
5.969.054
2.847.930
4.023.358
7.600.276
223
224
225
226
227
228
Kode INACBG
H-4-11-I
H-4-11-II
H-4-11-III
H-4-12-I
H-4-12-II
H-4-12-III
229
I-1-01-I
230
I-1-01-II
231
I-1-01-III
232
I-1-02-I
233
I-1-02-II
234
I-1-02-III
235
I-1-03-I
236
I-1-03-II
237
I-1-03-III
238
I-1-04-I
239
I-1-04-II
240
I-1-04-III
241
I-1-05-I
242
I-1-05-II
243
I-1-05-III
244
245
246
I-1-06-I
I-1-06-II
I-1-06-III
247
I-1-07-I
248
I-1-07-II
249
I-1-07-III
250
I-1-11-I
251
I-1-11-II
252
I-1-11-III
253
I-1-12-I
254
I-1-12-II
255
I-1-12-III
256
I-1-13-I
No
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
1.622.655
1.791.099
2.384.092
1.842.500
2.496.582
4.147.222
1.947.186
2.149.319
2.860.911
2.211.000
2.995.899
4.976.666
2.271.717
2.507.539
3.337.729
2.579.500
3.495.215
5.806.111
28.739.208
34.487.050
40.234.892
29.371.621
35.245.945
41.120.269
46.362.540
55.635.048
64.907.556
15.944.347
19.133.217
22.322.086
20.568.208
24.681.850
28.795.491
25.351.512
30.421.815
35.492.117
9.853.814
11.824.576
13.795.339
11.349.518
13.619.422
15.889.325
18.775.207
22.530.249
26.285.290
14.332.855
17.199.426
20.065.997
15.423.501
18.508.201
21.592.901
31.985.974
38.383.169
44.780.364
21.102.813
25.323.375
29.543.938
25.323.375
30.388.050
35.452.725
34.844.804
41.813.765
48.782.726
9.707.884
14.231.674
19.288.408
11.649.461
17.078.008
23.146.089
13.591.038
19.924.343
27.003.771
15.652.079
18.782.495
21.912.911
19.310.019
23.172.023
27.034.027
21.067.106
25.280.527
29.493.948
2.422.297
2.906.757
3.391.216
2.693.352
3.232.023
3.770.693
3.584.031
4.300.837
5.017.644
7.653.695
9.184.434
10.715.173
8.746.521
10.495.826
12.245.130
14.811.778
17.774.133
20.736.489
3.796.845
4.556.214
5.315.583
Kode INACBG
257
I-1-13-II
258
I-1-13-III
259
I-1-14-I
260
I-1-14-II
261
I-1-14-III
262
263
264
I-1-15-I
I-1-15-II
I-1-15-III
265
I-1-16-I
266
I-1-16-II
267
I-1-16-III
268
I-1-17-I
269
I-1-17-II
270
I-1-17-III
271
I-1-20-I
272
I-1-20-II
273
I-1-20-III
274
I-1-30-I
275
I-1-30-II
276
I-1-30-III
277
278
279
280
281
282
283
284
285
286
287
288
I-1-40-I
I-1-40-II
I-1-40-III
I-4-10-I
I-4-10-II
I-4-10-III
I-4-11-I
I-4-11-II
I-4-11-III
I-4-12-I
I-4-12-II
I-4-12-III
289
I-4-13-I
290
I-4-13-II
291
I-4-13-III
292
293
294
I-4-14-I
I-4-14-II
I-4-14-III
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
5.227.859
6.273.431
7.319.002
11.384.393
13.661.272
15.938.151
16.413.299
19.695.958
22.978.618
20.399.385
24.479.263
28.559.140
26.730.229
32.076.275
37.422.321
3.841.918
7.660.241
11.230.987
4.610.301
9.192.290
13.477.184
5.378.685
10.724.338
15.723.382
7.034.271
8.441.125
9.847.979
18.289.104
21.946.925
25.604.746
21.096.033
25.315.240
29.534.446
2.696.540
3.235.848
3.775.156
4.548.687
5.458.425
6.368.162
26.490.935
31.789.122
37.087.309
3.269.828
3.923.794
4.577.760
5.411.782
6.494.138
7.576.495
9.467.259
11.360.711
13.254.162
7.980.417
9.576.500
11.172.584
16.600.879
19.921.055
23.241.231
25.725.333
30.870.400
36.015.467
7.948.692
10.419.550
13.032.954
3.037.356
4.795.447
6.911.123
3.512.428
3.715.080
6.872.124
3.173.601
4.492.723
5.466.350
9.538.430
12.503.459
15.639.545
3.644.827
5.754.537
8.293.347
4.214.914
4.458.095
8.246.548
3.808.321
5.391.268
6.559.620
11.128.169
14.587.369
18.246.136
4.252.298
6.713.626
9.675.572
4.917.399
5.201.111
9.620.973
4.443.041
6.289.813
7.652.891
3.479.819
4.175.783
4.871.747
5.067.568
6.081.081
7.094.595
8.659.377
10.391.252
12.123.127
1.771.147
2.060.202
3.202.621
2.125.376
2.472.243
3.843.146
2.479.605
2.884.283
4.483.670
Kode INACBG
295
I-4-15-I
296
I-4-15-II
297
I-4-15-III
298
299
300
301
302
303
304
305
I-4-16-I
I-4-16-II
I-4-16-III
I-4-17-I
I-4-17-II
I-4-17-III
I-4-18-I
I-4-18-II
306
I-4-18-III
307
I-4-19-I
308
I-4-19-II
309
310
311
312
313
314
315
316
317
318
I-4-19-III
I-4-20-I
I-4-20-II
I-4-20-III
I-4-21-I
I-4-21-II
I-4-21-III
I-4-22-I
I-4-22-II
I-4-22-III
319
I-4-23-I
320
I-4-23-II
321
I-4-23-III
322
I-4-24-I
323
I-4-24-II
324
I-4-24-III
325
J-1-01-I
326
J-1-01-II
327
J-1-01-III
328
J-1-02-I
329
J-1-02-II
330
J-1-02-III
331
332
333
J-1-10-I
J-1-10-II
J-1-10-III
334
J-1-20-I
335
J-1-20-II
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
2.671.904
3.206.285
3.740.666
3.990.760
4.788.912
5.587.065
4.548.507
5.458.208
6.367.909
1.997.702
2.578.754
3.323.156
2.972.374
4.029.464
4.890.476
2.712.931
3.981.769
2.397.242
3.094.505
3.987.787
3.566.849
4.835.357
5.868.571
3.255.517
4.778.122
2.796.783
3.610.255
4.652.418
4.161.324
5.641.250
6.846.666
3.798.103
5.574.476
5.465.923
6.559.108
7.652.293
1.947.897
2.337.476
2.727.056
3.256.167
3.907.400
4.558.633
3.729.835
2.445.949
2.813.879
3.746.158
3.230.366
4.039.569
5.535.827
2.170.425
2.496.482
3.647.106
4.475.802
2.935.139
3.376.654
4.495.389
3.876.439
4.847.483
6.642.992
2.604.510
2.995.778
4.376.527
5.221.769
3.424.328
3.939.430
5.244.621
4.522.512
5.655.397
7.750.157
3.038.595
3.495.075
5.105.948
1.639.897
1.967.876
2.295.855
2.013.415
2.416.098
2.818.781
3.934.029
4.720.835
5.507.641
1.977.519
2.373.023
2.768.526
4.748.892
5.698.671
6.648.449
6.027.291
7.232.749
8.438.207
18.854.732
22.625.678
26.396.624
20.142.441
24.170.930
28.199.418
28.022.730
33.627.275
39.231.821
7.591.499
9.109.799
10.628.099
9.289.441
11.147.330
13.005.218
12.487.396
14.984.875
17.482.354
3.754.001
7.390.425
12.540.420
4.504.801
8.868.510
15.048.504
5.255.601
10.346.595
17.556.588
3.252.212
3.902.654
4.553.097
4.012.229
4.814.674
5.617.120
Kode INACBG
336
J-1-20-III
337
J-1-30-I
338
J-1-30-II
339
J-1-30-III
340
341
342
343
344
345
346
347
348
349
350
351
352
353
354
355
356
357
358
359
360
361
362
363
364
365
366
367
368
369
370
371
372
J-4-10-I
J-4-10-II
J-4-10-III
J-4-11-I
J-4-11-II
J-4-11-III
J-4-12-I
J-4-12-II
J-4-12-III
J-4-13-I
J-4-13-II
J-4-13-III
J-4-14-I
J-4-14-II
J-4-14-III
J-4-15-I
J-4-15-II
J-4-15-III
J-4-16-I
J-4-16-II
J-4-16-III
J-4-17-I
J-4-17-II
J-4-17-III
J-4-18-I
J-4-18-II
J-4-18-III
J-4-19-I
J-4-19-II
J-4-19-III
J-4-20-I
J-4-20-II
J-4-20-III
373
J-4-21-I
374
J-4-21-II
375
J-4-21-III
376
K-1-10-I
377
K-1-10-II
378
K-1-10-III
379
380
381
K-1-11-I
K-1-11-II
K-1-11-III
382
K-1-12-I
383
K-1-12-II
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
5.683.675
6.820.410
7.957.145
2.192.971
2.631.566
3.070.160
8.220.284
9.864.341
11.508.398
22.043.032
26.451.639
30.860.245
2.114.488
3.023.464
4.574.050
1.599.336
2.221.728
3.183.793
2.042.966
2.641.719
3.527.748
3.061.808
4.512.724
8.985.986
2.555.334
4.302.385
5.092.262
3.893.926
4.652.151
6.181.817
3.244.449
4.559.304
7.546.184
1.837.320
2.494.065
2.950.217
1.335.929
1.907.016
1.990.937
2.336.452
3.152.074
4.074.588
2.568.422
3.406.114
5.531.075
2.537.386
3.628.157
5.488.859
1.919.203
2.666.074
3.820.552
2.451.559
3.170.062
4.233.298
3.674.170
5.415.269
10.783.184
3.066.401
5.162.862
6.110.715
4.672.711
5.582.581
7.418.181
3.893.339
5.471.165
9.055.421
2.204.784
2.992.877
3.540.260
1.603.115
2.288.419
2.389.124
2.803.743
3.782.489
4.889.506
3.082.107
4.087.336
6.637.291
2.960.283
4.232.849
6.403.669
2.239.070
3.110.419
4.457.311
2.860.152
3.698.406
4.938.848
4.286.531
6.317.814
12.580.381
3.577.468
6.023.339
7.129.167
5.451.497
6.513.011
8.654.544
4.542.229
6.383.026
10.564.658
2.572.248
3.491.690
4.130.303
1.870.301
2.669.822
2.787.312
3.271.033
4.412.904
5.704.424
3.595.791
4.768.559
7.743.506
1.430.027
1.716.033
2.002.038
2.670.374
3.204.448
3.738.523
3.824.810
4.589.772
5.354.734
3.602.358
4.322.830
5.043.302
5.973.929
7.168.715
8.363.501
7.006.696
8.408.035
9.809.374
3.695.773
4.852.104
12.313.684
4.434.928
5.822.525
14.776.421
5.174.082
6.792.945
17.239.158
1.989.615
2.387.538
2.785.461
2.590.937
3.109.125
3.627.312
Kode INACBG
384
K-1-12-III
385
386
387
K-1-13-I
K-1-13-II
K-1-13-III
388
K-1-14-I
389
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
5.153.154
6.183.784
7.214.415
2.254.359
3.948.677
4.215.450
2.705.230
4.738.413
5.058.540
3.156.102
5.528.148
5.901.630
3.090.094
3.708.112
4.326.131
K-1-14-II
4.289.873
5.147.847
6.005.822
390
391
392
393
K-1-14-III
K-1-20-I
K-1-20-II
K-1-20-III
8.627.110
7.078.608
9.884.367
17.236.902
10.352.532
8.494.329
11.861.240
20.684.282
12.077.954
9.910.051
13.838.114
24.131.663
394
K-1-30-I
4.672.731
5.607.277
6.541.823
395
K-1-30-II
7.197.746
8.637.295
10.076.844
396
K-1-30-III
13.372.164
16.046.597
18.721.030
397
K-1-40-I
4.692.781
5.631.337
6.569.893
398
K-1-40-II
5.157.815
6.189.378
7.220.941
399
400
401
402
403
404
405
406
407
408
409
410
411
K-1-40-III
K-1-50-I
K-1-50-II
K-1-50-III
K-4-10-I
K-4-10-II
K-4-10-III
K-4-11-I
K-4-11-II
K-4-11-III
K-4-12-I
K-4-12-II
K-4-12-III
8.553.739
3.580.521
4.614.349
6.185.216
2.700.003
3.237.124
8.345.709
1.335.026
2.171.908
2.967.326
1.362.318
2.380.279
4.478.416
10.264.487
4.296.625
5.537.219
7.422.260
3.240.004
3.884.549
10.014.850
1.602.031
2.606.290
3.560.791
1.634.781
2.856.335
5.374.100
11.975.235
5.012.729
6.460.089
8.659.303
3.780.004
4.531.974
11.683.992
1.869.036
3.040.671
4.154.256
1.907.245
3.332.391
6.269.783
412
K-4-13-I
1.995.947
2.395.137
2.794.326
413
K-4-13-II
2.593.613
3.112.336
3.631.058
414
K-4-13-III
4.234.149
5.080.979
5.927.809
415
K-4-14-I
1.666.589
1.999.907
2.333.225
416
K-4-14-II
2.260.555
2.712.666
3.164.777
417
K-4-14-III
3.639.794
4.367.753
5.095.712
418
419
420
421
422
423
K-4-15-I
K-4-15-II
K-4-15-III
K-4-16-I
K-4-16-II
K-4-16-III
1.668.173
2.486.963
3.490.334
1.662.789
2.179.213
2.928.595
2.001.808
2.984.356
4.188.400
1.995.346
2.615.056
3.514.314
2.335.442
3.481.749
4.886.467
2.327.904
3.050.899
4.100.033
424
K-4-17-I
2.352.131
2.822.558
3.292.984
425
K-4-17-II
3.328.671
3.994.405
4.660.139
426
K-4-17-III
3.754.748
4.505.698
5.256.647
Kode INACBG
427
K-4-18-I
428
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
2.595.132
3.114.158
3.633.184
K-4-18-II
3.892.623
4.671.148
5.449.673
429
K-4-18-III
4.775.119
5.730.143
6.685.167
430
L-1-20-I
16.272.180
19.526.615
22.781.051
431
L-1-20-II
16.916.104
20.299.325
23.682.546
432
L-1-20-III
28.600.951
34.321.141
40.041.332
433
L-1-30-I
5.962.350
7.154.820
8.347.290
434
L-1-30-II
10.729.458
12.875.350
15.021.242
435
L-1-30-III
11.330.533
13.596.639
15.862.746
436
L-1-40-I
2.834.118
3.400.941
3.967.765
437
L-1-40-II
4.968.491
5.962.189
6.955.888
438
L-1-40-III
8.409.621
10.091.545
11.773.469
439
440
441
442
443
444
445
446
447
448
449
450
L-1-50-I
L-1-50-II
L-1-50-III
L-4-10-I
L-4-10-II
L-4-10-III
L-4-11-I
L-4-11-II
L-4-11-III
L-4-12-I
L-4-12-II
L-4-12-III
3.655.687
6.561.594
7.992.837
2.003.922
2.751.567
5.663.026
2.145.293
2.968.820
6.850.839
2.235.596
3.515.842
5.693.780
4.386.825
7.873.913
9.591.405
2.404.706
3.301.880
6.795.631
2.574.351
3.562.583
8.221.007
2.682.715
4.219.010
6.832.535
5.117.962
9.186.232
11.189.972
2.805.491
3.852.193
7.928.236
3.003.410
4.156.347
9.591.175
3.129.835
4.922.178
7.971.291
451
L-4-13-I
1.384.041
1.660.849
1.937.657
452
L-4-13-II
1.729.977
2.075.972
2.421.968
453
L-4-13-III
2.442.358
2.930.829
3.419.301
454
L-4-14-I
1.372.569
1.647.083
1.921.597
455
L-4-14-II
2.035.071
2.442.086
2.849.100
456
L-4-14-III
3.750.192
4.500.231
5.250.269
457
M-1-01-I
6.494.675
7.793.610
9.092.545
458
M-1-01-II
7.249.108
8.698.930
10.148.752
459
M-1-01-III
10.183.033
12.219.640
14.256.246
460
461
462
M-1-02-I
M-1-02-II
M-1-02-III
5.511.480
9.068.958
13.272.381
6.613.776
10.882.749
15.926.858
7.716.072
12.696.541
18.581.334
463
M-1-03-I
11.654.901
13.985.881
16.316.861
464
M-1-03-II
13.642.299
16.370.759
19.099.218
Kode INACBG
465
M-1-03-III
466
M-1-04-I
467
M-1-04-II
468
M-1-04-III
469
M-1-05-I
470
M-1-05-II
471
M-1-05-III
472
M-1-07-I
473
M-1-07-II
474
M-1-07-III
475
M-1-10-I
476
M-1-10-II
477
M-1-10-III
478
M-1-20-I
479
M-1-20-II
480
M-1-20-III
481
482
483
M-1-30-I
M-1-30-II
M-1-30-III
484
M-1-40-I
485
M-1-40-II
486
M-1-40-III
487
488
489
M-1-50-I
M-1-50-II
M-1-50-III
490
M-1-60-I
491
M-1-60-II
492
M-1-60-III
493
M-1-70-I
494
M-1-70-II
495
M-1-70-III
496
497
498
499
M-1-80-I
M-1-80-II
M-1-80-III
M-4-10-I
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
15.802.140
18.962.568
22.122.996
3.626.188
4.351.426
5.076.664
4.663.191
5.595.830
6.528.468
5.835.105
7.002.126
8.169.147
4.608.139
5.529.767
6.451.394
5.317.971
6.381.565
7.445.159
9.057.953
10.869.543
12.681.134
5.217.973
6.261.567
7.305.162
6.990.453
8.388.543
9.786.634
14.240.215
17.088.258
19.936.301
3.910.947
4.693.136
5.475.326
10.980.440
13.176.528
15.372.615
16.179.326
19.415.192
22.651.057
3.858.921
4.630.705
5.402.489
4.383.237
5.259.884
6.136.531
10.693.445
12.832.134
14.970.823
2.316.782
4.784.802
7.137.915
2.780.138
5.741.762
8.565.498
3.243.494
6.698.722
9.993.081
2.285.638
2.742.766
3.199.893
3.754.445
4.505.334
5.256.223
6.285.674
7.542.809
8.799.943
4.548.030
9.124.059
13.977.582
5.457.636
10.948.871
16.773.098
6.367.242
12.773.683
19.568.615
2.338.631
2.806.357
3.274.083
4.680.046
5.616.055
6.552.064
8.123.925
9.748.710
11.373.495
3.127.785
3.753.342
4.378.899
6.377.215
7.652.658
8.928.101
8.918.851
10.702.621
12.486.391
2.518.673
3.812.188
8.508.343
1.353.894
3.022.408
4.574.625
10.210.011
1.624.672
3.526.142
5.337.063
11.911.680
1.895.451
500
501
Kode INACBG
M-4-10-II
M-4-10-III
502
M-4-11-I
503
M-4-11-II
504
M-4-11-III
505
M-4-12-I
506
M-4-12-II
507
M-4-12-III
508
M-4-13-I
509
M-4-13-II
510
M-4-13-III
511
512
513
514
515
516
517
518
519
M-4-14-I
M-4-14-II
M-4-14-III
M-4-15-I
M-4-15-II
M-4-15-III
M-4-16-I
M-4-16-II
M-4-16-III
520
M-4-17-I
521
M-4-17-II
522
M-4-17-III
523
524
525
M-4-18-I
M-4-18-II
M-4-18-III
526
M-4-19-I
1.733.977
2.080.773
2.427.568
527
M-4-19-II
2.920.573
3.504.687
4.088.802
528
M-4-19-III
4.996.610
5.995.932
6.995.254
529
M-4-20-I
1.334.874
1.601.849
1.868.824
530
M-4-20-II
1.997.400
2.396.880
2.796.360
531
M-4-20-III
2.220.395
2.664.474
3.108.553
532
M-4-21-I
1.330.421
1.596.505
1.862.590
533
M-4-21-II
2.074.900
2.489.880
2.904.860
534
M-4-21-III
4.119.128
4.942.954
5.766.779
535
N-1-01-I
250.000.000
250.000.000
250.000.000
No
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
2.427.901
4.160.006
2.913.482
4.992.007
3.399.062
5.824.008
2.105.372
2.526.447
2.947.521
4.101.729
4.922.075
5.742.421
6.988.285
8.385.942
9.783.599
1.333.886
1.600.663
1.867.440
2.426.848
2.912.217
3.397.587
4.337.322
5.204.787
6.072.251
2.951.216
3.541.460
4.131.703
3.336.837
4.004.205
4.671.572
7.899.562
9.479.475
11.059.387
2.672.057
3.681.274
5.838.349
1.991.831
2.652.708
5.666.829
1.990.548
2.903.027
5.923.801
3.206.469
4.417.529
7.006.019
2.390.198
3.183.250
6.800.195
2.388.658
3.483.633
7.108.561
3.740.880
5.153.783
8.173.689
2.788.564
3.713.791
7.933.561
2.786.768
4.064.238
8.293.321
1.698.614
2.038.336
2.378.059
2.330.362
2.796.434
3.262.507
3.268.192
3.921.831
4.575.469
1.796.363
2.707.210
3.259.863
2.155.636
3.248.652
3.911.835
2.514.909
3.790.094
4.563.808
536
537
538
539
540
Kode INACBG
N-1-01-II
N-1-01-III
N-1-11-I
N-1-11-II
N-1-11-III
541
N-1-12-I
542
N-1-12-II
543
N-1-12-III
544
545
546
N-1-20-I
N-1-20-II
N-1-20-III
547
N-1-30-I
548
N-1-30-II
549
N-1-30-III
550
N-1-40-I
4.683.640
5.620.368
6.557.097
551
N-1-40-II
6.352.235
7.622.682
8.893.129
552
N-1-40-III
7.364.325
8.837.191
10.310.056
553
N-4-10-I
1.825.216
2.190.259
2.555.302
554
N-4-10-II
2.669.382
3.203.258
3.737.135
555
N-4-10-III
4.272.151
5.126.581
5.981.011
556
557
558
559
560
561
562
563
564
N-4-11-I
N-4-11-II
N-4-11-III
N-4-12-I
N-4-12-II
N-4-12-III
N-4-13-I
N-4-13-II
N-4-13-III
1.530.488
2.581.462
2.947.843
1.473.054
2.079.476
2.591.661
1.825.022
2.424.582
5.108.514
1.836.586
3.097.754
3.537.411
1.767.665
2.495.372
3.109.993
2.190.027
2.909.499
6.130.217
2.142.684
3.614.046
4.126.980
2.062.276
2.911.267
3.628.325
2.555.031
3.394.415
7.151.919
565
N-4-14-I
1.154.936
1.385.923
1.616.910
566
N-4-14-II
1.776.823
2.132.188
2.487.552
567
N-4-14-III
2.881.441
3.457.729
4.034.017
568
N-4-15-I
1.668.679
2.002.415
2.336.151
569
N-4-15-II
2.298.138
2.757.766
3.217.393
570
N-4-15-III
2.622.590
3.147.108
3.671.626
571
N-4-16-I
2.057.586
2.469.104
2.880.621
572
N-4-16-II
2.670.730
3.204.876
3.739.022
No
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
250.000.000
250.000.000
5.215.002
8.060.466
11.868.463
250.000.000
250.000.000
6.258.003
9.672.559
14.242.155
250.000.000
250.000.000
7.301.003
11.284.652
16.615.848
2.648.681
3.178.417
3.708.154
7.495.363
8.994.436
10.493.509
13.658.616
16.390.340
19.122.063
4.362.492
8.633.046
9.907.177
5.234.991
10.359.656
11.888.613
6.107.489
12.086.265
13.870.048
5.191.760
6.230.112
7.268.464
7.838.417
9.406.100
10.973.784
8.231.460
9.877.752
11.524.044
Kode INACBG
573
N-4-16-III
574
575
576
O-6-10-I
O-6-10-II
O-6-10-III
577
O-6-11-I
578
O-6-11-II
579
O-6-11-III
580
O-6-12-I
581
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
4.584.676
5.501.611
6.418.546
3.755.210
4.143.856
4.346.265
4.506.252
4.972.627
5.215.518
5.257.294
5.801.398
6.084.771
1.773.050
2.127.660
2.482.269
2.146.583
2.575.900
3.005.216
3.634.564
4.361.477
5.088.389
1.453.338
1.744.006
2.034.673
O-6-12-II
1.745.455
2.094.546
2.443.638
582
O-6-12-III
2.192.915
2.631.497
3.070.080
583
584
585
O-6-13-I
O-6-13-II
O-6-13-III
1.880.000
2.225.102
2.789.373
2.256.000
2.670.123
3.347.248
2.632.000
3.115.143
3.905.123
586
P-8-01-I
33.470.999
40.165.199
46.859.399
587
P-8-01-II
41.415.126
49.698.151
57.981.176
588
P-8-01-III
48.609.748
58.331.698
68.053.647
589
P-8-02-I
48.521.237
58.225.485
67.929.732
590
P-8-02-II
55.658.854
66.790.624
77.922.395
591
P-8-02-III
63.594.220
76.313.064
89.031.908
592
P-8-03-I
1.829.123
2.194.947
2.560.772
593
P-8-03-II
2.563.838
3.076.605
3.589.373
594
P-8-03-III
4.416.055
5.299.266
6.182.477
595
P-8-04-I
19.465.482
23.358.578
27.251.675
596
P-8-04-II
25.398.433
30.478.120
35.557.806
597
P-8-04-III
36.414.960
43.697.952
50.980.944
598
P-8-05-I
10.604.840
12.725.808
14.846.776
599
P-8-05-II
15.070.103
18.084.124
21.098.145
600
P-8-05-III
22.203.774
26.644.529
31.085.284
601
P-8-06-I
1.831.764
2.198.116
2.564.469
602
P-8-06-II
4.394.371
5.273.245
6.152.119
Kode INACBG
603
P-8-06-III
604
P-8-07-I
605
P-8-07-II
606
P-8-07-III
607
P-8-08-I
608
P-8-08-II
609
P-8-08-III
610
P-8-10-I
611
P-8-10-II
612
P-8-10-III
613
P-8-11-I
614
P-8-11-II
615
P-8-11-III
616
P-8-12-I
617
P-8-12-II
618
P-8-12-III
619
P-8-13-I
620
P-8-13-II
621
P-8-13-III
622
P-8-14-I
623
P-8-14-II
624
P-8-14-III
625
P-8-15-I
626
P-8-15-II
627
P-8-15-III
628
P-8-16-I
629
P-8-16-II
630
P-8-16-III
631
P-8-17-I
632
P-8-17-II
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
8.063.132
9.675.758
11.288.384
2.819.596
3.383.515
3.947.434
7.173.539
8.608.247
10.042.955
9.507.597
11.409.117
13.310.636
3.260.570
3.912.684
4.564.798
4.626.594
5.551.912
6.477.231
7.491.473
8.989.768
10.488.063
1.381.427
1.657.712
1.933.998
2.447.226
2.936.672
3.426.117
4.804.627
5.765.552
6.726.477
1.869.792
2.243.750
2.617.709
8.242.125
9.890.550
11.538.975
8.414.799
10.097.758
11.780.718
2.244.052
2.692.863
3.141.673
3.489.357
4.187.229
4.885.100
4.124.803
4.949.764
5.774.724
1.829.556
2.195.467
2.561.378
3.163.497
3.796.196
4.428.895
4.709.254
5.651.104
6.592.955
2.115.127
2.538.152
2.961.177
4.312.716
5.175.259
6.037.802
4.731.136
5.677.364
6.623.591
1.595.808
1.914.970
2.234.132
3.179.062
3.814.874
4.450.686
3.732.236
4.478.683
5.225.130
1.444.574
1.733.489
2.022.404
2.041.958
2.450.350
2.858.742
2.649.190
3.179.029
3.708.867
1.552.785
1.863.341
2.173.898
4.037.105
4.844.526
5.651.947
Kode INACBG
633
P-8-17-III
634
S-4-10-I
635
S-4-10-II
636
S-4-10-III
637
638
639
640
641
642
S-4-11-I
S-4-11-II
S-4-11-III
S-4-12-I
S-4-12-II
S-4-12-III
643
S-4-13-I
644
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
7.630.303
9.156.364
10.682.425
1.336.343
1.603.612
1.870.881
1.669.666
2.003.599
2.337.532
2.161.770
2.594.124
3.026.478
835.023
1.332.070
2.050.402
997.017
1.336.158
2.545.869
1.002.028
1.598.484
2.460.482
1.196.420
1.603.390
3.055.043
1.169.033
1.864.898
2.870.562
1.395.824
1.870.621
3.564.217
1.424.145
1.708.973
1.993.802
S-4-13-II
2.348.508
2.818.210
3.287.912
645
S-4-13-III
4.809.768
5.771.722
6.733.676
646
S-4-14-I
811.645
973.974
1.136.303
647
S-4-14-II
1.724.206
2.069.048
2.413.889
648
S-4-14-III
3.269.710
3.923.652
4.577.594
649
S-4-15-I
613.855
736.626
859.397
650
S-4-15-II
1.158.553
1.390.263
1.621.974
651
S-4-15-III
1.500.595
1.800.714
2.100.833
652
653
654
S-4-16-I
S-4-16-II
S-4-16-III
2.336.607
3.932.911
5.450.632
2.803.929
4.719.493
6.540.758
3.271.250
5.506.075
7.630.884
655
S-4-17-I
1.408.379
1.690.055
1.971.731
656
S-4-17-II
1.733.232
2.079.878
2.426.525
657
S-4-17-III
2.725.036
3.270.043
3.815.050
658
T-1-10-I
1.249.077
1.498.892
1.748.707
659
T-1-10-II
1.677.425
2.012.910
2.348.395
660
T-1-10-III
3.051.783
3.662.140
4.272.497
661
T-4-10-I
561.300
673.560
785.820
662
T-4-10-II
1.069.714
1.283.656
1.497.599
663
T-4-10-III
1.555.073
1.866.088
2.177.103
664
T-4-11-I
664.640
797.568
930.496
665
T-4-11-II
1.045.954
1.255.145
1.464.336
666
T-4-11-III
1.684.724
2.021.669
2.358.614
667
T-4-12-I
1.162.461
1.394.954
1.627.446
Kode INACBG
668
T-4-12-II
669
T-4-12-III
670
671
672
U-1-10-I
U-1-10-II
U-1-10-III
673
U-1-11-I
674
U-1-11-II
675
U-1-11-III
676
677
678
679
680
681
U-1-12-I
U-1-12-II
U-1-12-III
U-1-13-I
U-1-13-II
U-1-13-III
682
U-1-14-I
683
U-1-14-II
684
U-1-14-III
685
686
687
U-1-15-I
U-1-15-II
U-1-15-III
688
U-1-20-I
689
U-1-20-II
690
U-1-20-III
691
692
693
U-1-30-I
U-1-30-II
U-1-30-III
694
U-4-10-I
695
U-4-10-II
696
U-4-10-III
697
698
699
700
701
702
U-4-11-I
U-4-11-II
U-4-11-III
U-4-12-I
U-4-12-II
U-4-12-III
703
U-4-13-I
704
U-4-13-II
705
U-4-13-III
706
707
708
U-4-14-I
U-4-14-II
U-4-14-III
709
U-4-15-I
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
1.757.384
2.108.861
2.460.337
2.742.814
3.291.377
3.839.940
1.240.693
2.531.711
10.932.440
1.488.832
3.038.053
13.118.928
1.736.971
3.544.395
15.305.415
4.436.687
5.324.025
6.211.362
5.836.876
7.004.252
8.171.627
11.032.852
13.239.422
15.445.992
3.429.924
6.598.956
8.579.618
3.585.491
4.490.667
6.657.449
4.115.908
7.918.747
10.295.541
4.302.590
5.388.801
7.988.938
4.801.893
9.238.538
12.011.465
5.019.688
6.286.934
9.320.428
2.370.029
2.844.034
3.318.040
2.908.502
3.490.202
4.071.902
3.446.656
4.135.988
4.825.319
1.393.988
1.980.910
3.014.795
1.672.786
2.377.092
3.617.754
1.951.584
2.773.274
4.220.713
3.598.641
4.318.369
5.038.097
6.181.843
7.418.212
8.654.580
10.787.014
12.944.417
15.101.820
3.090.151
4.161.476
7.182.947
3.708.181
4.993.771
8.619.537
4.326.211
5.826.066
10.056.126
2.882.337
3.458.804
4.035.271
5.467.125
6.560.550
7.653.975
8.393.831
10.072.598
11.751.364
1.332.440
2.002.391
2.698.191
1.331.367
1.851.340
2.403.514
1.598.929
2.402.869
3.237.829
1.597.641
2.221.608
2.884.216
1.865.417
2.803.348
3.777.467
1.863.914
2.591.876
3.364.919
1.334.099
1.600.919
1.867.738
1.522.005
1.826.405
2.130.806
2.025.686
2.430.824
2.835.961
1.665.505
1.999.106
3.357.249
1.998.606
2.398.927
4.028.699
2.331.707
2.798.748
4.700.148
1.328.394
1.594.073
1.859.752
Kode INACBG
710
U-4-15-II
711
U-4-15-III
712
V-1-10-I
713
V-1-10-II
714
V-1-10-III
715
716
717
V-1-11-I
V-1-11-II
V-1-11-III
718
V-1-12-I
719
V-1-12-II
720
V-1-12-III
721
V-1-13-I
722
V-1-13-II
723
V-1-13-III
724
V-1-14-I
725
V-1-14-II
726
V-1-14-III
727
728
729
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
1.684.672
2.021.606
2.358.541
2.337.236
2.804.683
3.272.130
3.941.214
4.729.457
5.517.699
4.492.027
5.390.432
6.288.837
6.704.236
8.045.083
9.385.930
4.488.953
5.016.144
7.438.300
5.386.743
6.019.373
8.925.960
6.284.534
7.022.602
10.413.620
2.899.981
3.479.977
4.059.973
8.133.966
9.760.759
11.387.553
8.770.124
10.524.149
12.278.174
4.394.559
5.273.471
6.152.383
7.336.304
8.803.565
10.270.826
8.787.301
10.544.761
12.302.221
5.297.434
6.356.921
7.416.408
6.546.130
7.855.356
9.164.582
7.974.312
9.569.174
11.164.036
V-1-15-I
V-1-15-II
V-1-15-III
2.385.597
3.676.500
6.055.742
2.862.716
4.411.800
7.266.890
3.339.836
5.147.100
8.478.039
730
V-4-10-I
3.071.445
3.685.734
4.300.023
731
V-4-10-II
4.249.106
5.098.928
5.948.749
732
V-4-10-III
7.969.953
9.563.944
11.157.934
733
V-4-11-I
1.915.932
2.299.118
2.682.305
734
V-4-11-II
2.689.920
3.227.904
3.765.888
735
V-4-11-III
4.023.240
4.827.889
5.632.537
736
W-1-01-I
6.005.468
7.206.561
8.407.655
737
W-1-01-II
7.247.108
8.696.530
10.145.951
738
W-1-01-III
12.038.603
14.446.324
16.854.045
739
740
741
W-1-10-I
W-1-10-II
W-1-10-III
1.680.282
2.555.670
4.181.746
2.016.338
3.066.804
5.018.096
2.352.395
3.577.937
5.854.445
742
W-1-11-I
2.551.237
3.061.484
3.571.732
743
W-1-11-II
4.485.364
5.382.437
6.279.510
744
W-1-11-III
9.444.914
11.333.897
13.222.880
Kode INACBG
745
W-1-12-I
746
W-1-12-II
747
W-1-12-III
748
W-1-13-I
749
W-1-13-II
750
W-1-13-III
751
752
753
754
755
756
757
758
759
760
761
762
W-1-20-I
W-1-20-II
W-1-20-III
W-1-30-I
W-1-30-II
W-1-30-III
W-4-10-I
W-4-10-II
W-4-10-III
W-4-11-I
W-4-11-II
W-4-11-III
763
W-4-12-I
764
W-4-12-II
765
W-4-12-III
766
767
768
769
770
771
772
773
774
775
776
777
778
779
780
781
782
783
784
785
786
W-4-13-I
W-4-13-II
W-4-13-III
W-4-14-I
W-4-14-II
W-4-14-III
W-4-15-I
W-4-15-II
W-4-15-III
W-4-16-I
W-4-16-II
W-4-16-III
W-4-17-I
W-4-17-II
W-4-17-III
Z-4-10-I
Z-4-10-II
Z-4-10-III
Z-4-11-I
Z-4-11-II
Z-4-11-III
787
Z-4-12-I
788
Z-4-12-II
789
Z-4-12-III
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
1.585.303
1.902.364
2.219.424
1.793.094
2.151.713
2.510.332
2.754.419
3.305.303
3.856.187
1.572.233
1.886.679
2.201.126
1.706.992
2.048.390
2.389.788
2.292.805
2.751.366
3.209.927
4.111.764
5.830.273
6.335.602
2.655.725
4.236.019
11.890.429
2.090.922
2.818.062
5.322.577
1.572.989
2.169.062
2.618.778
4.934.117
6.996.327
7.602.722
3.186.870
5.083.223
14.268.515
2.509.106
3.381.674
6.387.092
1.887.587
2.602.874
3.142.533
5.756.470
8.162.382
8.869.843
3.718.015
5.930.427
16.646.601
2.927.290
3.945.287
7.451.608
2.202.185
3.036.687
3.666.289
1.336.215
1.603.458
1.870.701
2.024.565
2.429.478
2.834.391
2.443.043
2.931.652
3.420.260
729.992
1.000.472
1.333.713
998.384
1.336.896
1.621.111
947.314
1.065.414
1.357.154
1.946.945
2.603.603
3.528.743
978.167
1.334.793
2.515.151
2.285.785
3.034.050
4.310.157
1.948.346
2.345.482
3.656.671
875.990
1.200.567
1.600.456
1.198.060
1.604.275
1.945.333
1.136.777
1.278.497
1.628.585
2.336.334
3.124.323
4.234.492
1.173.801
1.601.752
3.018.181
2.742.942
3.640.860
5.172.189
2.338.016
2.814.579
4.388.005
1.021.989
1.400.661
1.867.198
1.397.737
1.871.654
2.269.555
1.326.240
1.491.580
1.900.016
2.725.723
3.645.044
4.940.241
1.369.434
1.868.711
3.521.211
3.200.099
4.247.670
6.034.220
2.727.685
3.283.675
5.119.339
1.002.735
1.203.282
1.403.829
2.443.333
2.931.999
3.420.666
3.098.655
3.718.387
4.338.118
B-2-10-0
B-2-11-0
B-2-12-0
B-2-13-0
B-2-14-0
B-3-10-0
B-3-11-0
B-3-12-0
C-3-10-0
C-3-11-0
C-3-12-0
C-3-13-0
C-3-14-0
C-3-15-0
C-3-16-0
C-3-17-0
C-3-18-0
C-3-19-0
C-3-20-0
C-3-21-0
C-3-22-0
C-3-23-0
D-2-10-0
D-2-11-0
D-2-21-0
D-2-22-0
D-3-10-0
D-3-11-0
E-2-10-0
E-2-21-0
E-2-22-0
E-3-10-0
F-3-10-0
F-5-10-0
F-5-11-0
F-5-12-0
F-5-13-0
F-5-14-0
F-5-15-0
F-5-16-0
G-2-10-0
G-2-11-0
G-2-12-0
G-2-13-0
G-2-21-0
G-2-22-0
G-2-31-0
G-2-32-0
G-3-10-0
G-3-11-0
G-3-12-0
G-3-13-0
H-2-21-0
H-2-22-0
H-2-23-0
H-2-31-0
H-2-32-0
H-2-33-0
H-2-34-0
H-2-35-0
H-2-36-0
H-2-37-0
63
64
65
66
67
68
69
70
71
H-3-10-0
H-3-11-0
H-3-12-0
H-3-13-0
I-2-11-0
I-2-12-0
I-2-13-0
I-2-14-0
I-2-15-0
72
I-2-16-0
73
74
75
76
77
78
79
I-2-17-0
I-2-21-0
I-2-22-0
I-2-23-0
I-2-31-0
I-2-32-0
I-2-41-0
80
I-2-42-0
2.082.430
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
I-3-10-0
I-3-11-0
I-3-12-0
I-3-13-0
I-3-14-0
I-3-15-0
J-2-10-0
J-2-21-0
J-2-22-0
J-2-31-0
J-2-32-0
J-3-10-0
J-3-11-0
J-3-12-0
J-3-13-0
J-3-14-0
J-3-15-0
J-3-16-0
J-3-17-0
K-2-10-0
K-2-11-0
K-2-12-0
K-2-13-0
K-2-14-0
K-2-21-0
K-2-22-0
K-2-31-0
K-2-32-0
K-2-41-0
K-2-42-0
K-2-51-0
K-2-52-0
K-2-53-0
K-3-10-0
K-3-11-0
K-3-12-0
K-3-13-0
K-3-14-0
K-3-15-0
K-3-16-0
L-2-21-0
L-2-22-0
L-2-31-0
PROSEDUR RESUSITASI
PROSEDUR KARDIOVERSI
PROSEDUR KECIL LAIN-LAIN PADA JANTUNG
PROSEDUR EKOKARDIOGRAFI
PROSEDUR STRESS TESTING
PROSEDUR PENGAWASAN FUNGSI KARDIOVASKULAR
PROSEDUR BESAR PADA SISTEM SALURAN PERNAFASAN
PROSEDUR VENTILASI MEKANIKAL JANGKA PENDEK
PROSEDUR PADA LARING DAN TRAKEA
PROSEDUR THORAKOSKOPI/MEDIASTINOSKOPI
PROSEDUR DADA INTERMEDIATE
PROSEDUR PADA DINDING DADA
PROSEDUR PEMASANGAN/PENYISIPAN TUBE PADA DADA
PROSEDUR THORACENTESIS
PROSEDUR TERAPI SALURAN PERNAFASAN
PROSEDUR BIOPSI PERKUTAN DAN ASPIRASI
PROSEDUR BRONKOSKOPI
PROSEDUR UJI FUNGSI PARU
PROSEDUR LAIN-LAIN PADA SISTEM SALURAN PERNAFASAN
PROSEDUR KECIL PADA USUS BESAR DAN KECIL
PROSEDUR ADHESIOLYSIS PADA PERITONEUM
PROSEDUR PADA HERNIA TIDAK TERMASUK HERNIA INGUINALIS DAN FEMORALIS
PROSEDUR PADA USUS BUNTU
PROSEDUR PADA HERNIA INGUINALIS DAN FEMORALIS
PROSEDUR BESAR PADA USUS HALUS DAN USUS BESAR
PROSEDUR BESAR PADA GASTROINTESTINAL ATAS
PROSEDUR SEDANG PADA GASTROINTESTINAL ATAS
PROSEDUR LAIN-LAIN PADA GASTROINTESTINAL ATAS
PROSEDUR LAPAROSKOPI
PROSEDUR LAPAROTOMI & GASTROINTESTINAL LAINNYA
PROSEDUR UNTUK WASIR
PROSEDUR SEDANG PADA ANUS & REKTUM
PROSEDUR KECIL PADA ANUS & REKTUM
PROSEDUR KECIL LAIN-LAIN PADA GASTROINTESTINAL
PROSEDUR KECIL PADA ANUS & REKTUM
PROSEDUR SIGMOIDOSKOPI DAN ANOSKOPI
PROSEDUR KOLONOSKOPI
PROSEDUR ENDOSKOPI BESAR PADA GASTROINTESTINAL ATAS
PROSEDUR ENDOSKOPI KECIL PADA GASTROINTESTINAL ATAS
PROSEDUR LAIN-LAIN PADA GASTROINTESTINAL
PROSEDUR BESAR PEMINDAHAN KULIT PADA LUKA BAKAR
PROSEDUR KECIL PEMINDAHAN KULIT PADA LUKA BAKAR
PROSEDUR BESAR PEMINDAHAN KULIT TANPA LUKA BAKAR
324.369
170.350
990.011
325.582
208.416
185.173
1.143.087
184.818
761.335
1.204.455
730.207
186.431
430.716
203.997
244.852
259.702
227.270
259.198
152.630
449.701
1.145.885
879.615
1.431.621
186.431
186.431
2.396.081
805.680
186.431
887.473
2.161.415
588.094
320.693
186.787
355.803
214.219
216.296
186.888
499.639
241.825
260.949
1.099.191
704.574
262.955
350.653
151.038
157.363
187.146
2.158.326
1.517.539
1.928.701
3.413.389
2.305.151
2.155.987
581.299
1.664.116
1.284.652
320.920
2.494.141
3.261.455
2.186.846
L-2-32-0
L-2-41-0
L-2-42-0
L-2-51-0
L-2-52-0
L-2-53-0
L-3-10-0
L-3-11-0
L-3-12-0
M-2-10-0
M-2-21-0
M-2-22-0
M-2-31-0
M-2-32-0
M-2-41-0
M-2-42-0
M-2-51-0
M-2-52-0
M-2-61-0
M-2-62-0
M-2-63-0
M-2-64-0
M-2-65-0
M-2-71-0
M-2-72-0
M-2-81-0
M-2-82-0
M-2-83-0
M-2-84-0
M-3-10-0
M-3-11-0
M-3-12-0
M-3-13-0
M-3-14-0
M-3-15-0
M-3-16-0
M-3-17-0
N-2-11-0
N-2-12-0
N-2-21-0
N-2-22-0
N-2-23-0
N-2-24-0
N-2-31-0
N-2-32-0
N-2-41-0
N-2-42-0
N-3-10-0
N-3-11-0
N-3-12-0
N-3-13-0
N-3-14-0
N-3-15-0
O-7-10-0
O-7-11-0
179 O-7-12-0
180
181
182
183
184
185
O-7-13-0
P-9-10-0
P-9-11-0
P-9-12-0
P-9-13-0
P-9-14-0
P-9-15-0
P-9-16-0
P-9-17-0
Q-5-10-0
Q-5-11-0
Q-5-12-0
Q-5-13-0
Q-5-14-0
Q-5-15-0
Q-5-16-0
Q-5-17-0
Q-5-18-0
Q-5-19-0
Q-5-20-0
Q-5-21-0
Q-5-22-0
Q-5-23-0
Q-5-24-0
Q-5-25-0
Q-5-26-0
Q-5-27-0
Q-5-28-0
Q-5-29-0
Q-5-30-0
Q-5-31-0
Q-5-32-0
Q-5-33-0
Q-5-34-0
Q-5-35-0
Q-5-36-0
Q-5-37-0
Q-5-38-0
Q-5-39-0
Q-5-40-0
Q-5-41-0
Q-5-42-0
Q-5-43-0
Q-5-44-0
T-2-10-0
U-2-10-0
U-2-11-0
U-2-12-0
U-2-13-0
U-2-14-0
U-2-15-0
U-2-21-0
U-2-22-0
U-2-23-0
U-2-24-0
U-2-25-0
U-2-31-0
U-2-32-0
U-3-10-0
U-3-11-0
U-3-12-0
U-3-13-0
U-3-14-0
U-3-15-0
U-3-16-0
V-2-10-0
V-2-11-0
V-2-12-0
V-2-13-0
V-2-14-0
V-2-15-0
V-3-10-0
V-3-11-0
V-3-12-0
W-2-10-0
W-2-11-0
W-2-12-0
W-2-13-0
W-2-21-0
W-2-22-0
W-2-23-0
W-2-31-0
W-2-32-0
W-2-33-0
W-2-34-0
W-3-10-0
W-3-11-0
W-3-12-0
Z-3-10-0
320.693
176.455
366.233
634.699
449.283
164.319
418.340
774.773
124.260
1.557.501
163.788
546.568
1.794.216
1.258.365
534.822
181.902
442.093
353.396
163.788
1.854.297
269 Z-3-11-0
1.417.273
270
271
272
273
274
275
276
277
278
279
280
281
282
283
284
285
286
287
288
PROSEDUR REHABILITASI
PROSEDUR KECIL PELAYANAN PENUNJANG LAIN-LAIN
DIAGNOSTIK TIDUR
IMAGING NUKLIR JANTUNG
PROSEDUR MAGNETIC RESONANCE IMAGING (MRI)
PENGOBATAN NUKLIR
CT-SCAN KEPALA
CT SCAN LAIN-LAIN
IMAGING KONTRAS SALURAN URINARI
IMAGING KONTRAS PEMBULUH DARAH
IMAGING KONTRAS LAIN-LAIN
PROSEDUR ULTRASOUND LAIN-LAIN
PROSEDUR ULTRASOUND PEMBULUH DARAH
PROSEDUR ULTRASOUND GINEKOLOGIK
PROSEDUR BESAR RADIOGRAFI
PERAWATAN LUKA
IMAGING PAYUDARA
IMAGING LAIN-LAIN
FOTOTERAPI
236.650
1.444.105
285.544
186.431
598.387
251.216
242.041
251.918
171.336
163.788
184.656
192.335
377.901
168.316
190.231
181.619
186.431
537.327
74.254
Z-3-12-0
Z-3-13-0
Z-3-14-0
Z-3-15-0
Z-3-16-0
Z-3-17-0
Z-3-18-0
Z-3-19-0
Z-3-20-0
Z-3-21-0
Z-3-22-0
Z-3-23-0
Z-3-24-0
Z-3-25-0
Z-3-26-0
Z-3-27-0
Z-3-28-0
Z-3-29-0
Z-3-30-0
Kode INACBG
A-4-10-I
A-4-10-II
A-4-10-III
A-4-11-I
A-4-11-II
A-4-11-III
A-4-12-I
A-4-12-II
A-4-12-III
A-4-13-I
A-4-13-II
A-4-13-III
13 A-4-14-I
14 A-4-14-II
15 A-4-14-III
16
17
18
19
20
21
22
23
24
25
26
27
A-4-15-I
A-4-15-II
A-4-15-III
B-1-01-I
B-1-01-II
B-1-01-III
B-1-10-I
B-1-10-II
B-1-10-III
B-1-11-I
B-1-11-II
B-1-11-III
28 B-1-12-I
29 B-1-12-II
30 B-1-12-III
31 B-1-13-I
32 B-1-13-II
33 B-1-13-III
34 B-1-14-I
35 B-1-14-II
36 B-1-14-III
37 B-4-10-I
38 B-4-10-II
39 B-4-10-III
40 B-4-11-I
41 B-4-11-II
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
SEPTIKEMIA RINGAN
SEPTIKEMIA SEDANG
SEPTIKEMIA BERAT
INFEKSI SESUDAH OPERASI & TRAUMA RINGAN
INFEKSI SESUDAH OPERASI & TRAUMA SEDANG
INFEKSI SESUDAH OPERASI & TRAUMA BERAT
DEMAM RINGAN
DEMAM SEDANG
DEMAM BERAT
INFEKSI NON BAKTERI RINGAN
INFEKSI NON BAKTERI SEDANG
INFEKSI NON BAKTERI BERAT
PENYAKIT INFEKSI BAKTERI DAN PARASIT LAIN-LAIN
RINGAN
PENYAKIT INFEKSI BAKTERI DAN PARASIT LAIN-LAIN
SEDANG
PENYAKIT INFEKSI BAKTERI DAN PARASIT LAIN-LAIN
BERAT
INFEKSI HIV RINGAN
INFEKSI HIV SEDANG
INFEKSI HIV BERAT
PROSEDUR PENCANGKOKAN HATI RINGAN
PROSEDUR PENCANGKOKAN HATI SEDANG
PROSEDUR PENCANGKOKAN HATI BERAT
PROSEDUR HATI DAN PANKREAS RINGAN
PROSEDUR HATI DAN PANKREAS SEDANG
PROSEDUR HATI DAN PANKREAS BERAT
PROSEDUR SALURAN EMPEDU KOMPLEK (RINGAN)
PROSEDUR SALURAN EMPEDU KOMPLEK (SEDANG)
PROSEDUR SALURAN EMPEDU KOMPLEK (BERAT)
PROSEDUR CHOLESISTEKTOMI TANPA LAPAROSKOPIK
RINGAN
PROSEDUR CHOLESISTEKTOMI TANPA LAPAROSKOPIK
SEDANG
PROSEDUR CHOLESISTEKTOMI TANPA LAPAROSKOPIK
BERAT
PROSEDUR PANKREAS DAN HEPATOBILLIARI LAIN-LAIN
(RINGAN)
PROSEDUR PANKREAS DAN HEPATOBILLIARI LAIN-LAIN
(SEDANG)
PROSEDUR PANKREAS DAN HEPATOBILLIARI LAIN-LAIN
(BERAT)
PROSEDUR CHOLESISTEKTOMI DENGAN LAPAROSKOPIK
RINGAN
PROSEDUR CHOLESISTEKTOMI DENGAN LAPAROSKOPIK
SEDANG
PROSEDUR CHOLESISTEKTOMI DENGAN LAPAROSKOPIK
BERAT
SIROSIS DAN HEPATITIS ALKOHOLIK RINGAN
SIROSIS DAN HEPATITIS ALKOHOLIK SEDANG
SIROSIS DAN HEPATITIS ALKOHOLIK BERAT
TUMOR SISTEM HEPATOBILLIARI DAN PANCREAS
RINGAN
TUMOR SISTEM HEPATOBILLIARI DAN PANCREAS
SEDANG
3.372.956
5.762.330
8.138.692
7.343.765
12.934.891
21.158.176
3.696.982
4.603.921
4.913.692
4.710.208
5.562.868
6.994.021
4.047.548
6.914.797
9.766.430
8.812.518
15.521.870
25.389.811
4.436.378
5.524.705
5.896.431
5.652.250
6.675.441
8.392.825
4.722.139
8.067.263
11.394.169
10.281.271
18.108.848
29.621.447
5.175.775
6.445.489
6.879.169
6.594.291
7.788.015
9.791.630
3.919.566
4.703.479
5.487.392
5.041.553
6.049.864
7.058.175
5.776.434
6.931.721
8.087.007
5.887.203
8.812.442
11.058.820
60.151.650
66.363.167
116.414.721
7.798.135
19.874.337
33.905.442
5.232.642
13.079.137
16.429.592
7.064.643
10.574.930
13.270.584
72.181.980
79.635.800
139.697.665
9.357.762
23.849.204
40.686.531
6.279.170
15.694.964
19.715.510
8.242.084
12.337.419
15.482.348
84.212.310
92.908.434
162.980.610
10.917.390
27.824.071
47.467.619
7.325.699
18.310.791
23.001.428
9.086.170
10.903.404
12.720.638
19.473.661
23.368.394
27.263.126
23.700.681
28.440.818
33.180.954
7.310.713
8.772.855
10.234.998
11.908.013
14.289.615
16.671.218
17.555.723
21.066.867
24.578.012
9.944.270
11.933.124
13.921.978
11.059.827
13.271.793
15.483.758
17.301.895
20.762.274
24.222.653
3.076.736
4.911.435
6.775.427
3.692.083
5.893.722
8.130.513
4.307.430
6.876.009
9.485.598
6.487.025
7.784.430
9.081.835
9.723.894
11.668.673
13.613.452
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
42 B-4-11-III
11.002.575
13.203.090
15.403.604
43 B-4-12-I
44 B-4-12-II
45 B-4-12-III
5.864.977
8.351.446
17.947.424
7.037.972
10.021.736
21.536.909
8.210.967
11.692.025
25.126.393
5.889.091
7.066.910
8.244.728
6.860.615
8.232.738
9.604.861
10.165.826
12.198.991
14.232.156
5.882.832
6.863.057
9.193.248
5.170.511
10.797.881
18.730.188
5.892.067
7.884.485
12.270.081
3.923.093
9.793.916
19.845.190
3.820.440
7.190.127
9.927.596
4.900.593
6.874.462
10.242.832
7.059.399
8.235.668
11.031.897
6.204.613
12.957.457
22.476.226
7.070.481
9.461.383
14.724.097
4.707.711
11.752.700
23.814.228
4.584.527
8.628.152
11.913.115
5.880.712
8.249.354
12.291.398
8.235.965
9.608.280
12.870.547
7.238.715
15.117.033
26.222.264
8.248.894
11.038.280
17.178.113
5.492.330
13.711.483
27.783.266
5.348.615
10.066.178
13.898.634
6.860.830
9.624.247
14.339.965
67 D-1-10-I
38.490.007
46.188.009
53.886.010
68 D-1-10-II
58.623.070
70.347.684
82.072.298
69 D-1-10-III
79.450.497
95.340.596
111.230.695
70 D-1-11-I
71 D-1-11-II
72 D-1-11-III
7.927.215
20.241.767
31.719.345
9.512.658
24.290.120
38.063.214
11.098.101
28.338.473
44.407.083
8.634.991
10.361.989
12.088.987
23.796.823
28.556.187
33.315.552
37.748.793
45.298.552
52.848.310
3.764.142
6.177.253
9.718.300
6.843.178
13.963.819
19.182.894
4.638.184
6.433.182
9.878.431
4.516.971
7.412.704
11.661.960
8.211.814
16.756.583
23.019.473
5.565.821
7.719.818
11.854.117
5.269.799
8.648.154
13.605.620
9.580.450
19.549.346
26.856.052
6.493.458
9.006.455
13.829.803
3.795.864
4.555.037
5.314.210
No
46 B-4-13-I
47 B-4-13-II
48 B-4-13-III
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
B-4-14-I
B-4-14-II
B-4-14-III
C-4-10-I
C-4-10-II
C-4-10-III
C-4-11-I
C-4-11-II
C-4-11-III
C-4-12-I
C-4-12-II
C-4-12-III
C-4-13-I
C-4-13-II
C-4-13-III
C-4-14-I
C-4-14-II
C-4-14-III
73 D-1-20-I
74 D-1-20-II
75 D-1-20-III
76
77
78
79
80
81
82
83
84
D-4-10-I
D-4-10-II
D-4-10-III
D-4-11-I
D-4-11-II
D-4-11-III
D-4-12-I
D-4-12-II
D-4-12-III
85 D-4-13-I
Kode INACBG
86 D-4-13-II
87 D-4-13-III
88 D-4-14-I
89 D-4-14-II
90 D-4-14-III
91
92
93
94
95
96
E-1-01-I
E-1-01-II
E-1-01-III
E-1-10-I
E-1-10-II
E-1-10-III
97 E-1-20-I
98 E-1-20-II
99 E-1-20-III
100 E-4-10-I
101 E-4-10-II
102 E-4-10-III
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
E-4-11-I
E-4-11-II
E-4-11-III
E-4-12-I
E-4-12-II
E-4-12-III
E-4-13-I
E-4-13-II
E-4-13-III
F-4-10-I
F-4-10-II
F-4-10-III
F-4-11-I
F-4-11-II
F-4-11-III
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
5.372.517
6.447.020
7.521.523
6.871.604
8.245.925
9.620.246
4.263.091
5.115.709
5.968.327
8.992.823
10.791.387
12.589.952
11.621.683
13.946.020
16.270.356
8.497.976
11.827.727
27.971.365
8.835.136
10.723.135
22.601.446
10.197.571
14.193.272
33.565.638
10.602.164
12.867.762
27.121.736
11.897.166
16.558.817
39.159.911
12.369.191
15.012.390
31.642.025
10.002.141
12.002.569
14.002.997
13.462.604
16.155.125
18.847.645
26.800.496
32.160.595
37.520.695
4.906.459
5.887.751
6.869.043
6.855.801
8.226.962
9.598.122
12.291.431
14.749.717
17.208.003
3.931.985
5.994.747
11.733.549
4.517.850
7.823.765
11.746.151
4.919.776
8.163.712
11.519.930
5.838.259
6.461.420
9.566.276
5.389.007
6.278.786
8.051.732
4.718.382
7.193.696
14.080.258
5.421.419
9.388.518
14.095.381
5.903.731
9.796.455
13.823.917
7.005.911
7.753.704
11.479.531
6.466.808
7.534.543
9.662.079
5.504.779
8.392.645
16.426.968
6.324.989
10.953.271
16.444.612
6.887.686
11.429.197
16.127.903
8.173.563
9.045.988
13.392.786
7.544.609
8.790.300
11.272.425
118 F-4-12-I
2.954.078
3.544.894
4.135.709
119 F-4-12-II
4.199.808
5.039.769
5.879.731
120 F-4-12-III
9.123.747
10.948.496
12.773.246
121
122
123
124
125
126
127
4.340.973
5.728.032
7.415.683
2.476.775
3.176.733
4.274.570
3.944.357
5.209.168
6.873.638
8.898.819
2.972.130
3.812.080
5.129.484
4.733.229
6.077.362
8.019.245
10.381.956
3.467.485
4.447.427
5.984.398
5.522.100
F-4-13-I
F-4-13-II
F-4-13-III
F-4-14-I
F-4-14-II
F-4-14-III
F-4-15-I
130 F-4-16-I
131 F-4-16-II
132 F-4-16-III
133
134
135
136
137
138
139
140
141
F-4-17-I
F-4-17-II
F-4-17-III
F-4-18-I
F-4-18-II
F-4-18-III
F-4-19-I
F-4-19-II
F-4-19-III
142 G-1-01-I
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
5.877.646
7.760.391
7.053.175
9.312.470
8.228.704
10.864.548
7.760.733
9.312.880
10.865.027
9.023.198
10.827.837
12.632.477
12.044.427
14.453.312
16.862.198
1.832.758
5.371.707
5.731.126
6.743.519
7.419.775
11.438.198
5.153.661
6.599.448
8.216.324
2.199.309
6.446.048
6.877.351
8.092.222
8.903.730
13.725.837
6.184.393
7.919.337
9.859.589
2.565.861
7.520.390
8.023.576
9.440.926
10.387.685
16.013.477
7.215.126
9.239.227
11.502.854
16.775.221
20.130.265
23.485.310
143 G-1-01-II
25.126.465
30.151.758
35.177.051
144 G-1-01-III
54.967.756
65.961.308
76.954.859
145
146
147
148
149
150
18.896.773
22.375.190
23.850.502
9.485.609
19.443.067
40.626.736
22.676.127
26.850.228
28.620.602
11.382.731
23.331.681
48.752.083
26.455.482
31.325.266
33.390.703
13.279.853
27.220.294
56.877.430
G-1-10-I
G-1-10-II
G-1-10-III
G-1-11-I
G-1-11-II
G-1-11-III
151 G-1-12-I
6.566.740
7.880.089
9.193.437
152 G-1-12-II
13.738.340
16.486.008
19.233.676
153 G-1-12-III
24.231.419
29.077.703
33.923.987
154
155
156
157
158
159
160
161
162
1.981.000
5.319.962
12.004.178
14.457.452
18.772.748
37.303.261
11.833.676
30.911.206
39.810.491
2.377.201
6.383.954
14.405.013
17.348.942
22.527.298
44.763.913
14.200.411
37.093.447
47.772.589
2.773.401
7.447.947
16.805.849
20.240.433
26.281.848
52.224.566
16.567.146
43.275.688
55.734.687
5.636.860
6.764.232
7.891.604
6.890.117
8.268.140
9.646.164
9.454.441
11.345.329
13.236.217
7.643.599
9.172.319
10.701.039
10.153.525
12.184.230
14.214.935
14.919.040
17.902.848
20.886.656
G-1-13-I
G-1-13-II
G-1-13-III
G-1-20-I
G-1-20-II
G-1-20-III
G-1-30-I
G-1-30-II
G-1-30-III
163 G-4-10-I
164 G-4-10-II
165 G-4-10-III
166 G-4-11-I
167 G-4-11-II
168 G-4-11-III
172 G-4-13-I
173 G-4-13-II
174 G-4-13-III
175 G-4-14-I
176 G-4-14-II
177 G-4-14-III
178 G-4-15-I
179 G-4-15-II
180 G-4-15-III
181 G-4-16-I
182 G-4-16-II
183 G-4-16-III
184 G-4-17-I
185 G-4-17-II
186 G-4-17-III
187 G-4-18-I
188 G-4-18-II
189 G-4-18-III
190 G-4-19-I
191 G-4-19-II
192 G-4-19-III
193
194
195
196
197
198
199
200
201
202
203
G-4-20-I
G-4-20-II
G-4-20-III
G-4-21-I
G-4-21-II
G-4-21-III
G-4-22-I
G-4-22-II
G-4-22-III
G-4-23-I
G-4-23-II
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
6.546.322
8.268.440
12.008.949
7.855.586
9.922.128
14.410.739
9.164.851
11.575.816
16.812.529
3.932.513
4.719.016
5.505.519
6.857.421
8.228.905
9.600.389
8.133.041
9.759.649
11.386.258
6.670.930
8.005.116
9.339.302
8.918.656
10.702.387
12.486.118
11.193.929
13.432.715
15.671.500
5.450.723
6.540.868
7.631.012
6.505.206
7.806.247
9.107.288
9.181.527
11.017.832
12.854.138
4.493.438
5.965.584
12.271.331
5.392.125
7.158.701
14.725.597
6.290.813
8.351.818
17.179.863
5.984.957
7.181.948
8.378.940
7.847.539
9.417.047
10.986.555
13.153.006
15.783.607
18.414.208
5.894.190
7.073.028
8.251.866
7.878.847
9.454.616
11.030.385
8.815.779
10.578.935
12.342.091
4.917.730
5.901.276
6.884.822
8.312.091
9.974.509
11.636.927
12.068.625
14.482.350
16.896.075
3.440.152
4.863.346
8.033.086
3.582.386
6.063.229
7.125.696
3.720.123
4.753.267
5.553.968
3.918.311
4.916.224
4.128.183
5.836.015
9.639.704
4.298.863
7.275.874
8.550.835
4.464.148
5.703.920
6.664.762
4.701.974
5.899.468
4.816.213
6.808.684
11.246.321
5.015.340
8.488.520
9.975.974
5.208.172
6.654.574
7.775.555
5.485.636
6.882.713
Kode INACBG
G-4-23-III
G-4-24-I
G-4-24-II
G-4-24-III
G-4-25-I
G-4-25-II
G-4-25-III
211 G-4-26-I
212 G-4-26-II
213 G-4-26-III
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
H-1-20-I
H-1-20-II
H-1-20-III
H-1-30-I
H-1-30-II
H-1-30-III
H-4-10-I
H-4-10-II
H-4-10-III
H-4-11-I
H-4-11-II
H-4-11-III
H-4-12-I
H-4-12-II
H-4-12-III
229 I-1-01-I
230 I-1-01-II
231 I-1-01-III
232 I-1-02-I
233 I-1-02-II
234 I-1-02-III
235 I-1-03-I
236 I-1-03-II
237 I-1-03-III
238 I-1-04-I
239 I-1-04-II
240 I-1-04-III
241 I-1-05-I
242 I-1-05-II
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
6.999.429
3.928.053
4.907.502
9.501.141
3.356.472
4.244.565
5.624.891
8.399.315
4.713.663
5.889.002
11.401.369
4.027.767
5.093.477
6.749.869
9.799.201
5.499.274
6.870.503
13.301.598
4.699.061
5.942.390
7.874.848
5.893.402
7.072.083
8.250.763
6.855.863
8.227.036
9.598.208
10.723.877
12.868.652
15.013.427
12.550.891
13.870.704
18.863.291
4.838.872
8.513.658
9.470.096
5.886.012
7.986.018
15.696.964
3.921.472
4.473.294
6.405.391
4.623.446
5.524.243
9.257.608
15.061.069
16.644.845
22.635.949
5.806.646
10.216.390
11.364.116
7.063.214
9.583.221
18.836.357
4.705.766
5.367.953
7.686.469
5.548.136
6.629.092
11.109.129
17.571.247
19.418.986
26.408.608
6.774.420
11.919.121
13.258.135
8.240.417
11.180.425
21.975.750
5.490.061
6.262.612
8.967.547
6.472.825
7.733.941
12.960.651
78.034.497
93.641.397
109.248.296
79.751.178
95.701.414
111.651.649
125.886.183
151.063.420
176.240.656
43.293.217
51.951.860
60.610.504
55.847.711
67.017.254
78.186.796
68.835.746
82.602.896
96.370.045
26.620.787
31.944.944
37.269.101
32.327.893
38.793.472
45.259.050
50.214.482
60.257.378
70.300.274
44.657.284
53.588.741
62.520.198
70.481.188
84.577.426
98.673.664
112.593.286
135.111.943
157.630.600
57.299.373
68.759.247
80.219.122
68.759.527
82.511.433
96.263.338
Kode INACBG
243 I-1-05-III
244 I-1-06-I
245 I-1-06-II
246 I-1-06-III
247 I-1-07-I
248 I-1-07-II
249 I-1-07-III
250 I-1-11-I
251 I-1-11-II
252 I-1-11-III
253 I-1-12-I
254 I-1-12-II
255 I-1-12-III
256 I-1-13-I
257 I-1-13-II
258 I-1-13-III
259 I-1-14-I
260 I-1-14-II
261 I-1-14-III
262 I-1-15-I
263 I-1-15-II
264 I-1-15-III
265 I-1-16-I
266 I-1-16-II
267 I-1-16-III
268 I-1-17-I
269 I-1-17-II
270 I-1-17-III
271 I-1-20-I
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
94.612.528
113.535.033
132.457.539
42.244.271
61.194.254
73.016.036
50.693.125
73.433.105
87.619.244
59.141.979
85.671.956
102.222.451
34.813.808
41.776.569
48.739.331
42.949.981
51.539.978
60.129.974
46.858.268
56.229.922
65.601.575
5.398.978
6.478.774
7.558.569
6.003.138
7.203.765
8.404.393
7.988.334
9.586.001
11.183.667
22.448.023
26.937.628
31.427.233
25.381.413
30.457.696
35.533.979
42.368.097
50.841.717
59.315.336
16.544.150
19.852.980
23.161.810
20.074.720
24.089.664
28.104.608
25.321.519
30.385.823
35.450.126
44.566.567
53.479.881
62.393.194
55.389.697
66.467.636
77.545.575
72.579.579
87.095.494
101.611.410
10.377.515
13.784.501
29.490.494
12.453.018
16.541.401
35.388.592
14.528.521
19.298.301
41.286.691
19.099.558
22.919.469
26.739.381
49.659.270
59.591.124
69.522.978
57.281.192
68.737.431
80.193.669
32.919.143
39.502.972
46.086.800
41.217.856
49.461.427
57.704.998
50.985.861
61.183.033
71.380.206
28.645.476
34.374.571
40.103.666
Kode INACBG
307 I-4-19-I
308 I-4-19-II
309
310
311
312
313
314
315
272 I-1-20-II
273 I-1-20-III
274 I-1-30-I
275 I-1-30-II
276 I-1-30-III
277
278
279
280
281
282
283
284
285
286
287
288
I-1-40-I
I-1-40-II
I-1-40-III
I-4-10-I
I-4-10-II
I-4-10-III
I-4-11-I
I-4-11-II
I-4-11-III
I-4-12-I
I-4-12-II
I-4-12-III
289 I-4-13-I
290 I-4-13-II
291 I-4-13-III
292 I-4-14-I
293 I-4-14-II
294 I-4-14-III
295 I-4-15-I
296 I-4-15-II
297 I-4-15-III
298
299
300
301
302
303
304
305
I-4-16-I
I-4-16-II
I-4-16-III
I-4-17-I
I-4-17-II
I-4-17-III
I-4-18-I
I-4-18-II
306 I-4-18-III
I-4-19-III
I-4-20-I
I-4-20-II
I-4-20-III
I-4-21-I
I-4-21-II
I-4-21-III
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
35.785.993
42.943.192
50.100.390
37.618.565
45.142.277
52.665.990
21.668.635
26.002.362
30.336.089
45.075.628
54.090.753
63.105.879
69.851.070
83.821.284
97.791.498
19.997.861
49.438.122
66.032.528
6.759.855
12.070.600
17.412.894
8.028.891
9.935.770
18.380.020
7.000.782
11.329.387
13.995.516
23.997.433
59.325.747
79.239.033
8.111.826
14.484.720
20.895.473
9.634.669
11.922.924
22.056.025
8.400.938
13.595.264
16.794.620
27.997.005
69.213.371
92.445.539
9.463.797
16.898.840
24.378.051
11.240.447
13.910.078
25.732.029
9.801.094
15.861.141
19.593.723
7.762.637
9.315.164
10.867.691
11.243.743
13.492.492
15.741.241
25.173.321
30.207.985
35.242.649
4.435.253
4.587.859
8.042.622
5.322.304
5.505.430
9.651.147
6.209.355
6.423.002
11.259.671
7.848.261
9.417.913
10.987.565
10.129.140
12.154.968
14.180.796
11.544.592
13.853.510
16.162.429
5.480.092
7.786.477
11.077.711
4.497.633
6.097.164
7.400.000
6.994.312
10.649.014
6.576.110
9.343.772
13.293.254
5.397.160
7.316.597
8.880.000
8.393.174
12.778.817
7.672.129
10.901.067
15.508.796
6.296.687
8.536.030
10.360.000
9.792.037
14.908.620
14.457.901
17.349.481
20.241.061
5.209.479
6.251.375
7.293.270
8.132.322
9.758.787
11.385.251
9.708.502
5.424.672
6.265.463
9.368.131
8.147.900
10.163.977
13.865.819
11.650.203
6.509.606
7.518.555
11.241.757
9.777.480
12.196.772
16.638.983
13.591.903
7.594.540
8.771.648
13.115.383
11.407.060
14.229.567
19.412.147
319 I-4-23-I
320 I-4-23-II
321 I-4-23-III
322 I-4-24-I
323 I-4-24-II
324 I-4-24-III
325 J-1-01-I
326 J-1-01-II
327 J-1-01-III
328 J-1-02-I
329 J-1-02-II
330 J-1-02-III
331 J-1-10-I
332 J-1-10-II
333 J-1-10-III
334 J-1-20-I
335 J-1-20-II
336 J-1-20-III
337 J-1-30-I
338 J-1-30-II
339 J-1-30-III
340
341
342
343
344
345
346
347
348
349
350
351
352
353
J-4-10-I
J-4-10-II
J-4-10-III
J-4-11-I
J-4-11-II
J-4-11-III
J-4-12-I
J-4-12-II
J-4-12-III
J-4-13-I
J-4-13-II
J-4-13-III
J-4-14-I
J-4-14-II
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
KARDIOMIOPATHI RINGAN
KARDIOMIOPATHI SEDANG
KARDIOMIOPATHI BERAT
KOMPLIKASI, REAKSI, MALFUNGSI DARI PROSEDUR
ATAU PEMASANGAN ALAT KARDIOVASKULAR RINGAN
KOMPLIKASI, REAKSI, MALFUNGSI DARI PROSEDUR
ATAU PEMASANGAN ALAT KARDIOVASKULAR SEDANG
KOMPLIKASI, REAKSI, MALFUNGSI DARI PROSEDUR
ATAU PEMASANGAN ALAT KARDIOVASKULAR BERAT
DIAGNOSIS SISTEM PEMBULUH DARAH LAIN-LAIN
(RINGAN)
DIAGNOSIS SISTEM PEMBULUH DARAH LAIN-LAIN
(SEDANG)
DIAGNOSIS SISTEM PEMBULUH DARAH LAIN-LAIN
(BERAT)
PROSEDUR VENTILASI MEKANIKAL LONG TERM DENGAN
TRAKEOSTOMI RINGAN
PROSEDUR VENTILASI MEKANIKAL LONG TERM DENGAN
TRAKEOSTOMI SEDANG
PROSEDUR VENTILASI MEKANIKAL LONG TERM DENGAN
TRAKEOSTOMI BERAT
PROSEDUR VENTILASI MEKANIKAL LONG TERM TANPA
TRAKEOSTOMI RINGAN
PROSEDUR VENTILASI MEKANIKAL LONG TERM TANPA
TRAKEOSTOMI SEDANG
PROSEDUR VENTILASI MEKANIKAL LONG TERM TANPA
TRAKEOSTOMI BERAT
PROSEDUR SISTEM PERNAFASAN KOMPLEKS RINGAN
PROSEDUR SISTEM PERNAFASAN KOMPLEKS SEDANG
PROSEDUR SISTEM PERNAFASAN KOMPLEKS BERAT
PROSEDUR SISTEM PERNAFASAN NON KOMPLEKS
RINGAN
PROSEDUR SISTEM PERNAFASAN NON KOMPLEKS
SEDANG
PROSEDUR SISTEM PERNAFASAN NON KOMPLEKS
BERAT
PROSEDUR SISTEM PERNAFASAN MODERAT KOMPLEKS
RINGAN
PROSEDUR SISTEM PERNAFASAN MODERAT KOMPLEKS
SEDANG
PROSEDUR SISTEM PERNAFASAN MODERAT KOMPLEKS
BERAT
KISTA FIBROSIS RINGAN
KISTA FIBROSIS SEDANG
KISTA FIBROSIS BERAT
KEGAGALAN PERNAFASAN RINGAN
KEGAGALAN PERNAFASAN SEDANG
KEGAGALAN PERNAFASAN BERAT
EMBOLI PARU RINGAN
EMBOLI PARU SEDANG
EMBOLI PARU BERAT
TRAUMA DADA MAYOR TRAUMA RINGAN
TRAUMA DADA MAYOR TRAUMA SEDANG
TRAUMA DADA MAYOR TRAUMA BERAT
TUMOR PARU RINGAN
TUMOR PARU SEDANG
5.893.354
7.336.445
10.723.524
7.072.025
8.803.735
12.868.229
8.250.696
10.271.024
15.012.934
4.452.881
5.343.457
6.234.033
5.466.806
6.560.167
7.653.529
10.681.879
12.818.255
14.954.631
5.193.989
6.232.787
7.271.584
11.960.549
14.352.659
16.744.769
15.121.954
18.146.345
21.170.736
75.756.516
90.907.820
106.059.123
84.173.907
101.008.689
117.843.470
93.526.564
112.231.877
130.937.189
40.201.289
48.241.547
56.281.805
54.958.364
65.950.036
76.941.709
89.134.377
106.961.252
124.788.128
12.561.925
20.589.679
29.164.691
15.074.311
24.707.614
34.997.629
17.586.696
28.825.550
40.830.567
16.181.006
19.417.207
22.653.408
20.380.442
24.456.531
28.532.619
31.470.758
37.764.910
44.059.062
9.728.482
11.674.178
13.619.874
21.985.399
26.382.479
30.779.559
73.476.672
88.172.006
102.867.340
5.741.615
8.209.300
12.419.537
3.547.959
4.941.713
7.081.647
6.026.267
7.172.998
9.578.449
7.696.354
10.009.905
19.987.124
5.874.534
9.559.506
6.889.938
9.851.160
14.903.445
4.257.551
5.930.056
8.497.976
7.231.521
8.607.597
11.494.138
9.235.624
12.011.886
23.984.549
7.049.441
11.471.407
8.038.261
11.493.019
17.387.352
4.967.143
6.918.398
9.914.305
8.436.774
10.042.197
13.409.828
10.774.895
14.013.867
27.981.974
8.224.348
13.383.308
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
11.309.863
5.892.075
7.039.379
10.880.937
4.909.322
6.898.888
11.418.472
4.908.688
5.878.284
8.845.180
3.917.502
5.388.265
5.671.756
6.862.026
7.841.000
10.897.251
6.861.202
9.826.962
15.500.686
13.571.836
7.070.490
8.447.255
13.057.124
5.891.186
8.278.666
13.702.166
5.890.426
7.053.940
10.614.217
4.701.003
6.465.918
6.806.107
8.234.432
9.409.200
13.076.701
8.233.442
11.792.354
18.600.823
15.833.809
8.248.905
9.855.131
15.233.311
6.873.051
9.658.444
15.985.860
6.872.164
8.229.597
12.383.253
5.484.503
7.543.572
7.940.459
9.606.837
10.977.400
15.256.151
9.605.683
13.757.746
21.700.961
3.919.997
4.703.996
5.487.995
8.924.009
10.708.811
12.493.613
12.728.556
15.274.267
17.819.979
10.568.311
12.681.973
14.795.635
13.281.349
15.937.619
18.593.889
15.566.194
18.679.432
21.792.671
8.209.694
10.778.329
27.353.641
9.851.633
12.933.995
32.824.369
11.493.572
15.089.661
38.295.097
4.434.333
5.321.199
6.208.066
5.767.371
6.920.846
8.074.320
11.425.933
13.711.119
15.996.306
385 K-1-13-I
386 K-1-13-II
387 K-1-13-III
5.001.016
8.733.688
9.347.620
6.001.219
10.480.425
11.217.144
7.001.422
12.227.163
13.086.668
388 K-1-14-I
8.115.779
9.738.935
11.362.091
389 K-1-14-II
9.511.482
11.413.778
13.316.075
390
391
392
393
21.585.461
15.714.645
21.949.825
38.382.010
25.902.554
18.857.574
26.339.790
46.058.412
30.219.646
22.000.503
30.729.754
53.734.815
10.326.149
12.391.378
14.456.608
20.218.863
24.262.636
28.306.408
No
354
355
356
357
358
359
360
361
362
363
364
365
366
367
368
369
370
371
372
373 J-4-21-I
374 J-4-21-II
375 J-4-21-III
376 K-1-10-I
377 K-1-10-II
378 K-1-10-III
379 K-1-11-I
380 K-1-11-II
381 K-1-11-III
382 K-1-12-I
383 K-1-12-II
384 K-1-12-III
K-1-14-III
K-1-20-I
K-1-20-II
K-1-20-III
394 K-1-30-I
395 K-1-30-II
Kode INACBG
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
396 K-1-30-III
29.717.642
35.661.171
41.604.699
397 K-1-40-I
10.369.489
12.443.386
14.517.284
398 K-1-40-II
11.432.715
13.719.258
16.005.801
399
400
401
402
403
404
405
406
407
408
409
410
411
23.726.592
7.923.286
10.289.376
14.540.741
10.160.557
16.151.471
26.807.573
3.939.774
5.880.661
9.860.320
3.932.037
5.291.275
11.977.606
28.471.911
9.507.943
12.347.251
17.448.890
12.192.669
19.381.766
32.169.088
4.727.728
7.056.793
11.832.384
4.718.444
6.349.530
14.373.127
33.217.229
11.092.600
14.405.126
20.357.038
14.224.780
22.612.060
37.530.603
5.515.683
8.232.926
13.804.448
5.504.852
7.407.785
16.768.648
5.889.596
7.067.516
8.245.435
7.618.529
9.142.235
10.665.941
11.734.963
14.081.956
16.428.948
4.667.553
5.601.064
6.534.575
6.265.360
7.518.432
8.771.504
10.053.399
12.064.079
14.074.759
4.875.932
7.509.375
10.688.697
4.906.377
5.884.112
6.865.872
5.851.119
9.011.250
12.826.436
5.887.652
7.060.934
8.239.047
6.826.305
10.513.125
14.964.176
6.868.927
8.237.757
9.612.221
3.559.116
4.270.939
4.982.762
5.036.762
6.044.114
7.051.467
5.681.479
6.817.774
7.954.070
427 K-4-18-I
3.926.811
4.712.173
5.497.535
428 K-4-18-II
5.890.104
7.068.125
8.246.146
429 K-4-18-III
7.225.448
8.670.537
10.115.627
36.190.665
43.428.798
50.666.931
37.819.995
45.383.994
52.947.993
57.698.459
69.238.151
80.777.843
15.946.599
19.135.919
22.325.239
K-1-40-III
K-1-50-I
K-1-50-II
K-1-50-III
K-4-10-I
K-4-10-II
K-4-10-III
K-4-11-I
K-4-11-II
K-4-11-III
K-4-12-I
K-4-12-II
K-4-12-III
412 K-4-13-I
413 K-4-13-II
414 K-4-13-III
415 K-4-14-I
416 K-4-14-II
417 K-4-14-III
418
419
420
421
422
423
K-4-15-I
K-4-15-II
K-4-15-III
K-4-16-I
K-4-16-II
K-4-16-III
424 K-4-17-I
425 K-4-17-II
426 K-4-17-III
430 L-1-20-I
431 L-1-20-II
432 L-1-20-III
433 L-1-30-I
Kode INACBG
434 L-1-30-II
435 L-1-30-III
436 L-1-40-I
437 L-1-40-II
438 L-1-40-III
439
440
441
442
443
444
445
446
447
448
449
450
L-1-50-I
L-1-50-II
L-1-50-III
L-4-10-I
L-4-10-II
L-4-10-III
L-4-11-I
L-4-11-II
L-4-11-III
L-4-12-I
L-4-12-II
L-4-12-III
451 L-4-13-I
452 L-4-13-II
453 L-4-13-III
454 L-4-14-I
455 L-4-14-II
456 L-4-14-III
457 M-1-01-I
458 M-1-01-II
459 M-1-01-III
460 M-1-02-I
461 M-1-02-II
462 M-1-02-III
463 M-1-03-I
464 M-1-03-II
465 M-1-03-III
466 M-1-04-I
467 M-1-04-II
468 M-1-04-III
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
23.819.084
28.582.901
33.346.718
25.183.501
30.220.201
35.256.901
6.624.891
7.949.869
9.274.847
13.288.017
15.945.620
18.603.224
32.307.456
38.768.947
45.230.438
12.181.323
18.750.949
23.281.294
5.914.435
6.865.032
12.530.713
5.014.505
6.891.994
15.660.603
5.882.088
7.779.836
14.458.890
14.617.588
22.501.139
27.937.553
7.097.322
8.238.038
15.036.855
6.017.405
8.270.392
18.792.723
7.058.506
9.335.803
17.350.668
17.053.852
26.251.329
32.593.812
8.280.209
9.611.044
17.542.998
7.020.306
9.648.791
21.924.844
8.234.924
10.891.770
20.242.446
3.339.093
4.006.911
4.674.730
3.924.284
4.709.140
5.493.997
5.774.709
6.929.651
8.084.593
3.917.598
4.701.118
5.484.637
5.884.318
7.061.182
8.238.046
8.294.688
9.953.625
11.612.563
17.634.610
21.161.533
24.688.455
19.683.439
23.620.127
27.556.815
27.649.397
33.179.276
38.709.155
12.273.932
20.134.942
35.497.179
14.728.719
24.161.931
42.596.615
17.183.505
28.188.919
49.696.051
32.813.629
39.376.355
45.939.081
39.394.758
47.273.709
55.152.661
40.973.951
49.168.742
57.363.532
8.088.117
9.705.740
11.323.363
10.340.844
12.409.013
14.477.182
12.939.417
15.527.300
18.115.184
Kode INACBG
469 M-1-05-I
470 M-1-05-II
471 M-1-05-III
472 M-1-07-I
473 M-1-07-II
474 M-1-07-III
475 M-1-10-I
476 M-1-10-II
477 M-1-10-III
478 M-1-20-I
479 M-1-20-II
480 M-1-20-III
481 M-1-30-I
482 M-1-30-II
483 M-1-30-III
484 M-1-40-I
485 M-1-40-II
486 M-1-40-III
487 M-1-50-I
488 M-1-50-II
489 M-1-50-III
490 M-1-60-I
491 M-1-60-II
492 M-1-60-III
493 M-1-70-I
494 M-1-70-II
495 M-1-70-III
496
497
498
499
500
501
M-1-80-I
M-1-80-II
M-1-80-III
M-4-10-I
M-4-10-II
M-4-10-III
502 M-4-11-I
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
11.577.552
13.893.062
16.208.573
11.852.439
14.222.926
16.593.414
20.188.304
24.225.965
28.263.626
14.168.384
17.002.061
19.835.738
18.980.684
22.776.821
26.572.957
38.665.521
46.398.626
54.131.730
23.868.312
28.641.974
33.415.637
57.068.205
68.481.846
79.895.486
123.090.745
147.708.894
172.327.043
8.561.805
10.274.166
11.986.527
12.215.785
14.658.942
17.102.098
30.306.027
36.367.233
42.428.438
11.468.179
23.787.667
35.486.183
13.761.815
28.545.200
42.583.419
16.055.451
33.302.733
49.680.656
5.742.853
6.891.424
8.039.995
10.614.924
12.737.909
14.860.894
18.482.033
22.178.440
25.874.847
6.881.829
13.806.025
21.150.109
8.258.195
16.567.230
25.380.131
9.634.561
19.328.435
29.610.153
5.167.964
6.201.557
7.235.149
10.373.565
12.448.278
14.522.991
18.061.065
21.673.278
25.285.491
28.442.788
34.131.345
39.819.903
31.287.066
37.544.480
43.801.893
34.415.773
41.298.928
48.182.082
16.168.536
18.888.704
43.218.820
3.943.127
5.880.415
11.125.909
19.402.243
22.666.444
51.862.584
4.731.752
7.056.498
13.351.090
22.635.950
26.444.185
60.506.348
5.520.377
8.232.581
15.576.272
4.913.504
5.896.204
6.878.905
Kode INACBG
503 M-4-11-II
504 M-4-11-III
505 M-4-12-I
506 M-4-12-II
507 M-4-12-III
508 M-4-13-I
509 M-4-13-II
510 M-4-13-III
511
512
513
514
515
516
517
518
519
M-4-14-I
M-4-14-II
M-4-14-III
M-4-15-I
M-4-15-II
M-4-15-III
M-4-16-I
M-4-16-II
M-4-16-III
520 M-4-17-I
521 M-4-17-II
522 M-4-17-III
523 M-4-18-I
524 M-4-18-II
525 M-4-18-III
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
10.772.514
12.927.017
15.081.520
15.575.293
18.690.352
21.805.410
3.922.065
4.706.478
5.490.891
6.523.386
7.828.064
9.132.741
10.479.496
12.575.395
14.671.295
6.530.555
7.836.666
9.142.777
9.811.923
11.774.307
13.736.692
19.416.089
23.299.306
27.182.524
7.447.972
9.185.913
13.803.793
4.416.384
5.886.729
16.698.448
4.897.871
7.843.327
13.176.186
8.937.566
11.023.095
16.564.552
5.299.660
7.064.075
20.038.138
5.877.445
9.411.992
15.811.423
10.427.160
12.860.278
19.325.311
6.182.937
8.241.421
23.377.827
6.857.019
10.980.658
18.446.660
4.907.433
5.888.919
6.870.406
6.863.538
8.236.246
9.608.953
9.584.421
11.501.305
13.418.189
4.804.608
7.240.826
8.718.360
5.765.530
8.688.991
10.462.032
6.726.451
10.137.156
12.205.704
526 M-4-19-I
3.868.102
4.641.722
5.415.342
527 M-4-19-II
6.515.430
7.818.516
9.121.602
528 M-4-19-III
12.725.009
15.270.011
17.815.012
3.901.865
4.682.238
5.462.611
5.713.645
6.856.373
7.999.102
6.385.632
7.662.759
8.939.885
3.928.874
4.714.649
5.500.424
4.913.925
5.896.709
6.879.494
11.016.824
13.220.189
15.423.554
250.000.000
250.000.000
250.000.000
529 M-4-20-I
530 M-4-20-II
531 M-4-20-III
532 M-4-21-I
533 M-4-21-II
534 M-4-21-III
535 N-1-01-I
Kode INACBG
N-1-01-II
N-1-01-III
N-1-11-I
N-1-11-II
N-1-11-III
541 N-1-12-I
542 N-1-12-II
543 N-1-12-III
544 N-1-20-I
545 N-1-20-II
546 N-1-20-III
547 N-1-30-I
548 N-1-30-II
549 N-1-30-III
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
250.000.000
250.000.000
13.236.100
17.919.889
31.742.858
250.000.000
250.000.000
15.883.320
21.503.866
38.091.430
250.000.000
250.000.000
18.530.540
25.087.844
44.440.001
7.084.192
8.501.030
9.917.869
16.610.045
19.932.054
23.254.063
30.267.864
36.321.437
42.375.009
14.519.178
19.240.983
24.730.859
17.423.013
23.089.180
29.677.031
20.326.849
26.937.376
34.623.203
11.557.206
13.868.647
16.180.088
17.483.794
20.980.553
24.477.312
20.122.137
24.146.565
28.170.992
550 N-1-40-I
10.379.149
12.454.979
14.530.809
551 N-1-40-II
14.094.710
16.913.652
19.732.594
552 N-1-40-III
16.404.390
19.685.268
22.966.146
4.899.699
5.879.639
6.859.578
5.926.230
7.111.477
8.296.723
11.776.412
14.131.694
16.486.976
3.385.163
5.914.346
7.358.665
3.930.870
5.891.508
8.006.175
4.880.827
5.881.829
12.780.592
4.062.196
7.097.215
8.830.398
4.717.044
7.069.810
9.607.410
5.856.993
7.058.195
15.336.710
4.739.229
8.280.084
10.302.131
5.503.218
8.248.111
11.208.646
6.833.158
8.234.560
17.892.828
3.399.860
4.079.832
4.759.804
4.824.187
5.789.025
6.753.862
7.824.008
9.388.810
10.953.611
4.462.670
5.355.204
6.247.739
5.537.431
6.644.918
7.752.404
6.319.203
7.583.043
8.846.884
553 N-4-10-I
554 N-4-10-II
555 N-4-10-III
556
557
558
559
560
561
562
563
564
N-4-11-I
N-4-11-II
N-4-11-III
N-4-12-I
N-4-12-II
N-4-12-III
N-4-13-I
N-4-13-II
N-4-13-III
565 N-4-14-I
566 N-4-14-II
567 N-4-14-III
568 N-4-15-I
569 N-4-15-II
570 N-4-15-III
Kode INACBG
571 N-4-16-I
572 N-4-16-II
573 N-4-16-III
574 O-6-10-I
575 O-6-10-II
576 O-6-10-III
577 O-6-11-I
578 O-6-11-II
579 O-6-11-III
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
4.918.103
5.901.724
6.885.345
7.558.989
9.070.787
10.582.584
13.411.959
16.094.351
18.776.743
5.682.178
6.270.255
8.586.612
6.818.613
7.524.306
10.303.934
7.955.049
8.778.357
12.021.256
4.571.648
5.485.978
6.400.308
5.080.815
6.096.978
7.113.141
9.129.768
10.955.722
12.781.675
580 O-6-12-I
3.238.967
3.886.761
4.534.554
581 O-6-12-II
3.889.977
4.667.973
5.445.968
582 O-6-12-III
4.887.820
5.865.384
6.842.948
2.844.713
3.366.902
4.220.727
3.413.655
4.040.283
5.064.872
3.982.598
4.713.663
5.909.017
90.881.981
109.058.378
127.234.774
112.452.720
134.943.264
157.433.808
131.987.916
158.385.500
184.783.083
107.923.061
129.507.673
151.092.285
123.798.610
148.558.332
173.318.054
141.448.688
169.738.426
198.028.163
6.090.662
7.308.794
8.526.926
8.526.926
10.232.311
11.937.697
11.866.983
14.240.380
16.613.776
49.064.617
58.877.541
68.690.464
63.675.295
76.410.354
89.145.413
91.294.345
109.553.214
127.812.083
26.679.748
32.015.698
37.351.647
583 O-6-13-I
584 O-6-13-II
585 O-6-13-III
586 P-8-01-I
587 P-8-01-II
588 P-8-01-III
589 P-8-02-I
590 P-8-02-II
591 P-8-02-III
592 P-8-03-I
593 P-8-03-II
594 P-8-03-III
595 P-8-04-I
596 P-8-04-II
597 P-8-04-III
598 P-8-05-I
Kode INACBG
599 P-8-05-II
600 P-8-05-III
601 P-8-06-I
602 P-8-06-II
603 P-8-06-III
604 P-8-07-I
605 P-8-07-II
606 P-8-07-III
607 P-8-08-I
608 P-8-08-II
609 P-8-08-III
610 P-8-10-I
611 P-8-10-II
612 P-8-10-III
613 P-8-11-I
614 P-8-11-II
615 P-8-11-III
616 P-8-12-I
617 P-8-12-II
618 P-8-12-III
619 P-8-13-I
620 P-8-13-II
621 P-8-13-III
622 P-8-14-I
623 P-8-14-II
624 P-8-14-III
625 P-8-15-I
626 P-8-15-II
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
37.814.946
45.377.935
52.940.925
55.715.247
66.858.296
78.001.345
5.282.002
6.338.402
7.394.803
9.800.722
11.760.866
13.721.011
19.084.174
22.901.009
26.717.844
8.526.926
10.232.311
11.937.697
23.907.449
28.688.938
33.470.428
31.671.440
38.005.728
44.340.016
4.933.715
5.920.458
6.907.201
7.000.707
8.400.849
9.800.990
12.804.131
15.364.957
17.925.783
3.458.033
4.149.640
4.841.247
5.442.987
6.531.584
7.620.181
10.686.802
12.824.162
14.961.523
8.654.684
10.385.621
12.116.558
18.441.308
22.129.569
25.817.831
22.103.011
26.523.613
30.944.216
11.011.443
13.213.732
15.416.021
13.929.237
16.715.085
19.500.932
14.742.337
17.690.805
20.639.272
2.768.384
3.322.060
3.875.737
6.858.829
8.230.595
9.602.361
16.708.640
20.050.368
23.392.096
4.717.413
5.660.896
6.604.378
9.602.828
11.523.393
13.443.959
10.536.042
12.643.250
14.750.458
3.538.112
4.245.734
4.953.356
7.085.241
8.502.289
9.919.337
Kode INACBG
627 P-8-15-III
628 P-8-16-I
629 P-8-16-II
630 P-8-16-III
631 P-8-17-I
632 P-8-17-II
633 P-8-17-III
634 S-4-10-I
635 S-4-10-II
636 S-4-10-III
637
638
639
640
641
642
S-4-11-I
S-4-11-II
S-4-11-III
S-4-12-I
S-4-12-II
S-4-12-III
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
8.313.313
9.975.976
11.638.638
3.202.078
3.842.493
4.482.909
6.620.404
7.944.484
9.268.565
17.388.748
20.866.498
24.344.248
2.349.588
2.819.506
3.289.424
6.108.726
7.330.471
8.552.216
14.478.562
17.374.275
20.269.987
3.610.274
4.332.329
5.054.383
4.448.385
5.338.061
6.227.738
6.089.428
7.307.314
8.525.200
2.299.717
3.372.315
5.763.679
2.949.159
3.925.278
6.808.684
2.759.661
4.046.777
6.916.415
3.538.991
4.710.334
8.170.421
3.219.604
4.721.240
8.069.151
4.128.823
5.495.389
9.532.158
643 S-4-13-I
3.919.673
4.703.608
5.487.543
644 S-4-13-II
6.953.761
8.344.513
9.735.265
645 S-4-13-III
13.982.381
16.778.857
19.575.334
2.204.064
2.644.877
3.085.690
4.681.538
5.617.846
6.554.154
8.877.791
10.653.349
12.428.908
1.667.033
2.000.440
2.333.847
3.145.966
3.775.159
4.404.352
4.074.582
4.889.498
5.704.414
6.869.669
8.736.734
14.578.150
8.243.603
10.484.081
17.493.780
9.617.537
12.231.427
20.409.410
3.311.112
3.973.334
4.635.557
4.913.955
5.896.746
6.879.537
7.552.695
9.063.235
10.573.774
2.783.750
3.340.500
3.897.250
3.738.937
4.486.725
5.234.512
646 S-4-14-I
647 S-4-14-II
648 S-4-14-III
649 S-4-15-I
650 S-4-15-II
651 S-4-15-III
652 S-4-16-I
653 S-4-16-II
654 S-4-16-III
655 S-4-17-I
656 S-4-17-II
657 S-4-17-III
658 T-1-10-I
659 T-1-10-II
Kode INACBG
660 T-1-10-III
661 T-4-10-I
662 T-4-10-II
663 T-4-10-III
664 T-4-11-I
665 T-4-11-II
666 T-4-11-III
667 T-4-12-I
668 T-4-12-II
669 T-4-12-III
670 U-1-10-I
671 U-1-10-II
672 U-1-10-III
673 U-1-11-I
674 U-1-11-II
675 U-1-11-III
676
677
678
679
680
681
U-1-12-I
U-1-12-II
U-1-12-III
U-1-13-I
U-1-13-II
U-1-13-III
682 U-1-14-I
683 U-1-14-II
684 U-1-14-III
685 U-1-15-I
686 U-1-15-II
687 U-1-15-III
688 U-1-20-I
689 U-1-20-II
690 U-1-20-III
691 U-1-30-I
692 U-1-30-II
693 U-1-30-III
694 U-4-10-I
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
6.801.691
8.162.030
9.522.368
1.524.384
1.829.261
2.134.138
2.904.722
3.485.666
4.066.610
4.222.125
5.066.550
5.910.975
1.472.203
1.766.644
2.061.084
2.316.832
2.780.199
3.243.565
3.731.738
4.478.085
5.224.433
3.449.450
4.139.340
4.829.230
5.207.366
6.248.839
7.290.312
8.060.242
9.672.290
11.284.339
3.368.799
6.874.241
29.684.361
4.042.559
8.249.089
35.621.233
4.716.318
9.623.937
41.558.105
12.921.774
15.506.129
18.090.483
19.490.117
23.388.141
27.286.164
29.507.327
35.408.793
41.310.258
8.751.593
19.384.464
28.471.822
9.835.077
10.740.992
17.805.230
10.501.912
23.261.357
34.166.186
11.802.092
12.889.191
21.366.276
12.252.230
27.138.249
39.860.550
13.769.107
15.037.389
24.927.321
5.262.685
6.315.223
7.367.760
6.458.578
7.750.293
9.042.009
7.653.434
9.184.120
10.714.807
3.094.875
4.400.045
8.063.154
3.713.850
5.280.054
9.675.785
4.332.825
6.160.063
11.288.416
7.989.513
9.587.416
11.185.319
14.268.219
17.121.862
19.975.506
34.112.530
40.935.036
47.757.542
6.851.870
9.290.902
18.168.707
8.222.243
11.149.083
21.802.448
9.592.617
13.007.263
25.436.189
6.387.243
7.664.692
8.942.141
Kode INACBG
695 U-4-10-II
696 U-4-10-III
697
698
699
700
701
702
U-4-11-I
U-4-11-II
U-4-11-III
U-4-12-I
U-4-12-II
U-4-12-III
703 U-4-13-I
704 U-4-13-II
705 U-4-13-III
706 U-4-14-I
707 U-4-14-II
708 U-4-14-III
709 U-4-15-I
710 U-4-15-II
711 U-4-15-III
712 V-1-10-I
713 V-1-10-II
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
14.622.203
17.546.644
20.471.084
22.449.707
26.939.649
31.429.590
3.917.625
5.697.562
5.993.799
3.550.096
4.129.511
5.357.023
4.701.150
6.837.074
7.192.559
4.260.115
4.955.414
6.428.427
5.484.675
7.976.586
8.391.319
4.970.134
5.781.316
7.499.832
3.485.057
4.182.069
4.879.080
4.108.490
4.930.188
5.751.886
4.913.997
5.896.797
6.879.596
4.907.936
5.877.067
9.869.483
5.889.523
7.052.480
11.843.379
6.871.110
8.227.894
13.817.276
3.940.935
4.729.122
5.517.309
4.909.860
5.891.833
6.873.805
6.871.436
8.245.723
9.620.010
11.497.508
13.797.010
16.096.511
13.241.367
15.889.640
18.537.913
714 V-1-10-III
19.900.948
23.881.137
27.861.327
715 V-1-11-I
716 V-1-11-II
717 V-1-11-III
12.228.964
13.963.993
21.868.120
14.674.757
16.756.792
26.241.744
17.120.550
19.549.591
30.615.369
6.427.934
7.713.521
8.999.108
22.679.013
27.214.815
31.750.618
23.455.941
28.147.129
32.838.317
9.745.547
11.694.656
13.643.766
18.620.524
22.344.628
26.068.733
29.213.334
35.056.000
40.898.667
11.760.554
14.112.665
16.464.775
17.087.852
20.505.422
23.922.992
21.327.397
25.592.876
29.858.355
5.537.873
9.832.979
16.196.235
6.645.448
11.799.575
19.435.482
7.753.023
13.766.170
22.674.729
718 V-1-12-I
719 V-1-12-II
720 V-1-12-III
721 V-1-13-I
722 V-1-13-II
723 V-1-13-III
724 V-1-14-I
725 V-1-14-II
726 V-1-14-III
727 V-1-15-I
728 V-1-15-II
729 V-1-15-III
Kode INACBG
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
730 V-4-10-I
8.214.894
9.857.872
11.500.851
731 V-4-10-II
10.056.742
12.068.090
14.079.438
732 V-4-10-III
21.315.509
25.578.611
29.841.713
4.914.078
5.896.894
6.879.710
6.863.053
8.235.663
9.608.274
8.912.818
10.695.382
12.477.945
13.394.126
16.072.951
18.751.777
16.053.794
19.264.553
22.475.312
29.006.658
34.807.990
40.609.321
3.722.387
5.743.713
9.290.422
4.466.865
6.892.455
11.148.507
5.211.342
8.041.198
13.006.591
3.860.392
4.632.470
5.404.548
6.787.007
8.144.408
9.501.810
14.291.525
17.149.830
20.008.135
3.516.881
4.220.257
4.923.633
3.987.454
4.784.945
5.582.436
6.125.542
7.350.650
8.575.758
4.268.976
5.122.771
5.976.566
4.634.688
5.561.626
6.488.563
6.225.502
7.470.602
8.715.703
10.997.245
13.678.204
23.009.315
6.208.085
9.901.889
24.294.784
4.625.656
6.857.380
15.742.679
4.206.742
6.386.378
7.773.492
13.196.694
16.413.844
27.611.177
7.449.702
11.882.267
29.153.741
5.550.788
8.228.856
18.891.215
5.048.090
7.663.654
9.328.191
15.396.143
19.149.485
32.213.040
8.691.319
13.862.645
34.012.697
6.475.919
9.600.333
22.039.750
5.889.438
8.940.929
10.882.889
3.935.219
4.722.263
5.509.307
5.402.748
6.483.298
7.563.848
5.889.211
7.067.053
8.244.895
733 V-4-11-I
734 V-4-11-II
735 V-4-11-III
736 W-1-01-I
737 W-1-01-II
738 W-1-01-III
739 W-1-10-I
740 W-1-10-II
741 W-1-10-III
742 W-1-11-I
743 W-1-11-II
744 W-1-11-III
745 W-1-12-I
746 W-1-12-II
747 W-1-12-III
748 W-1-13-I
749 W-1-13-II
750 W-1-13-III
751
752
753
754
755
756
757
758
759
760
761
762
W-1-20-I
W-1-20-II
W-1-20-III
W-1-30-I
W-1-30-II
W-1-30-III
W-4-10-I
W-4-10-II
W-4-10-III
W-4-11-I
W-4-11-II
W-4-11-III
763 W-4-12-I
764 W-4-12-II
765 W-4-12-III
Kode INACBG
W-4-13-I
W-4-13-II
W-4-13-III
W-4-14-I
W-4-14-II
W-4-14-III
W-4-15-I
W-4-15-II
W-4-15-III
W-4-16-I
W-4-16-II
W-4-16-III
W-4-17-I
W-4-17-II
W-4-17-III
Z-4-10-I
Z-4-10-II
Z-4-10-III
Z-4-11-I
Z-4-11-II
Z-4-11-III
787 Z-4-12-I
788 Z-4-12-II
789 Z-4-12-III
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
2.151.635
2.939.192
3.655.114
2.875.460
3.422.512
4.378.612
2.214.205
2.459.101
3.404.724
2.946.011
3.939.629
5.339.500
2.173.840
3.924.953
7.447.953
6.206.622
8.237.969
11.703.496
4.338.101
5.210.227
10.318.286
2.581.962
3.527.031
4.386.136
3.450.552
4.107.014
5.254.335
2.657.046
2.950.922
4.085.669
3.535.213
4.727.555
6.407.401
2.608.608
4.709.943
8.937.544
7.447.947
9.885.563
14.044.196
5.205.721
6.252.273
12.381.943
3.012.289
4.114.869
5.117.159
4.025.644
4.791.516
6.130.057
3.099.887
3.442.742
4.766.613
4.124.415
5.515.480
7.475.301
3.043.376
5.494.934
10.427.135
8.689.271
11.533.157
16.384.895
6.073.341
7.294.318
14.445.601
2.940.439
3.528.527
4.116.615
5.903.991
7.084.789
8.265.588
12.455.891
14.947.069
17.438.248
B-2-10-0
B-2-11-0
B-2-12-0
B-2-13-0
B-2-14-0
B-3-10-0
B-3-11-0
B-3-12-0
C-3-10-0
C-3-11-0
C-3-12-0
C-3-13-0
C-3-14-0
C-3-15-0
C-3-16-0
C-3-17-0
C-3-18-0
C-3-19-0
C-3-20-0
C-3-21-0
C-3-22-0
C-3-23-0
D-2-10-0
D-2-11-0
D-2-21-0
D-2-22-0
D-3-10-0
D-3-11-0
E-2-10-0
E-2-21-0
E-2-22-0
E-3-10-0
F-3-10-0
F-5-10-0
F-5-11-0
F-5-12-0
F-5-13-0
F-5-14-0
F-5-15-0
F-5-16-0
G-2-10-0
G-2-11-0
G-2-12-0
G-2-13-0
G-2-21-0
G-2-22-0
G-2-31-0
G-2-32-0
G-3-10-0
G-3-11-0
G-3-12-0
G-3-13-0
H-2-21-0
H-2-22-0
H-2-23-0
H-2-31-0
H-2-32-0
H-2-33-0
H-2-34-0
H-2-35-0
H-2-36-0
H-2-37-0
H-3-10-0
H-3-11-0
H-3-12-0
H-3-13-0
I-2-11-0
I-2-12-0
I-2-13-0
I-2-14-0
I-2-15-0
72
I-2-16-0
73
74
75
76
77
78
79
I-2-17-0
I-2-21-0
I-2-22-0
I-2-23-0
I-2-31-0
I-2-32-0
I-2-41-0
80
I-2-42-0
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
I-3-10-0
I-3-11-0
I-3-12-0
I-3-13-0
I-3-14-0
I-3-15-0
J-2-10-0
J-2-21-0
J-2-22-0
J-2-31-0
J-2-32-0
J-3-10-0
J-3-11-0
J-3-12-0
J-3-13-0
J-3-14-0
J-3-15-0
J-3-16-0
J-3-17-0
K-2-10-0
K-2-11-0
K-2-12-0
K-2-13-0
K-2-14-0
K-2-21-0
K-2-22-0
K-2-31-0
K-2-32-0
K-2-41-0
K-2-42-0
K-2-51-0
K-2-52-0
K-2-53-0
K-3-10-0
K-3-11-0
K-3-12-0
K-3-13-0
K-3-14-0
K-3-15-0
K-3-16-0
L-2-21-0
L-2-22-0
L-2-31-0
L-2-32-0
L-2-41-0
L-2-42-0
L-2-51-0
L-2-52-0
L-2-53-0
L-3-10-0
L-3-11-0
L-3-12-0
M-2-10-0
M-2-21-0
M-2-22-0
M-2-31-0
M-2-32-0
M-2-41-0
M-2-42-0
M-2-51-0
M-2-52-0
M-2-61-0
M-2-62-0
M-2-63-0
M-2-64-0
M-2-65-0
M-2-71-0
M-2-72-0
M-2-81-0
M-2-82-0
M-2-83-0
M-2-84-0
M-3-10-0
M-3-11-0
M-3-12-0
M-3-13-0
M-3-14-0
M-3-15-0
M-3-16-0
M-3-17-0
N-2-11-0
N-2-12-0
N-2-21-0
N-2-22-0
N-2-23-0
N-2-24-0
N-2-31-0
N-2-32-0
N-2-41-0
N-2-42-0
N-3-10-0
N-3-11-0
N-3-12-0
N-3-13-0
N-3-14-0
N-3-15-0
O-7-10-0
O-7-11-0
179 O-7-12-0
180 O-7-13-0
181 P-9-10-0
434.696
182
183
184
185
186
187
434.696
434.696
434.696
355.094
225.167
354.085
P-9-11-0
P-9-12-0
P-9-13-0
P-9-14-0
P-9-15-0
P-9-16-0
P-9-17-0
Q-5-10-0
Q-5-11-0
Q-5-12-0
Q-5-13-0
Q-5-14-0
Q-5-15-0
Q-5-16-0
Q-5-17-0
Q-5-18-0
Q-5-19-0
Q-5-20-0
Q-5-21-0
Q-5-22-0
Q-5-23-0
Q-5-24-0
Q-5-25-0
Q-5-26-0
Q-5-27-0
Q-5-28-0
Q-5-29-0
Q-5-30-0
Q-5-31-0
Q-5-32-0
Q-5-33-0
Q-5-34-0
Q-5-35-0
Q-5-36-0
Q-5-37-0
Q-5-38-0
Q-5-39-0
Q-5-40-0
Q-5-41-0
Q-5-42-0
Q-5-43-0
Q-5-44-0
T-2-10-0
U-2-10-0
U-2-11-0
U-2-12-0
U-2-13-0
U-2-14-0
U-2-15-0
U-2-21-0
U-2-22-0
U-2-23-0
U-2-24-0
U-2-25-0
U-2-31-0
U-2-32-0
U-3-10-0
U-3-11-0
U-3-12-0
241 U-3-13-0
242
243
244
245
246
247
248
249
250
U-3-14-0
U-3-15-0
U-3-16-0
V-2-10-0
V-2-11-0
V-2-12-0
V-2-13-0
V-2-14-0
V-2-15-0
V-3-10-0
V-3-11-0
V-3-12-0
W-2-10-0
W-2-11-0
W-2-12-0
W-2-13-0
W-2-21-0
W-2-22-0
W-2-23-0
W-2-31-0
W-2-32-0
W-2-33-0
W-2-34-0
W-3-10-0
W-3-11-0
W-3-12-0
Z-3-10-0
269 Z-3-11-0
270
271
272
273
274
275
276
277
278
279
280
281
282
283
284
285
286
287
288
Z-3-12-0
Z-3-13-0
Z-3-14-0
Z-3-15-0
Z-3-16-0
Z-3-17-0
Z-3-18-0
Z-3-19-0
Z-3-20-0
Z-3-21-0
Z-3-22-0
Z-3-23-0
Z-3-24-0
Z-3-25-0
Z-3-26-0
Z-3-27-0
Z-3-28-0
Z-3-29-0
Z-3-30-0
1
2
3
4
5
6
7
8
9
10
11
12
Kode INACBG
A-4-10-I
A-4-10-II
A-4-10-III
A-4-11-I
A-4-11-II
A-4-11-III
A-4-12-I
A-4-12-II
A-4-12-III
A-4-13-I
A-4-13-II
A-4-13-III
13
A-4-14-I
14
A-4-14-II
15
A-4-14-III
16
17
18
19
20
21
22
23
24
25
26
27
A-4-15-I
A-4-15-II
A-4-15-III
B-1-01-I
B-1-01-II
B-1-01-III
B-1-10-I
B-1-10-II
B-1-10-III
B-1-11-I
B-1-11-II
B-1-11-III
28
B-1-12-I
29
B-1-12-II
30
B-1-12-III
31
B-1-13-I
32
B-1-13-II
33
B-1-13-III
34
B-1-14-I
35
B-1-14-II
36
B-1-14-III
37
38
39
B-4-10-I
B-4-10-II
B-4-10-III
40
B-4-11-I
41
B-4-11-II
42
B-4-11-III
43
44
45
B-4-12-I
B-4-12-II
B-4-12-III
46
B-4-13-I
47
B-4-13-II
48
B-4-13-III
49
B-4-14-I
No
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
SEPTIKEMIA RINGAN
SEPTIKEMIA SEDANG
SEPTIKEMIA BERAT
INFEKSI SESUDAH OPERASI & TRAUMA RINGAN
INFEKSI SESUDAH OPERASI & TRAUMA SEDANG
INFEKSI SESUDAH OPERASI & TRAUMA BERAT
DEMAM RINGAN
DEMAM SEDANG
DEMAM BERAT
INFEKSI NON BAKTERI RINGAN
INFEKSI NON BAKTERI SEDANG
INFEKSI NON BAKTERI BERAT
PENYAKIT INFEKSI BAKTERI DAN PARASIT LAIN-LAIN
RINGAN
PENYAKIT INFEKSI BAKTERI DAN PARASIT LAIN-LAIN
SEDANG
PENYAKIT INFEKSI BAKTERI DAN PARASIT LAIN-LAIN
BERAT
INFEKSI HIV RINGAN
INFEKSI HIV SEDANG
INFEKSI HIV BERAT
PROSEDUR PENCANGKOKAN HATI RINGAN
PROSEDUR PENCANGKOKAN HATI SEDANG
PROSEDUR PENCANGKOKAN HATI BERAT
PROSEDUR HATI DAN PANKREAS RINGAN
PROSEDUR HATI DAN PANKREAS SEDANG
PROSEDUR HATI DAN PANKREAS BERAT
PROSEDUR SALURAN EMPEDU KOMPLEK (RINGAN)
PROSEDUR SALURAN EMPEDU KOMPLEK (SEDANG)
PROSEDUR SALURAN EMPEDU KOMPLEK (BERAT)
PROSEDUR CHOLESISTEKTOMI TANPA LAPAROSKOPIK
RINGAN
PROSEDUR CHOLESISTEKTOMI TANPA LAPAROSKOPIK
SEDANG
PROSEDUR CHOLESISTEKTOMI TANPA LAPAROSKOPIK
BERAT
PROSEDUR PANKREAS DAN HEPATOBILLIARI LAIN-LAIN
(RINGAN)
PROSEDUR PANKREAS DAN HEPATOBILLIARI LAIN-LAIN
(SEDANG)
PROSEDUR PANKREAS DAN HEPATOBILLIARI LAIN-LAIN
(BERAT)
PROSEDUR CHOLESISTEKTOMI DENGAN LAPAROSKOPIK
RINGAN
PROSEDUR CHOLESISTEKTOMI DENGAN LAPAROSKOPIK
SEDANG
PROSEDUR CHOLESISTEKTOMI DENGAN LAPAROSKOPIK
BERAT
SIROSIS DAN HEPATITIS ALKOHOLIK RINGAN
SIROSIS DAN HEPATITIS ALKOHOLIK SEDANG
SIROSIS DAN HEPATITIS ALKOHOLIK BERAT
TUMOR SISTEM HEPATOBILLIARI DAN PANCREAS
RINGAN
TUMOR SISTEM HEPATOBILLIARI DAN PANCREAS
SEDANG
2.369.955
3.578.792
4.133.175
5.672.406
8.756.250
14.323.312
2.018.199
3.192.098
3.648.527
2.537.921
3.046.256
3.697.140
2.843.946
4.294.551
4.959.811
6.806.888
10.507.500
17.187.974
2.421.839
3.830.518
4.378.232
3.045.505
3.655.507
4.436.568
3.317.937
5.010.309
5.786.446
7.941.369
12.258.750
20.052.636
2.825.479
4.468.938
5.107.938
3.553.089
4.264.759
5.175.995
3.161.783
3.794.140
4.426.496
4.066.853
4.880.224
5.693.594
4.659.657
5.591.588
6.523.519
3.190.512
4.566.103
7.770.343
32.838.913
36.230.101
63.555.053
4.257.454
10.850.043
25.149.900
4.014.696
10.093.818
12.626.495
3.828.614
5.479.324
9.324.411
39.406.696
43.476.121
76.266.063
5.108.944
13.020.051
30.179.880
4.817.635
12.112.582
15.151.794
4.466.716
6.392.545
10.878.480
45.974.479
50.722.141
88.977.074
5.960.435
15.190.060
35.209.860
5.620.574
14.131.346
17.677.093
6.994.308
8.393.170
9.792.032
14.990.513
17.988.616
20.986.719
17.726.459
21.271.751
24.817.043
5.624.438
6.749.326
7.874.213
9.161.393
10.993.672
12.825.951
13.506.464
16.207.757
18.909.050
7.607.754
9.129.305
10.650.856
8.461.358
10.153.629
11.845.901
13.236.788
15.884.146
18.531.504
2.137.224
3.089.632
5.025.616
2.564.669
3.707.558
6.030.739
2.992.114
4.325.485
7.035.862
4.179.179
5.015.014
5.850.850
6.370.472
7.644.566
8.918.660
6.872.580
8.247.096
9.621.612
3.642.683
6.409.346
11.748.502
4.371.219
7.691.215
14.098.202
5.099.756
8.973.084
16.447.903
3.046.917
3.656.300
4.265.683
4.432.853
5.319.423
6.205.994
5.549.947
6.659.937
7.769.926
3.596.573
4.315.887
5.035.202
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
Kode INACBG
B-4-14-II
B-4-14-III
C-4-10-I
C-4-10-II
C-4-10-III
C-4-11-I
C-4-11-II
C-4-11-III
C-4-12-I
C-4-12-II
C-4-12-III
C-4-13-I
C-4-13-II
C-4-13-III
C-4-14-I
C-4-14-II
C-4-14-III
67
D-1-10-I
21.013.132
25.215.758
29.418.384
68
D-1-10-II
32.004.611
38.405.534
44.806.456
69
D-1-10-III
43.374.993
52.049.992
60.724.991
70
71
72
D-1-11-I
D-1-11-II
D-1-11-III
5.945.989
13.602.477
20.639.659
7.135.187
16.322.972
24.767.591
8.324.385
19.043.468
28.895.522
73
D-1-20-I
4.468.369
5.362.043
6.255.717
74
D-1-20-II
13.136.072
15.763.287
18.390.501
75
D-1-20-III
20.608.513
24.730.215
28.851.918
76
77
78
79
80
81
82
83
84
D-4-10-I
D-4-10-II
D-4-10-III
D-4-11-I
D-4-11-II
D-4-11-III
D-4-12-I
D-4-12-II
D-4-12-III
2.265.601
3.372.313
5.305.528
2.522.815
5.094.125
12.277.052
2.532.080
3.512.243
5.393.051
2.718.722
4.046.775
6.366.634
3.027.378
6.112.950
14.732.463
3.038.496
4.214.692
6.471.662
3.171.842
4.721.238
7.427.739
3.531.940
7.131.775
17.187.873
3.544.911
4.917.141
7.550.272
85
D-4-13-I
2.030.877
2.437.052
2.843.228
86
D-4-13-II
3.045.791
3.654.950
4.264.108
87
D-4-13-III
4.203.540
5.044.248
5.884.956
88
D-4-14-I
2.523.893
3.028.672
3.533.451
89
D-4-14-II
4.524.890
5.429.868
6.334.846
90
D-4-14-III
6.344.883
7.613.860
8.882.837
91
92
93
94
95
96
E-1-01-I
E-1-01-II
E-1-01-III
E-1-10-I
E-1-10-II
E-1-10-III
6.303.659
8.257.193
16.367.131
4.823.245
5.854.287
12.339.113
7.564.390
9.908.632
19.640.557
5.787.894
7.025.144
14.806.936
8.825.122
11.560.070
22.913.983
6.752.543
8.196.002
17.274.759
97
E-1-20-I
6.053.776
7.264.531
8.475.286
98
E-1-20-II
9.905.199
11.886.239
13.867.278
99
E-1-20-III
18.581.896
22.298.275
26.014.655
100
E-4-10-I
3.169.601
3.803.521
4.437.441
No
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
4.402.119
5.605.339
3.971.820
7.753.441
11.425.505
4.015.170
4.599.092
9.248.931
2.024.694
7.494.958
15.182.466
2.023.735
4.060.943
5.277.326
3.043.622
5.157.798
7.873.581
5.282.542
6.726.407
4.766.184
9.304.129
13.710.606
4.818.204
5.518.911
11.098.717
2.429.633
8.993.949
18.218.960
2.428.482
4.873.131
6.332.791
3.652.347
6.189.358
9.448.298
6.162.966
7.847.475
5.560.548
10.854.818
15.995.707
5.621.238
6.438.729
12.948.503
2.834.572
10.492.941
21.255.453
2.833.229
5.685.320
7.388.257
4.261.071
7.220.917
11.023.014
Kode INACBG
101
E-4-10-II
102
E-4-10-III
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
E-4-11-I
E-4-11-II
E-4-11-III
E-4-12-I
E-4-12-II
E-4-12-III
E-4-13-I
E-4-13-II
E-4-13-III
F-4-10-I
F-4-10-II
F-4-10-III
F-4-11-I
F-4-11-II
F-4-11-III
118
F-4-12-I
119
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
4.387.672
5.265.207
6.142.741
6.694.087
8.032.904
9.371.721
2.320.852
4.483.693
7.405.149
2.782.113
4.454.044
6.412.546
3.073.034
5.194.357
8.857.680
4.483.047
4.968.607
7.356.132
4.128.549
4.810.152
6.168.373
2.785.022
5.380.431
8.886.179
3.338.536
5.344.852
7.695.056
3.687.641
6.233.229
10.629.216
5.379.656
5.962.328
8.827.359
4.954.259
5.772.182
7.402.047
3.249.193
6.277.170
10.367.208
3.894.958
6.235.661
8.977.565
4.302.248
7.272.100
12.400.752
6.276.265
6.956.050
10.298.585
5.779.969
6.734.213
8.635.722
1.945.407
2.334.489
2.723.570
F-4-12-II
2.579.076
3.094.891
3.610.706
120
F-4-12-III
5.051.853
6.062.223
7.072.594
121
122
123
124
125
126
127
128
129
F-4-13-I
F-4-13-II
F-4-13-III
F-4-14-I
F-4-14-II
F-4-14-III
F-4-15-I
F-4-15-II
F-4-15-III
3.327.829
4.403.519
5.677.775
1.906.577
2.445.571
3.290.625
2.768.607
3.911.393
4.885.281
3.993.394
5.284.223
6.813.330
2.287.892
2.934.686
3.948.751
3.322.328
4.693.672
5.862.337
4.658.960
6.164.927
7.948.886
2.669.208
3.423.800
4.606.876
3.876.050
5.475.950
6.839.394
130
F-4-16-I
5.975.356
7.170.427
8.365.498
131
F-4-16-II
6.943.658
8.332.390
9.721.121
132
F-4-16-III
9.268.624
11.122.349
12.976.074
133
134
135
136
137
138
139
140
141
F-4-17-I
F-4-17-II
F-4-17-III
F-4-18-I
F-4-18-II
F-4-18-III
F-4-19-I
F-4-19-II
F-4-19-III
1.000.572
2.932.580
3.128.847
5.002.110
5.503.734
8.484.486
3.969.003
5.082.410
6.327.668
1.200.686
3.519.096
3.754.617
6.002.532
6.604.481
10.181.383
4.762.803
6.098.892
7.593.202
1.400.800
4.105.612
4.380.386
7.002.955
7.705.228
11.878.281
5.556.604
7.115.374
8.858.736
142
G-1-01-I
9.158.200
10.989.840
12.821.480
143
G-1-01-II
13.095.937
15.715.124
18.334.311
144
G-1-01-III
25.398.685
30.478.422
35.558.159
145
146
147
148
149
150
G-1-10-I
G-1-10-II
G-1-10-III
G-1-11-I
G-1-11-II
G-1-11-III
6.323.869
8.923.520
10.536.053
7.264.422
14.963.682
27.352.832
7.588.643
10.708.224
12.643.263
8.717.307
17.956.418
32.823.399
8.853.417
12.492.929
14.750.474
10.170.191
20.949.155
38.293.965
151
G-1-12-I
4.624.563
5.549.476
6.474.388
152
G-1-12-II
9.975.345
11.970.414
13.965.483
153
G-1-12-III
14.816.270
17.779.524
20.742.778
154
155
156
157
158
159
160
161
162
Kode INACBG
G-1-13-I
G-1-13-II
G-1-13-III
G-1-20-I
G-1-20-II
G-1-20-III
G-1-30-I
G-1-30-II
G-1-30-III
163
G-4-10-I
3.032.546
3.639.055
4.245.565
164
G-4-10-II
4.151.751
4.982.101
5.812.451
165
G-4-10-III
7.188.887
8.626.664
10.064.442
166
G-4-11-I
5.508.402
6.610.082
7.711.763
167
G-4-11-II
6.946.249
8.335.499
9.724.749
168
G-4-11-III
8.911.050
10.693.260
12.475.470
169
170
171
G-4-12-I
G-4-12-II
G-4-12-III
5.030.752
6.133.140
8.907.656
6.036.903
7.359.768
10.689.187
7.043.053
8.586.396
12.470.718
172
G-4-13-I
2.802.430
3.362.915
3.923.401
173
G-4-13-II
3.887.133
4.664.559
5.441.986
174
G-4-13-III
4.556.918
5.468.302
6.379.685
175
G-4-14-I
3.817.508
4.581.010
5.344.512
176
G-4-14-II
6.903.468
8.284.162
9.664.855
177
G-4-14-III
8.632.328
10.358.794
12.085.259
178
G-4-15-I
2.975.610
3.570.731
4.165.853
179
G-4-15-II
3.551.403
4.261.684
4.971.965
180
G-4-15-III
5.070.083
6.084.100
7.098.117
181
182
183
G-4-16-I
G-4-16-II
G-4-16-III
2.453.140
3.354.816
5.900.644
2.943.768
4.025.780
7.080.773
3.434.396
4.696.743
8.260.902
184
G-4-17-I
3.953.368
4.744.041
5.534.715
185
G-4-17-II
4.910.156
5.892.188
6.874.219
186
G-4-17-III
8.229.462
9.875.355
11.521.247
3.069.057
3.682.868
4.296.680
5.869.612
7.043.534
8.217.457
6.213.343
7.456.011
8.698.680
3.364.418
4.037.301
4.710.185
4.537.959
5.445.550
6.353.142
6.959.630
8.351.556
9.743.483
1.995.462
2.394.555
2.793.647
No
187
188
189
190
191
192
193
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
1.081.335
2.904.345
6.553.426
11.565.962
15.018.199
29.842.609
9.062.604
23.340.986
26.217.251
1.297.601
3.485.214
7.864.111
13.879.154
18.021.838
35.811.131
10.875.124
28.009.183
31.460.701
1.513.868
4.066.083
9.174.796
16.192.346
21.025.478
41.779.652
12.687.645
32.677.380
36.704.151
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
Kode INACBG
G-4-20-II
G-4-20-III
G-4-21-I
G-4-21-II
G-4-21-III
G-4-22-I
G-4-22-II
G-4-22-III
G-4-23-I
G-4-23-II
G-4-23-III
G-4-24-I
G-4-24-II
G-4-24-III
G-4-25-I
G-4-25-II
G-4-25-III
211
G-4-26-I
212
G-4-26-II
213
G-4-26-III
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
H-1-20-I
H-1-20-II
H-1-20-III
H-1-30-I
H-1-30-II
H-1-30-III
H-4-10-I
H-4-10-II
H-4-10-III
H-4-11-I
H-4-11-II
H-4-11-III
H-4-12-I
H-4-12-II
H-4-12-III
229
I-1-01-I
230
I-1-01-II
231
I-1-01-III
232
I-1-02-I
233
I-1-02-II
234
I-1-02-III
235
I-1-03-I
236
I-1-03-II
237
I-1-03-III
238
I-1-04-I
239
I-1-04-II
240
I-1-04-III
241
I-1-05-I
242
I-1-05-II
No
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
2.655.039
4.385.377
2.279.599
2.953.008
5.478.848
2.026.777
2.536.225
2.907.772
2.382.100
2.585.266
3.680.783
3.168.629
3.958.718
7.664.254
2.030.385
2.529.081
3.159.922
3.186.047
5.262.452
2.735.519
3.543.610
6.574.617
2.432.132
3.043.470
3.489.326
2.858.520
3.102.319
4.416.940
3.802.355
4.750.462
9.197.105
2.436.462
3.034.897
3.791.907
3.717.055
6.139.527
3.191.439
4.134.211
7.670.387
2.837.488
3.550.714
4.070.880
3.334.940
3.619.372
5.153.097
4.436.081
5.542.205
10.729.955
2.842.540
3.540.714
4.423.891
3.390.184
4.068.221
4.746.258
4.644.658
5.573.589
6.502.521
5.578.044
6.693.653
7.809.262
10.040.713
11.096.563
15.090.633
3.117.155
4.377.345
7.303.442
3.473.954
4.657.710
8.569.361
2.785.173
3.074.297
3.933.405
3.150.149
4.271.851
7.126.794
12.048.855
13.315.876
18.108.760
3.740.586
5.252.814
8.764.130
4.168.745
5.589.252
10.283.234
3.342.208
3.689.156
4.720.086
3.780.179
5.126.221
8.552.153
14.056.998
15.535.189
21.126.886
4.364.017
6.128.283
10.224.818
4.863.535
6.520.794
11.997.106
3.899.243
4.304.015
5.506.767
4.410.209
5.980.591
9.977.512
42.601.749
51.122.099
59.642.449
43.539.210
52.247.052
60.954.894
68.725.808
82.470.969
96.216.131
23.635.205
28.362.246
33.089.287
30.489.415
36.587.298
42.685.181
37.579.976
45.095.971
52.611.967
14.533.092
17.439.710
20.346.328
16.571.670
19.886.004
23.200.338
27.414.076
32.896.891
38.379.706
23.647.123
28.376.547
33.105.972
56.384.951
67.661.941
78.938.931
90.074.629
108.089.555
126.104.480
31.281.889
37.538.267
43.794.645
37.538.267
45.045.920
52.553.574
Kode INACBG
243
I-1-05-III
244
245
246
I-1-06-I
I-1-06-II
I-1-06-III
247
I-1-07-I
248
I-1-07-II
249
I-1-07-III
250
I-1-11-I
251
I-1-11-II
252
I-1-11-III
253
I-1-12-I
254
I-1-12-II
255
I-1-12-III
256
I-1-13-I
257
I-1-13-II
258
I-1-13-III
259
I-1-14-I
260
I-1-14-II
261
I-1-14-III
262
263
264
I-1-15-I
I-1-15-II
I-1-15-III
265
I-1-16-I
266
I-1-16-II
267
I-1-16-III
268
I-1-17-I
269
I-1-17-II
270
I-1-17-III
271
I-1-20-I
272
I-1-20-II
273
I-1-20-III
274
I-1-30-I
275
I-1-30-II
276
I-1-30-III
277
278
279
I-1-40-I
I-1-40-II
I-1-40-III
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
51.652.419
61.982.902
72.313.386
33.795.417
48.955.403
58.412.829
40.554.500
58.746.484
70.095.395
47.313.584
68.537.564
81.777.961
25.823.650
30.988.380
36.153.110
31.858.718
38.230.462
44.602.206
34.757.655
41.709.186
48.660.717
4.155.796
4.986.955
5.818.114
4.620.829
5.544.995
6.469.161
6.148.915
7.378.698
8.608.481
12.556.540
15.067.848
17.579.156
14.303.498
17.164.197
20.024.897
23.130.469
27.756.563
32.382.656
13.235.320
15.882.384
18.529.448
16.059.776
19.271.731
22.483.687
18.782.590
22.539.108
26.295.626
24.330.358
29.196.430
34.062.502
30.239.160
36.286.991
42.334.823
39.623.726
47.548.472
55.473.217
6.374.619
11.990.191
18.770.785
7.649.543
14.388.229
22.524.942
8.924.467
16.786.267
26.279.099
10.427.296
12.512.756
14.598.215
27.110.971
32.533.165
37.955.359
31.271.839
37.526.207
43.780.575
26.335.315
31.602.377
36.869.440
32.974.285
39.569.141
46.163.998
40.788.689
48.946.427
57.104.165
22.916.381
27.499.657
32.082.933
28.628.794
34.354.553
40.080.312
30.094.852
36.113.822
42.132.792
11.829.822
14.195.786
16.561.751
24.608.420
29.530.103
34.451.787
38.134.113
45.760.935
53.387.758
16.159.887
23.045.111
27.700.023
19.391.865
27.654.134
33.240.028
22.623.842
32.263.156
38.780.032
280
281
282
283
284
285
286
287
288
Kode INACBG
I-4-10-I
I-4-10-II
I-4-10-III
I-4-11-I
I-4-11-II
I-4-11-III
I-4-12-I
I-4-12-II
I-4-12-III
289
I-4-13-I
290
I-4-13-II
291
I-4-13-III
292
293
294
I-4-14-I
I-4-14-II
I-4-14-III
295
I-4-15-I
296
I-4-15-II
297
I-4-15-III
298
299
300
301
302
303
304
305
I-4-16-I
I-4-16-II
I-4-16-III
I-4-17-I
I-4-17-II
I-4-17-III
I-4-18-I
I-4-18-II
306
I-4-18-III
307
I-4-19-I
308
I-4-19-II
5.577.994
6.693.593
7.809.191
309
310
311
312
313
314
315
316
317
318
I-4-19-III
I-4-20-I
I-4-20-II
I-4-20-III
I-4-21-I
I-4-21-II
I-4-21-III
I-4-22-I
I-4-22-II
I-4-22-III
6.389.414
4.170.957
4.793.371
6.369.489
5.546.377
6.890.490
9.448.102
3.217.344
3.781.860
5.518.860
7.667.297
5.005.148
5.752.045
7.643.387
6.655.653
8.268.588
11.337.722
3.860.813
4.538.231
6.622.632
8.945.180
5.839.339
6.710.719
8.917.285
7.764.928
9.646.686
13.227.343
4.504.281
5.294.603
7.726.404
319
I-4-23-I
2.430.911
2.917.093
3.403.276
320
I-4-23-II
2.984.599
3.581.518
4.178.438
321
I-4-23-III
5.831.634
6.997.961
8.164.287
322
I-4-24-I
3.262.781
3.915.337
4.567.894
323
I-4-24-II
8.149.187
9.779.024
11.408.862
324
I-4-24-III
10.255.215
12.306.258
14.357.301
325
J-1-01-I
31.107.560
37.329.072
43.550.584
326
J-1-01-II
33.232.093
39.878.512
46.524.931
327
J-1-01-III
47.793.313
57.351.976
66.910.638
328
J-1-02-I
13.412.254
16.094.705
18.777.156
No
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
5.195.177
8.195.445
11.801.427
5.303.906
6.183.891
10.034.133
5.400.822
7.707.906
9.384.880
6.234.212
9.834.534
14.161.713
6.364.687
7.420.669
12.040.959
6.480.987
9.249.487
11.261.856
7.273.248
11.473.623
16.521.998
7.425.468
8.657.448
14.047.786
7.561.151
10.791.068
13.138.832
5.954.129
7.144.955
8.335.781
7.550.267
9.060.321
10.570.374
13.743.193
16.491.832
19.240.471
3.014.358
3.532.291
5.445.719
3.617.230
4.238.749
6.534.862
4.220.101
4.945.207
7.624.006
4.060.000
4.872.001
5.684.001
5.826.993
6.992.392
8.157.791
6.641.370
7.969.644
9.297.918
2.991.679
3.765.293
5.175.691
3.628.091
4.918.379
5.969.333
4.396.940
6.744.082
3.590.014
4.518.351
6.210.829
4.353.709
5.902.055
7.163.200
5.276.328
8.092.899
4.188.350
5.271.410
7.245.967
5.079.327
6.885.731
8.357.066
6.155.716
9.441.715
9.098.237
10.917.884
12.737.532
3.441.440
4.129.728
4.818.016
Kode INACBG
329
J-1-02-II
330
J-1-02-III
331
332
333
J-1-10-I
J-1-10-II
J-1-10-III
334
J-1-20-I
335
J-1-20-II
336
J-1-20-III
337
J-1-30-I
338
J-1-30-II
339
J-1-30-III
340
341
342
343
344
345
346
347
348
349
350
351
352
353
354
355
356
357
358
359
360
361
362
363
364
365
366
367
368
369
370
371
372
J-4-10-I
J-4-10-II
J-4-10-III
J-4-11-I
J-4-11-II
J-4-11-III
J-4-12-I
J-4-12-II
J-4-12-III
J-4-13-I
J-4-13-II
J-4-13-III
J-4-14-I
J-4-14-II
J-4-14-III
J-4-15-I
J-4-15-II
J-4-15-III
J-4-16-I
J-4-16-II
J-4-16-III
J-4-17-I
J-4-17-II
J-4-17-III
J-4-18-I
J-4-18-II
J-4-18-III
J-4-19-I
J-4-19-II
J-4-19-III
J-4-20-I
J-4-20-II
J-4-20-III
373
J-4-21-I
374
J-4-21-II
375
J-4-21-III
376
K-1-10-I
377
K-1-10-II
378
K-1-10-III
379
380
381
K-1-11-I
K-1-11-II
K-1-11-III
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
13.563.709
16.276.451
18.989.193
21.320.974
25.585.169
29.849.364
6.433.087
12.679.325
19.106.641
7.719.704
15.215.190
22.927.970
9.006.321
17.751.055
26.749.298
12.944.805
15.533.765
18.122.726
16.304.354
19.565.225
22.826.095
25.176.607
30.211.928
35.247.249
3.748.400
4.498.081
5.247.761
12.002.610
14.403.132
16.803.654
35.835.397
43.002.476
50.169.556
3.134.425
4.481.851
6.780.372
2.733.586
3.665.528
5.252.795
3.139.976
3.915.969
5.229.380
5.256.354
7.694.990
14.825.568
4.369.087
7.336.326
8.685.315
4.752.941
5.678.433
7.545.549
3.960.186
5.565.103
9.210.901
3.031.311
3.894.798
5.556.899
2.125.267
2.962.207
3.212.165
3.987.856
5.411.991
5.949.392
4.397.565
5.814.508
9.456.559
3.761.310
5.378.221
8.136.446
3.280.303
4.398.633
6.303.354
3.767.971
4.699.162
6.275.256
6.307.625
9.233.988
17.790.682
5.242.904
8.803.591
10.422.378
5.703.529
6.814.119
9.054.659
4.752.224
6.678.124
11.053.081
3.637.573
4.673.758
6.668.279
2.550.321
3.554.648
3.854.597
4.785.428
6.494.389
7.139.271
5.277.078
6.977.409
11.347.871
4.388.195
6.274.592
9.492.520
3.827.020
5.131.739
7.353.913
4.395.966
5.482.356
7.321.132
7.358.895
10.772.987
20.755.796
6.116.721
10.270.856
12.159.441
6.654.117
7.949.806
10.563.769
5.544.261
7.791.145
12.895.261
4.243.835
5.452.717
7.779.658
2.975.374
4.147.089
4.497.030
5.582.999
7.576.787
8.329.149
6.156.591
8.140.311
13.239.183
2.372.742
2.847.290
3.321.839
4.429.342
5.315.210
6.201.079
6.197.199
7.436.639
8.676.079
5.455.091
6.546.110
7.637.128
10.249.125
12.298.950
14.348.775
11.992.980
14.391.576
16.790.172
6.303.675
8.275.965
21.002.769
7.564.410
9.931.158
25.203.323
8.825.145
11.586.350
29.403.877
Kode INACBG
382
K-1-12-I
383
K-1-12-II
384
K-1-12-III
385
386
387
K-1-13-I
K-1-13-II
K-1-13-III
388
K-1-14-I
389
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
3.398.480
4.078.177
4.757.873
4.417.512
5.301.015
6.184.517
8.810.629
10.572.754
12.334.880
3.863.207
6.478.143
7.206.882
4.635.849
7.773.771
8.648.259
5.408.490
9.069.400
10.089.635
5.053.340
6.064.008
7.074.676
K-1-14-II
6.263.733
7.516.480
8.769.226
390
391
392
393
K-1-14-III
K-1-20-I
K-1-20-II
K-1-20-III
14.119.294
12.092.005
16.916.490
28.218.626
16.943.153
14.510.406
20.299.788
33.862.351
19.767.011
16.928.807
23.683.086
39.506.076
394
K-1-30-I
7.797.431
9.356.917
10.916.404
395
K-1-30-II
10.939.797
13.127.757
15.315.716
396
K-1-30-III
20.128.844
24.154.612
28.180.381
397
K-1-40-I
7.174.898
8.609.878
10.044.858
398
K-1-40-II
8.798.848
10.558.618
12.318.388
399
400
401
402
403
404
405
406
407
408
409
410
411
K-1-40-III
K-1-50-I
K-1-50-II
K-1-50-III
K-4-10-I
K-4-10-II
K-4-10-III
K-4-11-I
K-4-11-II
K-4-11-III
K-4-12-I
K-4-12-II
K-4-12-III
14.592.043
5.503.151
7.891.307
9.031.165
8.128.446
12.921.177
15.232.181
2.266.627
3.269.329
5.066.411
2.334.487
4.068.040
7.323.714
17.510.451
6.603.781
9.469.568
10.837.398
9.754.135
15.505.412
18.278.617
2.719.953
3.923.194
6.079.693
2.801.385
4.881.648
8.788.456
20.428.860
7.704.412
11.047.830
12.643.630
11.379.824
18.089.648
21.325.053
3.173.278
4.577.060
7.092.975
3.268.282
5.695.256
10.253.199
412
K-4-13-I
3.212.234
3.854.680
4.497.127
413
K-4-13-II
4.116.478
4.939.774
5.763.070
414
K-4-13-III
6.406.601
7.687.922
8.969.242
415
K-4-14-I
2.548.086
3.057.703
3.567.320
416
K-4-14-II
3.420.398
4.104.478
4.788.557
417
K-4-14-III
6.005.130
7.206.156
8.407.182
418
419
420
421
422
423
K-4-15-I
K-4-15-II
K-4-15-III
K-4-16-I
K-4-16-II
K-4-16-III
2.662.005
4.103.332
5.758.830
2.697.636
3.385.016
4.549.046
3.194.406
4.923.999
6.910.596
3.237.163
4.062.020
5.458.855
3.726.807
5.744.665
8.062.362
3.776.691
4.739.023
6.368.665
424
K-4-17-I
2.871.020
3.445.224
4.019.428
425
K-4-17-II
4.062.988
4.875.586
5.688.183
426
K-4-17-III
4.583.059
5.499.671
6.416.283
427
K-4-18-I
3.167.627
3.801.153
4.434.678
Kode INACBG
428
K-4-18-II
429
K-4-18-III
430
L-1-20-I
431
L-1-20-II
432
L-1-20-III
433
L-1-30-I
434
L-1-30-II
435
L-1-30-III
436
L-1-40-I
437
L-1-40-II
438
L-1-40-III
439
440
441
442
443
444
445
446
447
448
449
450
L-1-50-I
L-1-50-II
L-1-50-III
L-4-10-I
L-4-10-II
L-4-10-III
L-4-11-I
L-4-11-II
L-4-11-III
L-4-12-I
L-4-12-II
L-4-12-III
451
L-4-13-I
452
L-4-13-II
453
L-4-13-III
454
L-4-14-I
455
L-4-14-II
456
L-4-14-III
457
M-1-01-I
458
M-1-01-II
459
M-1-01-III
460
461
462
M-1-02-I
M-1-02-II
M-1-02-III
463
M-1-03-I
464
M-1-03-II
465
M-1-03-III
466
M-1-04-I
467
M-1-04-II
468
M-1-04-III
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
4.751.351
5.701.621
6.651.891
5.828.528
6.994.234
8.159.939
27.823.452
33.388.142
38.952.832
28.674.646
34.409.575
40.144.504
40.329.050
48.394.860
56.460.670
8.705.752
10.446.903
12.188.053
16.234.516
19.481.419
22.728.322
19.282.258
23.138.710
26.995.162
4.138.155
4.965.786
5.793.417
8.923.156
10.707.787
12.492.419
15.264.041
18.316.849
21.369.657
5.578.185
10.012.286
12.062.796
3.367.461
4.672.772
9.617.077
3.132.387
4.334.836
11.712.978
3.313.950
5.403.741
8.751.166
6.693.822
12.014.743
14.475.355
4.040.953
5.607.326
11.540.492
3.758.864
5.201.803
14.055.574
3.976.740
6.484.490
10.501.399
7.809.459
14.017.200
16.887.914
4.714.445
6.541.881
13.463.908
4.385.342
6.068.770
16.398.169
4.639.530
7.565.238
12.251.632
2.020.867
2.425.040
2.829.214
2.701.578
3.241.894
3.782.210
3.566.138
4.279.365
4.992.593
2.339.091
2.806.909
3.274.727
3.476.037
4.171.244
4.866.451
6.152.511
7.383.013
8.613.515
9.627.423
11.552.908
13.478.393
10.745.762
12.894.914
15.044.067
15.094.884
18.113.861
21.132.838
9.426.987
15.491.282
21.704.798
11.312.385
18.589.539
26.045.757
13.197.782
21.687.795
30.386.717
17.751.257
21.301.509
24.851.760
20.668.258
24.801.909
28.935.561
26.071.229
31.285.474
36.499.720
6.193.770
7.432.524
8.671.278
7.932.610
9.519.133
11.105.655
9.926.167
11.911.400
13.896.633
Kode INACBG
469
M-1-05-I
470
M-1-05-II
471
M-1-05-III
472
M-1-07-I
473
M-1-07-II
474
M-1-07-III
475
M-1-10-I
476
M-1-10-II
477
M-1-10-III
478
M-1-20-I
479
M-1-20-II
480
M-1-20-III
481
482
483
M-1-30-I
M-1-30-II
M-1-30-III
484
M-1-40-I
485
M-1-40-II
486
M-1-40-III
487
488
489
M-1-50-I
M-1-50-II
M-1-50-III
490
M-1-60-I
491
M-1-60-II
492
M-1-60-III
493
M-1-70-I
494
M-1-70-II
495
M-1-70-III
496
497
498
499
500
501
M-1-80-I
M-1-80-II
M-1-80-III
M-4-10-I
M-4-10-II
M-4-10-III
502
M-4-11-I
503
M-4-11-II
504
M-4-11-III
505
M-4-12-I
506
507
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
7.856.329
9.427.595
10.998.861
9.123.736
10.948.483
12.773.230
16.150.643
19.380.772
22.610.900
7.734.895
9.281.874
10.828.853
10.362.342
12.434.811
14.507.279
21.109.074
25.330.889
29.552.703
19.094.650
22.913.580
26.732.510
45.654.564
54.785.476
63.916.389
98.472.596
118.167.115
137.861.635
6.585.006
7.902.007
9.219.008
7.475.696
8.970.835
10.465.974
18.343.789
22.012.546
25.681.304
9.174.543
19.030.133
28.388.946
11.009.452
22.836.160
34.066.735
12.844.361
26.642.187
39.744.525
3.901.360
4.681.632
5.461.904
6.421.706
7.706.047
8.990.388
9.511.585
11.413.901
13.316.218
5.551.342
11.136.860
17.061.088
6.661.611
13.364.232
20.473.306
7.771.879
15.591.605
23.885.524
3.973.450
4.768.141
5.562.831
7.968.439
9.562.127
11.155.815
12.356.160
14.827.392
17.298.624
22.754.230
27.305.076
31.855.922
25.029.653
30.035.584
35.041.514
27.532.618
33.039.142
38.545.666
12.934.829
15.110.963
34.575.056
2.317.157
4.160.487
7.167.452
15.521.795
18.133.156
41.490.067
2.780.589
4.992.584
8.600.942
18.108.760
21.155.348
48.405.078
3.244.020
5.824.681
10.034.433
3.606.681
4.328.017
5.049.353
6.707.703
8.049.244
9.390.785
11.989.397
14.387.277
16.785.156
2.018.457
2.422.149
2.825.840
M-4-12-II
3.561.298
4.273.557
4.985.817
M-4-12-III
6.599.109
7.918.930
9.238.752
Kode INACBG
508
M-4-13-I
509
M-4-13-II
510
M-4-13-III
511
512
513
514
515
516
517
518
519
M-4-14-I
M-4-14-II
M-4-14-III
M-4-15-I
M-4-15-II
M-4-15-III
M-4-16-I
M-4-16-II
M-4-16-III
520
M-4-17-I
521
M-4-17-II
522
M-4-17-III
523
524
525
M-4-18-I
M-4-18-II
M-4-18-III
526
M-4-19-I
527
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
4.535.929
5.443.115
6.350.301
5.643.840
6.772.608
7.901.376
11.534.317
13.841.181
16.148.044
4.057.588
5.375.106
8.524.697
3.400.242
4.226.235
9.504.870
3.405.666
4.968.953
9.773.408
4.869.106
6.450.127
10.229.636
4.080.290
5.071.482
11.405.844
4.086.799
5.962.744
11.728.090
5.680.623
7.525.148
11.934.575
4.760.338
5.916.729
13.306.818
4.767.932
6.956.535
13.682.772
2.909.869
3.491.843
4.073.817
3.808.464
4.570.157
5.331.850
5.248.358
6.298.030
7.347.702
3.252.406
3.952.854
5.521.361
3.902.887
4.743.425
6.625.633
4.553.368
5.533.996
7.729.905
2.971.450
3.565.740
4.160.030
M-4-19-II
4.747.026
5.696.431
6.645.837
528
M-4-19-III
7.579.734
9.095.681
10.611.628
529
M-4-20-I
2.130.140
2.556.168
2.982.196
530
M-4-20-II
3.044.332
3.653.199
4.262.065
531
M-4-20-III
3.371.030
4.045.236
4.719.442
532
M-4-21-I
2.123.528
2.548.234
2.972.939
533
M-4-21-II
3.556.130
4.267.356
4.978.582
534
M-4-21-III
6.014.426
7.217.311
8.420.196
535
536
537
538
539
540
N-1-01-I
N-1-01-II
N-1-01-III
N-1-11-I
N-1-11-II
N-1-11-III
250.000.000
250.000.000
250.000.000
7.614.534
12.259.642
17.329.392
250.000.000
250.000.000
250.000.000
9.137.441
14.711.570
20.795.270
250.000.000
250.000.000
250.000.000
10.660.348
17.163.499
24.261.149
541
N-1-12-I
3.867.395
4.640.874
5.414.353
542
N-1-12-II
12.833.304
15.399.965
17.966.626
543
N-1-12-III
23.312.525
27.975.030
32.637.535
544
545
546
N-1-20-I
N-1-20-II
N-1-20-III
11.615.342
14.790.210
16.876.625
13.938.411
17.748.252
20.251.950
16.261.479
20.706.294
23.627.275
547
N-1-30-I
7.657.170
9.188.604
10.720.038
548
N-1-30-II
11.445.038
13.734.045
16.023.053
549
N-1-30-III
12.018.928
14.422.714
16.826.499
Kode INACBG
550
N-1-40-I
551
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
7.993.265
9.591.917
11.190.570
N-1-40-II
10.843.772
13.012.526
15.181.280
552
N-1-40-III
12.594.041
15.112.849
17.631.657
553
N-4-10-I
3.109.754
3.731.705
4.353.656
554
N-4-10-II
4.190.990
5.029.188
5.867.386
555
N-4-10-III
7.332.219
8.798.662
10.265.106
556
557
558
559
560
561
562
563
564
N-4-11-I
N-4-11-II
N-4-11-III
N-4-12-I
N-4-12-II
N-4-12-III
N-4-13-I
N-4-13-II
N-4-13-III
2.609.161
4.404.566
5.051.466
2.389.819
3.336.579
4.540.966
2.957.877
3.540.184
8.694.867
3.130.993
5.285.479
6.061.759
2.867.783
4.003.895
5.449.159
3.549.452
4.248.221
10.433.841
3.652.826
6.166.393
7.072.052
3.345.747
4.671.211
6.357.352
4.141.027
4.956.257
12.172.814
565
N-4-14-I
1.771.237
2.125.484
2.479.732
566
N-4-14-II
2.633.885
3.160.662
3.687.439
567
N-4-14-III
4.271.322
5.125.586
5.979.851
568
N-4-15-I
2.850.674
3.420.809
3.990.944
569
N-4-15-II
3.899.705
4.679.645
5.459.586
570
N-4-15-III
4.450.267
5.340.320
6.230.373
571
N-4-16-I
3.433.515
4.120.218
4.806.920
572
N-4-16-II
4.126.549
4.951.859
5.777.169
573
N-4-16-III
7.345.828
8.814.993
10.284.159
574
575
576
O-6-10-I
O-6-10-II
O-6-10-III
4.583.624
5.058.005
5.305.068
5.500.348
6.069.606
6.366.081
6.417.073
7.081.208
7.427.095
577
O-6-11-I
2.588.867
3.106.641
3.624.414
578
O-6-11-II
3.661.273
4.393.527
5.125.782
579
O-6-11-III
6.217.555
7.461.066
8.704.577
580
O-6-12-I
2.493.408
2.992.090
3.490.771
581
O-6-12-II
2.994.577
3.593.492
4.192.408
582
O-6-12-III
3.910.256
4.692.307
5.474.358
583
584
585
O-6-13-I
O-6-13-II
O-6-13-III
2.294.735
2.715.968
3.404.720
2.753.682
3.259.161
4.085.664
3.212.629
3.802.355
4.766.607
586
P-8-01-I
49.615.950
59.539.140
69.462.330
Kode INACBG
587
P-8-01-II
588
P-8-01-III
589
P-8-02-I
590
P-8-02-II
591
P-8-02-III
592
P-8-03-I
593
P-8-03-II
594
P-8-03-III
595
P-8-04-I
596
P-8-04-II
597
P-8-04-III
598
P-8-05-I
599
P-8-05-II
600
P-8-05-III
601
P-8-06-I
602
P-8-06-II
603
P-8-06-III
604
P-8-07-I
605
P-8-07-II
606
P-8-07-III
607
P-8-08-I
608
P-8-08-II
609
P-8-08-III
610
P-8-10-I
611
P-8-10-II
612
P-8-10-III
613
P-8-11-I
614
P-8-11-II
615
P-8-11-III
616
P-8-12-I
617
P-8-12-II
618
P-8-12-III
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
61.391.977
73.670.372
85.948.768
72.056.971
86.468.365
100.879.760
80.052.972
96.063.566
112.074.161
91.828.999
110.194.799
128.560.598
104.921.197
125.905.436
146.889.676
2.774.124
3.328.949
3.883.773
4.134.627
4.961.552
5.788.477
7.514.175
9.017.010
10.519.845
33.404.575
40.085.490
46.766.405
43.183.174
51.819.809
60.456.443
61.913.802
74.296.562
86.679.323
18.138.811
21.766.573
25.394.335
25.700.189
30.840.227
35.980.265
37.739.137
45.286.965
52.834.792
3.074.249
3.689.099
4.303.949
6.675.036
8.010.043
9.345.050
12.189.897
14.627.876
17.065.856
4.807.076
5.768.492
6.729.907
11.895.739
14.274.887
16.654.035
15.991.559
19.189.871
22.388.182
3.979.864
4.775.836
5.571.809
5.647.237
6.776.685
7.906.132
9.144.120
10.972.944
12.801.768
2.354.476
2.825.371
3.296.266
4.037.567
4.845.080
5.652.594
7.926.934
9.512.321
11.097.707
2.841.907
3.410.289
3.978.670
14.100.123
16.920.147
19.740.172
14.395.523
17.274.627
20.153.732
3.833.866
4.600.639
5.367.412
5.969.379
7.163.255
8.357.131
7.035.448
8.442.537
9.849.627
Kode INACBG
619
P-8-13-I
620
P-8-13-II
621
P-8-13-III
622
P-8-14-I
623
P-8-14-II
624
P-8-14-III
625
P-8-15-I
626
P-8-15-II
627
P-8-15-III
628
P-8-16-I
629
P-8-16-II
630
P-8-16-III
631
P-8-17-I
632
P-8-17-II
633
P-8-17-III
634
S-4-10-I
635
S-4-10-II
636
S-4-10-III
637
638
639
640
641
642
S-4-11-I
S-4-11-II
S-4-11-III
S-4-12-I
S-4-12-II
S-4-12-III
643
S-4-13-I
644
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
2.233.163
2.679.795
3.126.428
5.487.063
6.584.476
7.681.889
13.366.912
16.040.294
18.713.677
3.611.788
4.334.146
5.056.504
7.392.678
8.871.213
10.349.749
8.120.462
9.744.554
11.368.647
2.722.816
3.267.379
3.811.942
5.446.396
6.535.675
7.624.954
6.384.880
7.661.856
8.938.832
2.470.427
2.964.512
3.458.597
5.296.323
6.355.588
7.414.852
13.910.999
16.693.198
19.475.398
1.895.335
2.274.401
2.653.468
4.927.706
5.913.247
6.898.788
9.313.577
11.176.292
13.039.007
1.970.932
2.365.119
2.759.305
2.537.294
3.044.753
3.552.212
3.300.544
3.960.653
4.620.762
1.263.721
2.029.548
3.125.976
1.562.285
2.127.167
3.717.277
1.516.465
2.435.458
3.751.171
1.874.742
2.552.601
4.460.732
1.769.209
2.841.368
4.376.367
2.187.199
2.978.034
5.204.188
2.421.522
2.905.827
3.390.131
S-4-13-II
4.008.674
4.810.408
5.612.143
645
S-4-13-III
7.633.526
9.160.231
10.686.937
646
S-4-14-I
1.203.147
1.443.777
1.684.406
647
S-4-14-II
2.555.889
3.067.066
3.578.244
648
S-4-14-III
4.846.875
5.816.250
6.785.625
649
S-4-15-I
909.951
1.091.942
1.273.932
650
S-4-15-II
1.717.388
2.060.866
2.404.344
651
S-4-15-III
2.224.417
2.669.300
3.114.184
652
653
654
S-4-16-I
S-4-16-II
S-4-16-III
3.874.580
6.737.410
9.789.056
4.649.496
8.084.891
11.746.867
5.424.412
9.432.373
13.704.678
655
S-4-17-I
2.056.404
2.467.685
2.878.966
656
S-4-17-II
2.964.116
3.556.939
4.149.762
Kode INACBG
657
S-4-17-III
658
T-1-10-I
659
T-1-10-II
660
T-1-10-III
661
T-4-10-I
662
T-4-10-II
663
T-4-10-III
664
T-4-11-I
665
T-4-11-II
666
T-4-11-III
667
T-4-12-I
668
T-4-12-II
669
T-4-12-III
670
671
672
U-1-10-I
U-1-10-II
U-1-10-III
673
U-1-11-I
674
U-1-11-II
675
U-1-11-III
676
677
678
679
680
681
U-1-12-I
U-1-12-II
U-1-12-III
U-1-13-I
U-1-13-II
U-1-13-III
682
U-1-14-I
683
U-1-14-II
684
U-1-14-III
685
686
687
U-1-15-I
U-1-15-II
U-1-15-III
688
U-1-20-I
689
U-1-20-II
690
U-1-20-III
691
692
693
U-1-30-I
U-1-30-II
U-1-30-III
694
U-4-10-I
695
U-4-10-II
696
U-4-10-III
697
698
U-4-11-I
U-4-11-II
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
4.123.194
4.947.833
5.772.472
2.142.969
2.571.563
3.000.156
2.877.862
3.453.434
4.029.006
5.235.769
6.282.922
7.330.076
832.047
998.456
1.164.866
1.585.697
1.902.836
2.219.976
2.305.173
2.766.208
3.227.242
1.135.532
1.362.639
1.589.745
1.787.005
2.144.405
2.501.806
2.878.338
3.454.006
4.029.673
1.870.785
2.244.942
2.619.098
2.787.518
3.345.021
3.902.525
4.276.774
5.132.129
5.987.484
1.839.150
3.752.898
16.205.772
2.206.980
4.503.478
19.446.926
2.574.810
5.254.057
22.688.081
6.478.101
7.773.721
9.069.341
8.863.448
10.636.137
12.408.827
20.136.624
24.163.948
28.191.273
5.008.104
9.961.894
12.959.256
5.369.489
6.794.734
9.720.681
6.009.724
11.954.273
15.551.107
6.443.386
8.153.681
11.664.817
7.011.345
13.946.651
18.142.958
7.517.284
9.512.627
13.608.953
4.059.578
4.871.494
5.683.409
4.981.919
5.978.302
6.974.686
5.903.714
7.084.457
8.265.199
2.384.316
3.375.606
5.414.417
2.861.179
4.050.727
6.497.301
3.338.042
4.725.848
7.580.184
6.166.067
7.399.280
8.632.493
9.026.239
10.831.487
12.636.735
16.329.404
19.595.284
22.861.165
5.246.505
7.132.999
10.945.426
6.295.806
8.559.599
13.134.512
7.345.107
9.986.198
15.323.597
4.925.018
5.910.021
6.895.025
11.697.762
14.037.315
16.376.867
14.584.652
17.501.582
20.418.512
2.285.107
3.045.037
2.742.128
3.654.045
3.199.150
4.263.052
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
DYSEQUILIBRIUM BERAT
EPISTAKSIS/PERDARAHAN HIDUNG RINGAN
EPISTAKSIS/PERDARAHAN HIDUNG SEDANG
EPISTAKSIS/PERDARAHAN HIDUNG BERAT
PERADANGAN EPIGLOTIS, TELINGA TENGAH, ISPA DAN
U-4-13-I
LARINGOTRAKEITIS RINGAN
PERADANGAN EPIGLOTIS, TELINGA TENGAH, ISPA DAN
U-4-13-II
LARINGOTRAKEITIS SEDANG
PERADANGAN EPIGLOTIS, TELINGA TENGAH, ISPA DAN
U-4-13-III
LARINGOTRAKEITIS BERAT
U-4-14-I PENYAKIT MULUT DAN GIGI RINGAN
U-4-14-II PENYAKIT MULUT DAN GIGI SEDANG
U-4-14-III PENYAKIT MULUT DAN GIGI BERAT
DIAGNOSIS TENGGOROKAN, MULUT, HIDUNG & TELINGA
U-4-15-I
LAIN-LAIN (RINGAN)
DIAGNOSIS TENGGOROKAN, MULUT, HIDUNG & TELINGA
U-4-15-II
LAIN-LAIN (SEDANG)
DIAGNOSIS TENGGOROKAN, MULUT, HIDUNG & TELINGA
U-4-15-III
LAIN-LAIN (BERAT)
PROSEDUR PENGANGKATAN PROSTAT KOMPLEK
V-1-10-I
RINGAN
PROSEDUR PENGANGKATAN PROSTAT KOMPLEK
V-1-10-II
SEDANG
4.590.873
1.973.561
2.703.180
4.123.570
5.509.047
2.368.273
3.243.816
4.948.283
6.427.222
2.762.985
3.784.452
5.772.997
2.028.028
2.433.633
2.839.239
2.312.754
2.775.304
3.237.855
2.957.747
3.549.297
4.140.846
2.539.258
3.047.085
5.117.199
3.047.109
3.656.502
6.140.639
3.554.961
4.265.919
7.164.079
2.187.227
2.624.673
3.062.118
2.866.969
3.440.362
4.013.756
3.899.413
4.679.295
5.459.178
6.746.220
8.095.463
9.444.707
7.606.440
9.127.727
10.649.015
714
V-1-10-III
9.788.996
11.746.795
13.704.594
715
716
717
V-1-11-I
V-1-11-II
V-1-11-III
6.797.864
7.634.252
11.231.265
8.157.437
9.161.103
13.477.517
9.517.010
10.687.953
15.723.770
718
V-1-12-I
4.959.451
5.951.341
6.943.231
719
V-1-12-II
12.368.020
14.841.624
17.315.228
720
V-1-12-III
12.805.443
15.366.532
17.927.620
721
V-1-13-I
7.530.579
9.036.695
10.542.811
722
V-1-13-II
10.711.892
12.854.270
14.996.649
723
V-1-13-III
13.280.716
15.936.860
18.593.003
724
V-1-14-I
8.015.435
9.618.522
11.221.609
725
V-1-14-II
10.705.119
12.846.143
14.987.166
726
V-1-14-III
14.554.326
17.465.191
20.376.056
727
728
729
V-1-15-I
V-1-15-II
V-1-15-III
3.483.260
5.368.135
8.842.116
4.179.912
6.441.762
10.610.539
4.876.564
7.515.389
12.378.963
730
V-4-10-I
5.605.852
6.727.023
7.848.193
731
V-4-10-II
7.247.395
8.696.875
10.146.354
732
V-4-10-III
13.848.145
16.617.773
19.387.402
2.797.492
3.356.991
3.916.489
3.927.609
4.713.131
5.498.652
6.882.714
8.259.257
9.635.799
10.255.801
12.306.962
14.358.122
11.501.799
13.802.159
16.102.518
18.211.253
21.853.504
25.495.754
2.666.756
3.200.107
3.733.458
No
699
700
701
702
703
704
705
706
707
708
709
710
711
712
713
733
734
735
736
737
738
739
740
741
Kode INACBG
W-1-10-II
W-1-10-III
742
W-1-11-I
743
W-1-11-II
744
W-1-11-III
745
W-1-12-I
746
W-1-12-II
747
W-1-12-III
748
W-1-13-I
749
W-1-13-II
750
W-1-13-III
751
752
753
754
755
756
757
758
759
760
761
762
W-1-20-I
W-1-20-II
W-1-20-III
W-1-30-I
W-1-30-II
W-1-30-III
W-4-10-I
W-4-10-II
W-4-10-III
W-4-11-I
W-4-11-II
W-4-11-III
763
W-4-12-I
764
W-4-12-II
765
W-4-12-III
766
767
768
769
770
771
772
773
774
775
776
777
778
779
780
781
782
783
784
785
786
W-4-13-I
W-4-13-II
W-4-13-III
W-4-14-I
W-4-14-II
W-4-14-III
W-4-15-I
W-4-15-II
W-4-15-III
W-4-16-I
W-4-16-II
W-4-16-III
W-4-17-I
W-4-17-II
W-4-17-III
Z-4-10-I
Z-4-10-II
Z-4-10-III
Z-4-11-I
Z-4-11-II
Z-4-11-III
787
Z-4-12-I
788
Z-4-12-II
789
Z-4-12-III
No
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
4.358.744
7.123.499
5.230.493
8.548.198
6.102.242
9.972.898
3.114.049
3.736.859
4.359.669
5.474.852
6.569.823
7.664.793
11.528.497
13.834.197
16.139.896
2.709.517
3.251.421
3.793.324
3.063.424
3.676.109
4.288.794
4.705.806
5.646.967
6.588.128
2.330.609
2.796.731
3.262.853
2.530.370
3.036.444
3.542.518
3.398.754
4.078.504
4.758.255
7.144.371
8.886.277
9.706.129
3.877.680
6.185.101
18.275.227
3.449.716
4.813.944
8.651.627
2.296.754
3.167.093
3.823.733
8.573.245
10.663.532
11.647.355
4.653.216
7.422.121
21.930.272
4.139.660
5.776.733
10.381.952
2.756.105
3.800.512
4.588.479
10.002.120
12.440.787
13.588.580
5.428.752
8.659.141
25.585.318
4.829.603
6.739.521
12.112.277
3.215.456
4.433.930
5.353.226
2.030.006
2.436.007
2.842.008
3.284.566
3.941.479
4.598.393
4.177.307
5.012.768
5.848.230
1.113.419
1.521.859
2.030.842
1.515.685
1.991.867
2.454.685
1.383.193
1.555.634
2.061.304
2.376.449
3.177.967
4.307.197
1.522.950
2.029.686
3.822.861
3.388.348
4.497.543
6.389.189
3.318.959
3.990.752
6.266.345
1.336.103
1.826.231
2.437.010
1.818.822
2.390.240
2.945.622
1.659.832
1.866.761
2.473.565
2.851.738
3.813.561
5.168.636
1.827.540
2.435.623
4.587.433
4.066.018
5.397.052
7.667.027
3.982.750
4.788.903
7.519.614
1.558.787
2.130.603
2.843.179
2.121.960
2.788.614
3.436.559
1.936.471
2.177.887
2.885.826
3.327.028
4.449.154
6.030.076
2.132.130
2.841.560
5.352.005
4.743.688
6.296.561
8.944.865
4.646.542
5.587.053
8.772.884
1.578.613
1.894.335
2.210.058
4.100.645
4.920.774
5.740.903
5.300.026
6.360.031
7.420.036
Kode INACBG
B-2-10-0
B-2-11-0
B-2-12-0
B-2-13-0
B-2-14-0
B-3-10-0
B-3-11-0
B-3-12-0
C-3-10-0
C-3-11-0
C-3-12-0
C-3-13-0
C-3-14-0
C-3-15-0
C-3-16-0
C-3-17-0
C-3-18-0
C-3-19-0
C-3-20-0
C-3-21-0
C-3-22-0
C-3-23-0
D-2-10-0
D-2-11-0
D-2-21-0
D-2-22-0
D-3-10-0
D-3-11-0
E-2-10-0
E-2-21-0
E-2-22-0
E-3-10-0
F-3-10-0
F-5-10-0
F-5-11-0
F-5-12-0
F-5-13-0
F-5-14-0
F-5-15-0
F-5-16-0
G-2-10-0
G-2-11-0
G-2-12-0
G-2-13-0
G-2-21-0
G-2-22-0
G-2-31-0
G-2-32-0
G-3-10-0
G-3-11-0
G-3-12-0
G-3-13-0
H-2-21-0
H-2-22-0
H-2-23-0
H-2-31-0
H-2-32-0
H-2-33-0
H-2-34-0
H-2-35-0
H-2-36-0
H-2-37-0
63
64
65
66
67
68
69
70
71
Kode INACBG
H-3-10-0
H-3-11-0
H-3-12-0
H-3-13-0
I-2-11-0
I-2-12-0
I-2-13-0
I-2-14-0
I-2-15-0
72
I-2-16-0
73
74
75
76
77
78
79
I-2-17-0
I-2-21-0
I-2-22-0
I-2-23-0
I-2-31-0
I-2-32-0
I-2-41-0
80
I-2-42-0
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
I-3-10-0
I-3-11-0
I-3-12-0
I-3-13-0
I-3-14-0
I-3-15-0
J-2-10-0
J-2-21-0
J-2-22-0
J-2-31-0
J-2-32-0
J-3-10-0
J-3-11-0
J-3-12-0
J-3-13-0
J-3-14-0
J-3-15-0
J-3-16-0
J-3-17-0
K-2-10-0
K-2-11-0
K-2-12-0
K-2-13-0
K-2-14-0
K-2-21-0
K-2-22-0
K-2-31-0
K-2-32-0
K-2-41-0
K-2-42-0
K-2-51-0
K-2-52-0
K-2-53-0
K-3-10-0
K-3-11-0
K-3-12-0
K-3-13-0
K-3-14-0
K-3-15-0
K-3-16-0
L-2-21-0
L-2-22-0
L-2-31-0
No
Kode INACBG
L-2-32-0
L-2-41-0
L-2-42-0
L-2-51-0
L-2-52-0
L-2-53-0
L-3-10-0
L-3-11-0
L-3-12-0
M-2-10-0
M-2-21-0
M-2-22-0
M-2-31-0
M-2-32-0
M-2-41-0
M-2-42-0
M-2-51-0
M-2-52-0
M-2-61-0
M-2-62-0
M-2-63-0
M-2-64-0
M-2-65-0
M-2-71-0
M-2-72-0
M-2-81-0
M-2-82-0
M-2-83-0
M-2-84-0
M-3-10-0
M-3-11-0
M-3-12-0
M-3-13-0
M-3-14-0
M-3-15-0
M-3-16-0
M-3-17-0
N-2-11-0
N-2-12-0
N-2-21-0
N-2-22-0
N-2-23-0
N-2-24-0
N-2-31-0
N-2-32-0
N-2-41-0
N-2-42-0
N-3-10-0
N-3-11-0
N-3-12-0
N-3-13-0
N-3-14-0
N-3-15-0
O-7-10-0
O-7-11-0
Kode INACBG
P-9-15-0
P-9-16-0
P-9-17-0
Q-5-10-0
Q-5-11-0
Q-5-12-0
Q-5-13-0
Q-5-14-0
Q-5-15-0
Q-5-16-0
Q-5-17-0
Q-5-18-0
Q-5-19-0
Q-5-20-0
Q-5-21-0
Q-5-22-0
Q-5-23-0
Q-5-24-0
Q-5-25-0
Q-5-26-0
Q-5-27-0
Q-5-28-0
Q-5-29-0
Q-5-30-0
Q-5-31-0
Q-5-32-0
Q-5-33-0
Q-5-34-0
Q-5-35-0
Q-5-36-0
Q-5-37-0
Q-5-38-0
Q-5-39-0
Q-5-40-0
Q-5-41-0
Q-5-42-0
Q-5-43-0
Q-5-44-0
T-2-10-0
U-2-10-0
U-2-11-0
U-2-12-0
U-2-13-0
U-2-14-0
U-2-15-0
U-2-21-0
U-2-22-0
U-2-23-0
U-2-24-0
U-2-25-0
U-2-31-0
U-2-32-0
U-3-10-0
U-3-11-0
U-3-12-0
U-3-13-0
U-3-14-0
U-3-15-0
U-3-16-0
V-2-10-0
V-2-11-0
V-2-12-0
V-2-13-0
Kode INACBG
V-2-14-0
V-2-15-0
V-3-10-0
V-3-11-0
V-3-12-0
W-2-10-0
W-2-11-0
W-2-12-0
W-2-13-0
W-2-21-0
W-2-22-0
W-2-23-0
W-2-31-0
W-2-32-0
W-2-33-0
W-2-34-0
W-3-10-0
W-3-11-0
W-3-12-0
Z-3-10-0
269 Z-3-11-0
270
271
272
273
274
275
276
277
278
279
280
281
282
283
284
285
286
287
288
Z-3-12-0
Z-3-13-0
Z-3-14-0
Z-3-15-0
Z-3-16-0
Z-3-17-0
Z-3-18-0
Z-3-19-0
Z-3-20-0
Z-3-21-0
Z-3-22-0
Z-3-23-0
Z-3-24-0
Z-3-25-0
Z-3-26-0
Z-3-27-0
Z-3-28-0
Z-3-29-0
Z-3-30-0
1
2
3
4
5
6
7
8
9
10
11
12
Kode INACBG
A-4-10-I
A-4-10-II
A-4-10-III
A-4-11-I
A-4-11-II
A-4-11-III
A-4-12-I
A-4-12-II
A-4-12-III
A-4-13-I
A-4-13-II
A-4-13-III
13
A-4-14-I
14
A-4-14-II
15
A-4-14-III
16
17
18
19
20
21
22
23
24
25
26
27
A-4-15-I
A-4-15-II
A-4-15-III
B-1-01-I
B-1-01-II
B-1-01-III
B-1-10-I
B-1-10-II
B-1-10-III
B-1-11-I
B-1-11-II
B-1-11-III
28
B-1-12-I
29
B-1-12-II
30
B-1-12-III
31
B-1-13-I
32
B-1-13-II
33
B-1-13-III
34
B-1-14-I
35
B-1-14-II
36
B-1-14-III
37
38
39
B-4-10-I
B-4-10-II
B-4-10-III
40
B-4-11-I
41
B-4-11-II
42
B-4-11-III
4.957.490
5.948.988
6.940.486
43
44
45
B-4-12-I
B-4-12-II
B-4-12-III
2.672.414
5.127.477
7.367.214
3.206.897
6.152.972
8.840.657
3.741.380
7.178.467
10.314.099
46
B-4-13-I
2.416.580
2.899.896
3.383.212
No
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
1.942.672
2.610.874
3.387.998
4.537.925
5.788.364
9.468.498
1.612.976
2.060.307
2.199.065
2.012.906
2.410.321
2.934.367
2.331.206
3.133.048
4.065.598
5.445.510
6.946.036
11.362.198
1.935.572
2.472.368
2.638.878
2.415.488
2.892.385
3.521.241
2.719.740
3.655.223
4.743.198
6.353.095
8.103.709
13.255.898
2.258.167
2.884.429
3.078.691
2.818.069
3.374.449
4.108.114
2.874.348
3.449.218
4.024.088
3.697.139
4.436.567
5.175.995
4.236.051
5.083.262
5.930.472
2.417.982
3.628.959
6.216.274
26.783.739
29.549.625
51.836.123
3.472.421
8.849.401
20.119.920
3.211.756
8.075.055
10.101.196
2.901.578
4.354.751
7.459.529
32.140.487
35.459.550
62.203.347
4.166.905
10.619.281
24.143.904
3.854.108
9.690.066
12.121.435
3.385.174
5.080.543
8.702.784
37.497.235
41.369.475
72.570.572
4.861.389
12.389.161
28.167.888
4.496.459
11.305.077
14.141.674
5.595.447
6.714.536
7.833.625
11.992.411
14.390.893
16.789.375
14.181.167
17.017.401
19.853.634
4.499.550
5.399.461
6.299.371
7.329.115
8.794.938
10.260.761
10.805.172
12.966.206
15.127.240
6.086.203
7.303.444
8.520.684
6.769.086
8.122.903
9.476.721
10.589.431
12.707.317
14.825.203
1.709.779
2.014.229
4.020.493
2.051.735
2.417.075
4.824.591
2.393.691
2.819.921
5.628.690
2.903.142
3.483.770
4.064.399
4.351.607
5.221.929
6.092.250
Kode INACBG
47
B-4-13-II
48
B-4-13-III
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
3.659.261
4.391.113
5.122.966
4.549.338
5.459.206
6.369.073
B-4-14-I
B-4-14-II
B-4-14-III
C-4-10-I
C-4-10-II
C-4-10-III
C-4-11-I
C-4-11-II
C-4-11-III
C-4-12-I
C-4-12-II
C-4-12-III
C-4-13-I
C-4-13-II
C-4-13-III
C-4-14-I
C-4-14-II
C-4-14-III
2.417.475
2.806.575
3.751.311
3.177.456
6.202.753
7.619.926
2.412.350
3.213.353
7.399.145
1.613.458
5.995.966
12.145.973
1.611.135
3.222.945
4.215.614
2.434.898
4.126.238
6.298.865
2.900.970
3.367.890
4.501.573
3.812.947
7.443.303
9.143.911
2.894.820
3.856.024
8.878.974
1.936.150
7.195.159
14.575.168
1.933.362
3.867.534
5.058.736
2.921.878
4.951.486
7.558.638
3.384.466
3.929.205
5.251.835
4.448.438
8.683.854
10.667.896
3.377.290
4.498.694
10.358.803
2.258.842
8.394.353
17.004.362
2.255.589
4.512.123
5.901.859
3.408.857
5.776.734
8.818.411
67
D-1-10-I
17.138.516
20.566.219
23.993.922
68
D-1-10-II
26.103.274
31.323.929
36.544.584
69
D-1-10-III
35.377.069
42.452.483
49.527.896
70
71
72
D-1-11-I
D-1-11-II
D-1-11-III
4.756.791
9.199.982
13.027.245
5.708.150
11.039.978
15.632.694
6.659.508
12.879.975
18.238.143
73
D-1-20-I
3.662.760
4.395.311
5.127.863
74
D-1-20-II
9.744.812
11.693.774
13.642.736
75
D-1-20-III
16.892.969
20.271.563
23.650.157
76
77
78
79
80
81
82
83
84
D-4-10-I
D-4-10-II
D-4-10-III
D-4-11-I
D-4-11-II
D-4-11-III
D-4-12-I
D-4-12-II
D-4-12-III
1.541.420
2.764.313
4.022.812
2.007.873
4.075.300
7.042.483
2.065.189
2.864.620
4.398.625
1.849.704
3.317.175
4.827.374
2.409.447
4.890.360
8.450.979
2.478.227
3.437.544
5.278.351
2.157.988
3.870.038
5.631.936
2.811.022
5.705.420
9.859.476
2.891.264
4.010.468
6.158.076
85
D-4-13-I
1.607.975
1.929.570
2.251.164
86
D-4-13-II
2.409.508
2.891.410
3.373.311
87
D-4-13-III
2.814.979
3.377.975
3.940.971
88
D-4-14-I
1.941.032
2.329.239
2.717.445
89
D-4-14-II
3.709.090
4.450.908
5.192.726
90
D-4-14-III
5.200.954
6.241.144
7.281.335
91
92
93
94
E-1-01-I
E-1-01-II
E-1-01-III
E-1-10-I
5.042.927
6.605.754
11.470.914
3.933.886
6.051.512
7.926.905
13.765.097
4.720.663
7.060.098
9.248.056
16.059.279
5.507.440
95
96
Kode INACBG
E-1-10-II
E-1-10-III
97
E-1-20-I
98
E-1-20-II
99
E-1-20-III
100
E-4-10-I
101
E-4-10-II
102
E-4-10-III
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
E-4-11-I
E-4-11-II
E-4-11-III
E-4-12-I
E-4-12-II
E-4-12-III
E-4-13-I
E-4-13-II
E-4-13-III
F-4-10-I
F-4-10-II
F-4-10-III
F-4-11-I
F-4-11-II
F-4-11-III
118
F-4-12-I
1.203.973
1.444.768
1.685.563
119
F-4-12-II
1.722.983
2.067.580
2.412.176
120
F-4-12-III
3.747.646
4.497.176
5.246.705
121
122
123
124
125
126
127
128
129
F-4-13-I
F-4-13-II
F-4-13-III
F-4-14-I
F-4-14-II
F-4-14-III
F-4-15-I
F-4-15-II
F-4-15-III
2.615.653
2.662.263
3.372.551
1.525.262
1.956.457
2.632.500
2.214.885
2.419.132
3.179.756
3.138.784
3.194.716
4.047.061
1.830.314
2.347.749
3.159.000
2.657.863
2.902.958
3.815.708
3.661.914
3.727.168
4.721.571
2.135.366
2.739.040
3.685.501
3.100.840
3.386.785
4.451.659
130
F-4-16-I
4.780.285
5.736.342
6.692.399
131
F-4-16-II
5.554.926
6.665.912
7.776.897
132
F-4-16-III
7.414.899
8.897.879
10.380.859
133
134
135
136
137
138
139
140
141
F-4-17-I
F-4-17-II
F-4-17-III
F-4-18-I
F-4-18-II
F-4-18-III
F-4-19-I
F-4-19-II
F-4-19-III
816.076
2.391.841
2.551.918
4.001.688
4.402.987
6.787.589
3.175.202
4.065.928
5.062.135
979.291
2.870.209
3.062.302
4.802.026
5.283.585
8.145.107
3.810.243
4.879.114
6.074.562
1.142.506
3.348.577
3.572.686
5.602.364
6.164.182
9.502.624
4.445.283
5.692.299
7.086.989
142
G-1-01-I
7.469.518
8.963.421
10.457.325
No
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
4.774.814
10.063.902
5.729.776
12.076.682
6.684.739
14.089.462
4.962.330
5.954.796
6.947.263
7.916.390
9.499.668
11.082.946
14.272.256
17.126.707
19.981.158
2.012.837
2.415.404
2.817.971
3.510.138
4.212.166
4.914.193
4.449.080
5.338.896
6.228.712
1.712.179
2.682.716
5.924.119
2.051.723
3.559.741
5.256.418
2.166.333
3.704.336
7.086.144
3.586.437
3.974.886
5.884.906
3.302.839
3.848.122
4.934.698
2.054.615
3.219.259
7.108.943
2.462.068
4.271.689
6.307.701
2.599.599
4.445.204
8.503.373
4.303.725
4.769.863
7.061.887
3.963.407
4.617.746
5.921.638
2.397.051
3.755.802
8.293.767
2.872.412
4.983.638
7.358.985
3.032.866
5.186.071
9.920.602
5.021.012
5.564.840
8.238.868
4.623.975
5.387.370
6.908.578
Kode INACBG
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
143
G-1-01-II
10.279.982
12.335.978
14.391.974
144
G-1-01-III
19.952.034
23.942.441
27.932.848
145
146
147
148
149
150
G-1-10-I
G-1-10-II
G-1-10-III
G-1-11-I
G-1-11-II
G-1-11-III
5.059.095
7.138.816
8.428.842
5.811.538
11.970.945
18.496.481
6.070.914
8.566.580
10.114.611
6.973.846
14.365.135
22.195.778
7.082.734
9.994.343
11.800.379
8.136.153
16.759.324
25.895.074
151
G-1-12-I
2.938.599
3.526.319
4.114.039
152
G-1-12-II
7.980.276
9.576.331
11.172.386
153
G-1-12-III
10.843.768
13.012.521
15.181.275
154
155
156
157
158
159
160
161
162
G-1-13-I
G-1-13-II
G-1-13-III
G-1-20-I
G-1-20-II
G-1-20-III
G-1-30-I
G-1-30-II
G-1-30-III
881.947
2.368.812
5.345.038
5.528.201
6.574.062
15.343.177
7.250.083
18.672.789
20.973.801
1.058.336
2.842.575
6.414.046
6.633.841
7.888.875
18.411.812
8.700.099
22.407.347
25.168.561
1.234.726
3.316.337
7.483.053
7.739.481
9.203.687
21.480.448
10.150.116
26.141.904
29.363.321
163
G-4-10-I
2.418.454
2.902.145
3.385.836
164
G-4-10-II
2.808.686
3.370.423
3.932.160
165
G-4-10-III
5.751.110
6.901.331
8.051.553
166
G-4-11-I
3.420.669
4.104.803
4.788.936
167
G-4-11-II
5.556.999
6.668.399
7.779.799
168
G-4-11-III
6.756.627
8.107.953
9.459.278
169
170
171
G-4-12-I
G-4-12-II
G-4-12-III
4.024.602
4.906.512
7.126.125
4.829.522
5.887.814
8.551.349
5.634.443
6.869.117
9.976.574
172
G-4-13-I
2.241.944
2.690.332
3.138.721
173
G-4-13-II
2.806.992
3.368.390
3.929.789
174
G-4-13-III
3.336.498
4.003.797
4.671.097
175
G-4-14-I
3.035.366
3.642.439
4.249.513
176
G-4-14-II
5.522.774
6.627.329
7.731.884
177
G-4-14-III
6.905.863
8.287.035
9.668.208
178
G-4-15-I
2.439.132
2.926.958
3.414.785
179
G-4-15-II
2.911.115
3.493.338
4.075.561
180
G-4-15-III
3.784.316
4.541.179
5.298.042
181
G-4-16-I
2.010.859
2.413.031
2.815.203
182
183
Kode INACBG
G-4-16-II
G-4-16-III
184
No
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
2.291.642
4.441.966
2.749.971
5.330.359
3.208.299
6.218.752
G-4-17-I
2.678.189
3.213.827
3.749.464
185
G-4-17-II
3.561.855
4.274.226
4.986.597
186
G-4-17-III
5.969.698
7.163.638
8.357.577
187
G-4-18-I
2.411.200
2.893.440
3.375.680
188
G-4-18-II
4.695.690
5.634.828
6.573.965
189
G-4-18-III
4.970.674
5.964.809
6.958.944
190
G-4-19-I
2.691.534
3.229.841
3.768.148
191
G-4-19-II
3.719.803
4.463.763
5.207.724
192
G-4-19-III
4.676.120
5.611.345
6.546.569
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
G-4-20-I
G-4-20-II
G-4-20-III
G-4-21-I
G-4-21-II
G-4-21-III
G-4-22-I
G-4-22-II
G-4-22-III
G-4-23-I
G-4-23-II
G-4-23-III
G-4-24-I
G-4-24-II
G-4-24-III
G-4-25-I
G-4-25-II
G-4-25-III
1.408.899
2.002.249
3.414.993
1.635.031
2.759.490
4.383.078
1.605.227
2.015.581
2.308.571
1.610.917
2.009.552
2.879.687
2.880.572
3.598.835
6.967.504
1.532.461
1.924.242
2.502.535
1.690.678
2.402.699
4.097.992
1.962.037
3.311.388
5.259.694
1.926.272
2.418.698
2.770.285
1.933.101
2.411.462
3.455.624
3.456.686
4.318.602
8.361.004
1.838.953
2.309.090
3.003.042
1.972.458
2.803.149
4.780.991
2.289.043
3.863.286
6.136.310
2.247.318
2.821.814
3.231.999
2.255.284
2.813.373
4.031.562
4.032.801
5.038.369
9.754.505
2.145.445
2.693.939
3.503.549
211
G-4-26-I
2.417.697
2.901.237
3.384.776
212
G-4-26-II
2.805.353
3.366.423
3.927.494
213
G-4-26-III
4.119.252
4.943.102
5.766.952
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
H-1-20-I
H-1-20-II
H-1-20-III
H-1-30-I
H-1-30-II
H-1-30-III
H-4-10-I
H-4-10-II
H-4-10-III
H-4-11-I
H-4-11-II
H-4-11-III
H-4-12-I
H-4-12-II
H-4-12-III
4.294.125
5.473.862
7.444.110
2.403.581
3.356.893
5.600.855
2.420.485
3.439.607
6.567.792
1.645.905
1.835.270
2.627.760
2.520.119
3.417.481
5.701.435
5.152.950
6.568.634
8.932.932
2.884.297
4.028.272
6.721.026
2.904.581
4.127.528
7.881.351
1.975.086
2.202.324
3.153.312
3.024.143
4.100.977
6.841.722
6.011.775
7.663.407
10.421.754
3.365.013
4.699.651
7.841.197
3.388.678
4.815.450
9.194.909
2.304.267
2.569.378
3.678.863
3.528.167
4.784.473
7.982.009
229
I-1-01-I
34.746.404
41.695.684
48.644.965
Kode INACBG
230
I-1-01-II
231
I-1-01-III
232
I-1-02-I
233
I-1-02-II
234
I-1-02-III
235
I-1-03-I
236
I-1-03-II
237
I-1-03-III
238
I-1-04-I
239
I-1-04-II
240
I-1-04-III
241
I-1-05-I
242
I-1-05-II
243
I-1-05-III
244
245
246
I-1-06-I
I-1-06-II
I-1-06-III
247
I-1-07-I
248
I-1-07-II
249
I-1-07-III
250
I-1-11-I
251
I-1-11-II
252
I-1-11-III
253
I-1-12-I
254
I-1-12-II
255
I-1-12-III
256
I-1-13-I
257
I-1-13-II
258
I-1-13-III
259
I-1-14-I
260
I-1-14-II
261
I-1-14-III
262
I-1-15-I
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
35.511.006
42.613.207
49.715.408
56.053.441
67.264.129
78.474.818
19.277.105
23.132.525
26.987.946
24.867.465
29.840.958
34.814.451
30.650.596
36.780.716
42.910.835
11.853.332
14.223.998
16.594.664
13.583.936
16.300.723
19.017.510
22.471.546
26.965.855
31.460.164
18.459.978
22.151.973
25.843.969
18.917.698
22.701.238
26.484.777
43.889.937
52.667.924
61.445.911
25.513.815
30.616.578
35.719.341
30.616.578
36.739.893
42.863.209
42.128.218
50.553.861
58.979.505
13.308.927
14.558.557
23.358.986
15.970.712
17.470.268
28.030.784
18.632.498
20.381.979
32.702.581
20.658.920
24.790.704
28.922.488
25.486.975
30.584.370
35.681.765
27.806.124
33.367.348
38.928.573
3.324.636
3.989.564
4.654.491
3.696.663
4.435.996
5.175.329
4.919.132
5.902.959
6.886.785
9.211.967
11.054.360
12.896.754
10.468.479
12.562.174
14.655.870
17.822.624
21.387.148
24.951.673
4.396.559
5.275.871
6.155.183
6.297.715
7.557.259
8.816.802
15.026.072
18.031.287
21.036.501
19.844.078
23.812.894
27.781.710
24.663.354
29.596.025
34.528.696
32.317.499
38.780.999
45.244.498
5.099.695
6.119.634
7.139.573
263
264
Kode INACBG
I-1-15-II
I-1-15-III
265
I-1-16-I
266
I-1-16-II
267
I-1-16-III
268
I-1-17-I
269
I-1-17-II
270
I-1-17-III
271
I-1-20-I
272
I-1-20-II
273
I-1-20-III
274
I-1-30-I
275
I-1-30-II
276
I-1-30-III
277
278
279
280
281
282
283
284
285
286
287
288
I-1-40-I
I-1-40-II
I-1-40-III
I-4-10-I
I-4-10-II
I-4-10-III
I-4-11-I
I-4-11-II
I-4-11-III
I-4-12-I
I-4-12-II
I-4-12-III
289
I-4-13-I
290
I-4-13-II
291
I-4-13-III
292
293
294
I-4-14-I
I-4-14-II
I-4-14-III
295
I-4-15-I
296
I-4-15-II
297
I-4-15-III
298
299
300
301
302
303
304
I-4-16-I
I-4-16-II
I-4-16-III
I-4-17-I
I-4-17-II
I-4-17-III
I-4-18-I
No
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
9.241.686
13.534.138
11.090.023
16.240.966
12.938.360
18.947.794
8.504.605
10.205.526
11.906.447
22.111.973
26.534.367
30.956.762
25.505.618
30.606.742
35.707.865
11.989.504
14.387.405
16.785.306
15.567.136
18.680.563
21.793.990
32.630.951
39.157.141
45.683.332
10.638.335
12.766.002
14.893.669
13.451.811
16.142.173
18.832.535
15.260.447
18.312.536
21.364.625
9.648.519
11.578.222
13.507.926
20.070.868
24.085.041
28.099.215
31.102.555
37.323.066
43.543.577
10.589.310
14.715.246
18.367.813
4.156.142
6.556.356
7.009.948
3.593.104
4.446.480
8.225.062
4.320.658
6.166.325
7.507.904
12.707.172
17.658.296
22.041.375
4.987.370
7.867.627
8.411.938
4.311.725
5.335.776
9.870.074
5.184.789
7.399.590
9.009.485
14.825.034
20.601.345
25.714.938
5.818.598
9.178.898
9.813.927
5.030.345
6.225.072
11.515.087
6.048.921
8.632.855
10.511.065
4.763.303
5.715.964
6.668.625
6.040.214
7.248.257
8.456.300
10.476.831
12.572.198
14.667.564
2.092.195
2.411.486
4.356.575
2.510.634
2.893.784
5.227.890
2.929.073
3.376.081
6.099.205
3.215.998
3.859.198
4.502.398
4.609.260
5.531.112
6.452.963
5.253.447
6.304.136
7.354.826
2.415.519
3.086.442
4.010.542
3.298.264
4.471.254
5.426.666
3.188.588
2.898.623
3.703.730
4.812.650
3.957.917
5.365.505
6.512.000
3.826.306
3.381.727
4.321.018
5.614.759
4.617.570
6.259.755
7.597.333
4.464.023
305
Kode INACBG
I-4-18-II
306
I-4-18-III
307
I-4-19-I
308
I-4-19-II
3.972.030
4.766.437
5.560.843
309
310
311
312
313
314
315
316
317
318
I-4-19-III
I-4-20-I
I-4-20-II
I-4-20-III
I-4-21-I
I-4-21-II
I-4-21-III
I-4-22-I
I-4-22-II
I-4-22-III
4.462.395
3.336.765
3.834.697
5.095.591
4.437.102
5.512.392
7.558.482
2.618.823
3.006.648
4.391.579
5.354.874
4.004.118
4.601.636
6.114.710
5.324.522
6.614.871
9.070.178
3.142.587
3.607.977
5.269.895
6.247.353
4.671.471
5.368.575
7.133.828
6.211.942
7.717.349
10.581.874
3.666.352
4.209.307
6.148.210
319
I-4-23-I
1.982.675
2.379.210
2.775.745
320
I-4-23-II
2.434.268
2.921.121
3.407.975
321
I-4-23-III
4.756.338
5.707.605
6.658.873
322
I-4-24-I
2.366.840
2.840.208
3.313.576
323
I-4-24-II
6.519.350
7.823.220
9.127.089
324
I-4-24-III
8.204.172
9.845.006
11.485.841
325
J-1-01-I
19.379.336
23.255.203
27.131.070
326
J-1-01-II
21.111.483
25.333.780
29.556.076
327
J-1-01-III
38.234.650
45.881.580
53.528.511
328
J-1-02-I
9.086.063
10.903.276
12.720.489
329
J-1-02-II
10.451.188
12.541.426
14.631.663
330
J-1-02-III
17.056.779
20.468.135
23.879.491
331
332
333
J-1-10-I
J-1-10-II
J-1-10-III
5.146.469
10.143.460
13.051.561
6.175.763
12.172.152
15.661.873
7.205.057
14.200.844
18.272.185
334
J-1-20-I
5.968.306
7.161.967
8.355.628
335
J-1-20-II
7.886.119
9.463.343
11.040.567
336
J-1-20-III
12.076.735
14.492.082
16.907.429
337
J-1-30-I
2.998.720
3.598.464
4.198.208
338
J-1-30-II
9.838.639
11.806.367
13.774.095
339
J-1-30-III
26.518.712
31.822.454
37.126.197
340
341
342
343
344
345
346
J-4-10-I
J-4-10-II
J-4-10-III
J-4-11-I
J-4-11-II
J-4-11-III
J-4-12-I
2.556.468
3.655.442
5.530.137
2.186.869
2.932.422
4.202.236
2.459.471
3.067.761
4.386.530
6.636.165
2.624.242
3.518.907
5.042.683
2.951.365
3.579.055
5.117.618
7.742.192
3.061.616
4.105.391
5.883.130
3.443.259
No
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
4.765.673
5.718.807
6.671.942
6.542.018
7.850.422
9.158.825
2.331.386
2.797.663
3.263.941
347
348
349
350
351
352
353
354
355
356
357
358
359
360
361
362
363
364
365
366
367
368
369
370
371
372
Kode INACBG
J-4-12-II
J-4-12-III
J-4-13-I
J-4-13-II
J-4-13-III
J-4-14-I
J-4-14-II
J-4-14-III
J-4-15-I
J-4-15-II
J-4-15-III
J-4-16-I
J-4-16-II
J-4-16-III
J-4-17-I
J-4-17-II
J-4-17-III
J-4-18-I
J-4-18-II
J-4-18-III
J-4-19-I
J-4-19-II
J-4-19-III
J-4-20-I
J-4-20-II
J-4-20-III
373
J-4-21-I
374
J-4-21-II
375
J-4-21-III
376
K-1-10-I
377
K-1-10-II
378
K-1-10-III
379
380
381
K-1-11-I
K-1-11-II
K-1-11-III
382
K-1-12-I
383
K-1-12-II
384
K-1-12-III
385
386
387
K-1-13-I
K-1-13-II
K-1-13-III
388
K-1-14-I
3.698.451
4.438.141
5.177.831
389
K-1-14-II
5.134.434
6.161.321
7.188.208
390
391
392
393
K-1-14-III
K-1-20-I
K-1-20-II
K-1-20-III
11.290.033
9.673.604
13.533.192
22.574.901
13.548.040
11.608.325
16.239.830
27.089.881
15.806.047
13.543.045
18.946.468
31.604.861
394
K-1-30-I
6.237.945
7.485.534
8.733.123
395
K-1-30-II
8.665.170
10.398.203
12.131.237
No
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
3.193.902
4.265.134
4.205.083
6.155.992
11.860.455
2.591.479
5.167.325
5.869.061
4.320.855
5.162.211
6.859.590
3.600.169
5.059.185
8.373.546
2.484.791
3.192.598
3.531.036
1.608.235
2.428.145
2.633.038
2.813.807
3.227.193
4.876.766
2.817.903
4.651.606
6.337.091
3.832.683
5.118.160
5.046.100
7.387.191
14.232.546
3.109.774
6.200.790
7.042.873
5.185.026
6.194.654
8.231.508
4.320.203
6.071.022
10.048.255
2.981.749
3.831.118
4.237.243
1.929.881
2.913.775
3.159.646
3.376.568
3.872.631
5.852.120
3.381.484
5.581.927
7.604.509
4.471.463
5.971.187
5.887.116
8.618.389
16.604.637
3.628.070
7.234.255
8.216.685
6.049.197
7.227.096
9.603.426
5.040.237
7.082.859
11.722.964
3.478.707
4.469.638
4.943.450
2.251.528
3.399.404
3.686.253
3.939.329
4.518.070
6.827.473
3.945.065
6.512.249
8.871.928
1.604.589
1.925.507
2.246.424
3.247.237
3.896.684
4.546.131
4.607.347
5.528.817
6.450.286
4.338.236
5.205.884
6.073.531
8.199.300
9.839.160
11.479.020
9.594.384
11.513.260
13.432.137
5.042.940
6.620.772
16.802.215
6.051.528
7.944.926
20.162.659
7.060.116
9.269.080
23.523.102
2.718.784
3.262.541
3.806.298
3.534.010
4.240.812
4.947.614
7.048.503
8.458.203
9.867.904
2.949.175
5.177.433
5.524.350
3.539.010
6.212.919
6.629.219
4.128.845
7.248.406
7.734.089
Kode INACBG
396
K-1-30-III
397
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
16.103.075
19.323.690
22.544.305
K-1-40-I
5.881.324
7.057.589
8.233.853
398
K-1-40-II
6.750.606
8.100.727
9.450.848
399
400
401
402
403
404
405
406
407
408
409
410
411
K-1-40-III
K-1-50-I
K-1-50-II
K-1-50-III
K-4-10-I
K-4-10-II
K-4-10-III
K-4-11-I
K-4-11-II
K-4-11-III
K-4-12-I
K-4-12-II
K-4-12-III
11.195.230
4.510.979
6.075.071
7.402.921
3.169.714
4.417.107
9.988.756
1.607.147
2.411.906
3.580.154
1.607.876
3.254.432
5.360.097
13.434.276
5.413.175
7.290.085
8.883.505
3.803.656
5.300.528
11.986.508
1.928.576
2.894.288
4.296.185
1.929.451
3.905.318
6.432.117
15.673.321
6.315.370
8.505.100
10.364.089
4.437.599
6.183.949
13.984.259
2.250.005
3.376.669
5.012.216
2.251.026
4.556.204
7.504.136
412
K-4-13-I
2.415.440
2.898.528
3.381.616
413
K-4-13-II
3.121.764
3.746.117
4.370.470
414
K-4-13-III
5.120.256
6.144.307
7.168.358
415
K-4-14-I
2.015.583
2.418.700
2.821.816
416
K-4-14-II
2.728.028
3.273.634
3.819.239
417
K-4-14-III
4.110.250
4.932.300
5.754.350
418
419
420
421
422
423
K-4-15-I
K-4-15-II
K-4-15-III
K-4-16-I
K-4-16-II
K-4-16-III
2.007.502
2.976.580
4.177.488
2.012.260
2.414.012
3.639.237
2.409.003
3.571.896
5.012.985
2.414.712
2.896.814
4.367.084
2.810.503
4.167.212
5.848.483
2.817.164
3.379.616
5.094.932
424
K-4-17-I
2.610.018
3.132.022
3.654.026
425
K-4-17-II
3.693.625
4.432.350
5.171.076
426
K-4-17-III
4.166.418
4.999.701
5.832.985
427
K-4-18-I
2.879.661
3.455.593
4.031.526
428
K-4-18-II
4.319.410
5.183.291
6.047.173
429
K-4-18-III
5.298.662
6.358.394
7.418.127
430
L-1-20-I
22.258.761
26.710.514
31.162.266
431
L-1-20-II
22.939.716
27.527.660
32.115.603
432
L-1-20-III
34.476.229
41.371.475
48.266.721
433
L-1-30-I
7.136.178
8.563.413
9.990.649
434
L-1-30-II
12.987.613
15.585.135
18.182.658
435
L-1-30-III
15.425.807
18.510.968
21.596.129
436
L-1-40-I
3.392.080
4.070.496
4.748.912
Kode INACBG
437
L-1-40-II
438
L-1-40-III
439
440
441
442
443
444
445
446
447
448
449
450
L-1-50-I
L-1-50-II
L-1-50-III
L-4-10-I
L-4-10-II
L-4-10-III
L-4-11-I
L-4-11-II
L-4-11-III
L-4-12-I
L-4-12-II
L-4-12-III
451
L-4-13-I
452
L-4-13-II
453
L-4-13-III
454
L-4-14-I
455
L-4-14-II
456
L-4-14-III
457
M-1-01-I
458
M-1-01-II
459
M-1-01-III
460
461
462
M-1-02-I
M-1-02-II
M-1-02-III
463
M-1-03-I
464
M-1-03-II
465
M-1-03-III
466
M-1-04-I
467
M-1-04-II
468
M-1-04-III
469
M-1-05-I
470
M-1-05-II
471
M-1-05-III
472
M-1-07-I
473
M-1-07-II
474
M-1-07-III
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
7.195.452
8.634.543
10.073.633
12.216.603
14.659.923
17.103.244
5.282.008
9.551.429
11.576.165
2.405.537
2.803.629
7.693.662
2.285.203
3.126.905
7.008.194
2.417.661
4.322.993
5.953.925
6.338.410
11.461.715
13.891.398
2.886.644
3.364.355
9.232.394
2.742.243
3.752.286
8.409.833
2.901.193
5.187.592
7.144.710
7.394.811
13.372.001
16.206.631
3.367.751
3.925.081
10.771.126
3.199.284
4.377.667
9.811.471
3.384.725
6.052.190
8.335.495
1.515.717
1.818.861
2.122.004
2.161.263
2.593.515
3.025.768
2.616.258
3.139.509
3.662.761
1.607.589
1.929.107
2.250.624
2.412.744
2.895.293
3.377.842
4.922.009
5.906.410
6.890.812
7.852.221
9.422.665
10.993.109
8.764.349
10.517.218
12.270.088
12.311.535
14.773.842
17.236.149
7.541.590
12.393.026
15.885.360
9.049.908
14.871.631
19.062.432
10.558.226
17.350.236
22.239.504
14.116.500
16.939.800
19.763.100
16.426.318
19.711.582
22.996.846
16.776.080
20.131.297
23.486.513
4.955.016
5.946.019
6.937.022
6.346.088
7.615.306
8.884.524
7.940.933
9.529.120
11.117.307
6.285.064
7.542.076
8.799.089
7.298.988
8.758.786
10.218.584
12.920.515
15.504.617
18.088.720
6.308.656
7.570.387
8.832.119
8.451.628
10.141.953
11.832.279
17.216.767
20.660.121
24.103.474
Kode INACBG
475
M-1-10-I
476
M-1-10-II
477
M-1-10-III
478
M-1-20-I
479
M-1-20-II
480
M-1-20-III
481
482
483
M-1-30-I
M-1-30-II
M-1-30-III
484
M-1-40-I
485
M-1-40-II
486
M-1-40-III
487
488
489
M-1-50-I
M-1-50-II
M-1-50-III
490
M-1-60-I
491
M-1-60-II
492
M-1-60-III
493
M-1-70-I
494
M-1-70-II
495
M-1-70-III
496
497
498
499
500
501
M-1-80-I
M-1-80-II
M-1-80-III
M-4-10-I
M-4-10-II
M-4-10-III
502
M-4-11-I
503
M-4-11-II
504
M-4-11-III
505
M-4-12-I
506
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
5.340.956
6.409.147
7.477.338
13.142.196
15.770.635
18.399.074
17.912.260
21.494.712
25.077.164
5.268.005
6.321.606
7.375.207
5.565.799
6.678.959
7.792.119
14.675.031
17.610.037
20.545.043
4.200.657
9.608.811
12.805.839
5.040.788
11.530.573
15.367.007
5.880.920
13.452.335
17.928.175
3.063.123
3.675.748
4.288.372
5.624.636
6.749.564
7.874.491
9.118.977
10.942.772
12.766.567
5.046.675
10.124.419
15.510.080
6.056.010
12.149.302
18.612.096
7.065.345
14.174.186
21.714.112
3.053.504
3.664.204
4.274.905
6.138.545
7.366.254
8.593.963
10.128.447
12.154.137
14.179.826
9.447.599
11.337.119
13.226.638
11.848.400
14.218.080
16.587.760
12.469.192
14.963.030
17.456.869
5.381.662
7.074.967
15.363.409
1.607.902
2.461.935
4.979.000
6.457.994
8.489.961
18.436.091
1.929.482
2.954.322
5.974.800
7.534.326
9.904.954
21.508.773
2.251.063
3.446.709
6.970.600
2.134.662
2.561.594
2.988.527
4.884.704
5.861.645
6.838.586
9.591.518
11.509.821
13.428.125
1.606.168
1.927.401
2.248.635
M-4-12-II
2.919.225
3.503.070
4.086.915
507
M-4-12-III
5.279.287
6.335.144
7.391.002
508
M-4-13-I
3.628.744
4.354.492
5.080.241
509
M-4-13-II
4.008.482
4.810.178
5.611.874
510
M-4-13-III
8.840.216
10.608.259
12.376.302
511
512
M-4-14-I
M-4-14-II
3.215.401
4.185.718
3.858.482
5.022.861
4.501.562
5.860.005
513
514
515
516
517
518
519
Kode INACBG
M-4-14-III
M-4-15-I
M-4-15-II
M-4-15-III
M-4-16-I
M-4-16-II
M-4-16-III
520
M-4-17-I
521
M-4-17-II
522
M-4-17-III
523
524
525
M-4-18-I
M-4-18-II
M-4-18-III
526
M-4-19-I
2.377.160
2.852.592
3.328.024
527
M-4-19-II
3.797.621
4.557.145
5.316.669
528
M-4-19-III
5.768.617
6.922.341
8.076.064
529
M-4-20-I
1.606.406
1.927.687
2.248.968
530
M-4-20-II
2.416.203
2.899.443
3.382.684
531
M-4-20-III
2.671.819
3.206.183
3.740.547
532
M-4-21-I
1.603.252
1.923.903
2.244.553
533
M-4-21-II
2.106.602
2.527.923
2.949.243
534
M-4-21-III
4.930.075
5.916.090
6.902.105
535
536
537
538
539
540
N-1-01-I
N-1-01-II
N-1-01-III
N-1-11-I
N-1-11-II
N-1-11-III
250.000.000
250.000.000
250.000.000
6.023.238
9.807.713
14.205.047
250.000.000
250.000.000
250.000.000
7.227.885
11.769.256
17.046.056
250.000.000
250.000.000
250.000.000
8.432.533
13.730.799
19.887.066
541
N-1-12-I
3.170.136
3.804.163
4.438.190
542
N-1-12-II
10.266.643
12.319.972
14.373.301
543
N-1-12-III
18.650.020
22.380.024
26.110.028
544
545
546
N-1-20-I
N-1-20-II
N-1-20-III
10.453.808
11.832.168
13.501.300
12.544.569
14.198.602
16.201.560
14.635.331
16.565.035
18.901.820
547
N-1-30-I
6.125.736
7.350.883
8.576.030
548
N-1-30-II
7.974.354
9.569.224
11.164.095
549
N-1-30-III
9.162.374
10.994.849
12.827.324
550
N-1-40-I
6.394.612
7.673.534
8.952.456
551
N-1-40-II
8.675.017
10.410.021
12.145.024
No
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
6.254.049
2.720.193
3.380.988
6.835.569
2.724.533
3.220.939
7.818.727
7.504.859
3.264.232
4.057.186
8.202.683
3.269.439
3.865.126
9.382.472
8.755.669
3.808.271
4.733.383
9.569.796
3.814.346
4.509.314
10.946.218
2.007.127
2.408.553
2.809.978
2.822.752
3.387.303
3.951.853
3.944.155
4.732.986
5.521.817
2.150.020
3.223.987
3.901.643
2.580.024
3.868.784
4.681.971
3.010.027
4.513.581
5.462.300
552
Kode INACBG
N-1-40-III
553
N-4-10-I
554
N-4-10-II
555
N-4-10-III
556
557
558
559
560
561
562
563
564
N-4-11-I
N-4-11-II
N-4-11-III
N-4-12-I
N-4-12-II
N-4-12-III
N-4-13-I
N-4-13-II
N-4-13-III
565
N-4-14-I
566
N-4-14-II
567
N-4-14-III
568
N-4-15-I
569
N-4-15-II
570
N-4-15-III
571
N-4-16-I
572
N-4-16-II
573
N-4-16-III
574
575
576
O-6-10-I
O-6-10-II
O-6-10-III
577
O-6-11-I
578
O-6-11-II
579
O-6-11-III
580
O-6-12-I
1.994.726
2.393.672
2.792.617
581
O-6-12-II
2.395.662
2.874.794
3.353.926
582
O-6-12-III
3.128.205
3.753.846
4.379.487
583
584
585
O-6-13-I
O-6-13-II
O-6-13-III
2.086.123
2.469.062
3.095.200
2.503.347
2.962.874
3.714.240
2.920.572
3.456.686
4.333.279
586
P-8-01-I
40.467.254
48.560.705
56.654.156
No
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
10.075.232
12.090.279
14.105.325
2.010.324
2.412.389
2.814.454
3.352.792
4.023.350
4.693.909
4.485.284
5.382.341
6.279.398
2.087.329
3.013.666
3.523.653
1.606.343
2.406.819
3.101.890
2.127.528
2.553.688
6.955.894
2.504.795
3.616.400
4.228.384
1.927.612
2.888.183
3.722.268
2.553.034
3.064.426
8.347.073
2.922.261
4.219.133
4.933.114
2.248.880
3.369.547
4.342.646
2.978.540
3.575.163
9.738.251
1.391.715
1.670.059
1.948.402
2.148.222
2.577.867
3.007.511
3.483.732
4.180.478
4.877.225
1.997.198
2.396.637
2.796.077
2.478.000
2.973.600
3.469.200
2.827.845
3.393.415
3.958.984
2.687.829
3.225.395
3.762.960
3.213.439
3.856.126
4.498.814
5.487.277
6.584.732
7.682.187
4.166.930
4.598.187
4.822.789
5.000.317
5.517.824
5.787.346
5.833.703
6.437.461
6.751.904
2.122.116
2.546.539
2.970.962
2.819.286
3.383.143
3.947.001
4.787.698
5.745.237
6.702.777
Kode INACBG
587
P-8-01-II
588
P-8-01-III
589
P-8-02-I
590
P-8-02-II
591
P-8-02-III
592
P-8-03-I
593
P-8-03-II
594
P-8-03-III
595
P-8-04-I
596
P-8-04-II
597
P-8-04-III
598
P-8-05-I
599
P-8-05-II
600
P-8-05-III
601
P-8-06-I
602
P-8-06-II
603
P-8-06-III
604
P-8-07-I
605
P-8-07-II
606
P-8-07-III
607
P-8-08-I
608
P-8-08-II
609
P-8-08-III
610
P-8-10-I
611
P-8-10-II
612
P-8-10-III
613
P-8-11-I
614
P-8-11-II
615
P-8-11-III
616
P-8-12-I
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
50.071.897
60.086.276
70.100.656
58.770.371
70.524.445
82.278.519
64.042.378
76.850.853
89.659.329
73.463.199
88.155.839
102.848.479
83.936.958
100.724.349
117.511.741
2.203.352
2.644.023
3.084.693
3.091.489
3.709.787
4.328.085
4.869.280
5.843.137
6.816.993
19.788.678
23.746.414
27.704.150
34.546.539
41.455.847
48.365.155
49.531.042
59.437.250
69.343.458
14.511.049
17.413.258
20.315.468
20.560.151
24.672.182
28.784.212
30.191.310
36.229.572
42.267.834
2.167.189
2.600.627
3.034.065
5.340.029
6.408.035
7.476.040
8.540.308
10.248.369
11.956.431
3.101.602
3.721.923
4.342.243
8.677.809
10.413.371
12.148.933
11.459.810
13.751.772
16.043.734
3.618.058
4.341.669
5.065.281
5.133.852
6.160.623
7.187.393
8.312.837
9.975.404
11.637.971
1.883.580
2.260.297
2.637.013
3.230.054
3.876.064
4.522.075
6.341.547
7.609.856
8.878.166
2.255.526
2.706.631
3.157.736
11.280.098
13.536.118
15.792.138
11.516.418
13.819.702
16.122.985
3.067.093
3.680.511
4.293.930
Kode INACBG
617
P-8-12-II
618
P-8-12-III
619
P-8-13-I
620
P-8-13-II
621
P-8-13-III
622
P-8-14-I
623
P-8-14-II
624
P-8-14-III
625
P-8-15-I
626
P-8-15-II
627
P-8-15-III
628
P-8-16-I
629
P-8-16-II
630
P-8-16-III
631
P-8-17-I
632
P-8-17-II
633
P-8-17-III
634
S-4-10-I
635
S-4-10-II
636
S-4-10-III
637
638
639
640
641
642
S-4-11-I
S-4-11-II
S-4-11-III
S-4-12-I
S-4-12-II
S-4-12-III
643
S-4-13-I
644
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
4.775.503
5.730.604
6.685.705
5.628.358
6.754.030
7.879.702
2.030.148
2.436.177
2.842.207
3.510.341
4.212.410
4.914.478
5.225.575
6.270.690
7.315.805
2.145.372
2.574.446
3.003.520
5.914.142
7.096.971
8.279.799
6.496.370
7.795.643
9.094.917
2.178.252
2.613.903
3.049.553
4.357.117
5.228.540
6.099.963
5.107.904
6.129.485
7.151.066
1.976.341
2.371.610
2.766.878
2.686.790
3.224.148
3.761.505
2.794.606
3.353.527
3.912.448
1.723.031
2.067.638
2.412.244
4.479.732
5.375.679
6.271.625
8.466.888
10.160.265
11.853.643
1.607.512
1.929.014
2.250.516
2.011.107
2.413.328
2.815.550
2.615.488
3.138.586
3.661.684
1.006.170
1.534.904
2.470.996
1.207.855
1.612.109
3.047.083
1.207.404
1.841.885
2.965.195
1.449.426
1.934.530
3.656.499
1.408.638
2.148.865
3.459.394
1.690.998
2.256.952
4.265.916
1.608.298
1.929.957
2.251.617
S-4-13-II
2.850.457
3.420.548
3.990.639
645
S-4-13-III
5.787.970
6.945.564
8.103.158
646
S-4-14-I
981.299
1.177.559
1.373.818
647
S-4-14-II
2.084.608
2.501.529
2.918.451
648
S-4-14-III
3.953.159
4.743.791
5.534.422
649
S-4-15-I
742.165
890.598
1.039.031
650
S-4-15-II
1.400.719
1.680.862
1.961.006
Kode INACBG
651
S-4-15-III
652
653
654
S-4-16-I
S-4-16-II
S-4-16-III
655
S-4-17-I
656
S-4-17-II
657
S-4-17-III
658
T-1-10-I
659
T-1-10-II
660
T-1-10-III
661
T-4-10-I
662
T-4-10-II
663
T-4-10-III
664
T-4-11-I
665
T-4-11-II
666
T-4-11-III
667
T-4-12-I
668
T-4-12-II
669
T-4-12-III
670
671
672
U-1-10-I
U-1-10-II
U-1-10-III
673
U-1-11-I
674
U-1-11-II
675
U-1-11-III
676
677
678
679
680
681
U-1-12-I
U-1-12-II
U-1-12-III
U-1-13-I
U-1-13-II
U-1-13-III
682
U-1-14-I
683
U-1-14-II
684
U-1-14-III
685
686
687
U-1-15-I
U-1-15-II
U-1-15-III
688
U-1-20-I
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
1.814.256
2.177.107
2.539.959
2.816.180
3.987.625
6.523.716
3.379.416
4.785.150
7.828.459
3.942.652
5.582.675
9.133.202
1.500.230
1.800.276
2.100.322
2.009.632
2.411.559
2.813.485
3.285.182
3.942.218
4.599.254
1.714.375
2.057.250
2.400.125
2.302.289
2.762.747
3.223.205
4.188.615
5.026.338
5.864.061
678.626
814.351
950.076
1.293.310
1.551.972
1.810.634
1.880.122
2.256.146
2.632.170
908.426
1.090.111
1.271.796
1.429.604
1.715.524
2.001.445
2.302.670
2.763.204
3.223.739
1.411.630
1.693.956
1.976.283
2.133.630
2.560.356
2.987.082
3.303.065
3.963.678
4.624.291
1.500.029
3.060.900
13.217.586
1.800.034
3.673.080
15.861.103
2.100.040
4.285.260
18.504.620
5.310.153
6.372.184
7.434.214
7.041.890
8.450.268
9.858.646
13.204.926
15.845.912
18.486.897
3.982.029
7.965.048
10.357.240
4.335.393
4.901.336
7.968.123
4.778.434
9.558.057
12.428.687
5.202.472
5.881.603
9.561.748
5.574.840
11.151.067
14.500.135
6.069.551
6.861.870
11.155.372
3.247.662
3.897.195
4.546.727
3.985.535
4.782.642
5.579.749
4.722.971
5.667.565
6.612.159
1.831.507
2.602.206
4.149.577
2.197.808
3.122.647
4.979.492
2.564.110
3.643.088
5.809.407
4.932.853
5.919.424
6.905.995
Kode INACBG
689
U-1-20-II
690
U-1-20-III
691
692
693
U-1-30-I
U-1-30-II
U-1-30-III
694
U-4-10-I
695
U-4-10-II
696
U-4-10-III
697
698
699
700
701
702
U-4-11-I
U-4-11-II
U-4-11-III
U-4-12-I
U-4-12-II
U-4-12-III
703
U-4-13-I
704
U-4-13-II
705
U-4-13-III
706
707
708
U-4-14-I
U-4-14-II
U-4-14-III
709
U-4-15-I
710
U-4-15-II
711
U-4-15-III
712
V-1-10-I
713
V-1-10-II
714
V-1-10-III
715
716
717
V-1-11-I
V-1-11-II
V-1-11-III
718
V-1-12-I
719
V-1-12-II
720
V-1-12-III
721
V-1-13-I
722
V-1-13-II
723
V-1-13-III
724
V-1-14-I
725
V-1-14-II
726
V-1-14-III
727
V-1-15-I
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
6.474.023
7.768.827
9.063.632
13.005.622
15.606.746
18.207.871
4.197.204
5.706.399
8.231.245
5.036.645
6.847.679
9.877.494
5.876.085
7.988.959
11.523.743
3.940.014
4.728.017
5.516.020
6.543.456
7.852.148
9.160.839
10.046.353
12.055.624
14.064.895
1.604.428
2.409.356
3.672.698
1.609.655
2.162.544
3.298.856
1.925.313
2.891.228
4.407.238
1.931.586
2.595.053
3.958.627
2.246.199
3.373.099
5.141.778
2.253.518
3.027.562
4.618.398
1.579.006
1.894.807
2.210.608
1.842.829
2.211.394
2.579.960
2.085.061
2.502.074
2.919.086
2.005.628
2.412.129
4.050.870
2.406.754
2.894.555
4.861.044
2.807.880
3.376.981
5.671.218
1.612.472
1.934.966
2.257.461
2.016.339
2.419.607
2.822.875
2.819.061
3.382.873
3.946.685
4.717.134
5.660.561
6.603.987
5.415.066
6.498.079
7.581.092
8.024.121
9.628.945
11.233.770
5.411.085
6.065.041
8.971.716
6.493.302
7.278.049
10.766.059
7.575.519
8.491.057
12.560.403
3.967.560
4.761.073
5.554.585
9.131.066
10.957.279
12.783.492
10.496.728
12.596.074
14.695.420
5.771.094
6.925.312
8.079.531
8.780.627
10.536.752
12.292.878
12.177.910
14.613.492
17.049.074
6.412.348
7.694.818
8.977.288
7.795.714
9.354.857
10.914.000
9.544.241
11.453.090
13.361.938
2.512.626
3.015.152
3.517.677
728
729
Kode INACBG
V-1-15-II
V-1-15-III
730
No
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
4.400.305
7.247.956
5.280.366
8.697.547
6.160.427
10.147.139
V-4-10-I
3.676.131
4.411.357
5.146.584
731
V-4-10-II
4.500.568
5.400.682
6.300.796
732
V-4-10-III
9.539.025
11.446.830
13.354.635
733
V-4-11-I
2.063.815
2.476.578
2.889.341
734
V-4-11-II
3.010.227
3.612.272
4.214.317
735
V-4-11-III
5.506.171
6.607.405
7.708.639
736
W-1-01-I
8.204.641
9.845.569
11.486.497
737
W-1-01-II
9.201.439
11.041.727
12.882.015
738
W-1-01-III
12.980.796
15.576.956
18.173.115
739
740
741
W-1-10-I
W-1-10-II
W-1-10-III
2.133.404
3.486.996
5.698.799
2.560.085
4.184.395
6.838.559
2.986.766
4.881.794
7.978.318
742
W-1-11-I
2.830.954
3.397.145
3.963.335
743
W-1-11-II
4.977.138
5.972.566
6.967.994
744
W-1-11-III
10.480.452
12.576.542
14.672.633
745
W-1-12-I
2.167.614
2.601.137
3.034.659
746
W-1-12-II
2.450.739
2.940.887
3.431.035
747
W-1-12-III
3.764.645
4.517.573
5.270.502
748
W-1-13-I
1.900.868
2.281.041
2.661.215
749
W-1-13-II
2.063.794
2.476.553
2.889.312
750
W-1-13-III
2.772.057
3.326.468
3.880.879
751
752
753
754
755
756
757
758
759
760
761
762
W-1-20-I
W-1-20-II
W-1-20-III
W-1-30-I
W-1-30-II
W-1-30-III
W-4-10-I
W-4-10-II
W-4-10-III
W-4-11-I
W-4-11-II
W-4-11-III
5.462.600
7.712.635
9.299.105
2.828.924
4.512.281
14.620.182
2.759.773
3.851.155
6.417.292
1.882.669
2.596.093
3.134.345
6.555.119
9.255.162
11.158.926
3.394.709
5.414.737
17.544.218
3.311.728
4.621.386
7.700.750
2.259.202
3.115.311
3.761.215
7.647.639
10.797.689
13.018.747
3.960.494
6.317.193
20.468.254
3.863.682
5.391.617
8.984.209
2.635.736
3.634.530
4.388.084
763
W-4-12-I
1.608.800
1.930.559
2.252.319
764
W-4-12-II
2.207.757
2.649.308
3.090.859
765
W-4-12-III
3.341.846
4.010.215
4.678.584
766
767
768
769
W-4-13-I
W-4-13-II
W-4-13-III
W-4-14-I
879.993
1.206.375
1.606.651
1.448.171
1.055.992
1.447.650
1.927.981
1.737.805
1.231.991
1.688.925
2.249.312
2.027.439
770
771
772
773
774
775
776
777
778
779
780
781
782
783
784
785
786
Kode INACBG
W-4-14-II
W-4-14-III
W-4-15-I
W-4-15-II
W-4-15-III
W-4-16-I
W-4-16-II
W-4-16-III
W-4-17-I
W-4-17-II
W-4-17-III
Z-4-10-I
Z-4-10-II
Z-4-10-III
Z-4-11-I
Z-4-11-II
Z-4-11-III
787
Z-4-12-I
788
Z-4-12-II
789
Z-4-12-III
No
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
1.632.750
2.349.876
1.009.095
1.122.146
1.553.718
2.160.408
2.889.061
3.915.634
1.218.360
1.607.032
3.046.586
2.763.570
3.668.240
5.211.085
2.655.167
3.192.602
3.747.604
1.959.300
2.819.851
1.210.914
1.346.575
1.864.462
2.592.489
3.466.873
4.698.760
1.462.032
1.928.438
3.655.903
3.316.284
4.401.888
6.253.302
3.186.200
3.831.122
4.497.124
2.285.850
3.289.826
1.412.734
1.571.005
2.175.205
3.024.571
4.044.686
5.481.887
1.705.704
2.249.844
4.265.220
3.868.998
5.135.537
7.295.520
3.717.234
4.469.643
5.246.645
1.208.134
1.449.761
1.691.388
3.280.516
3.936.619
4.592.723
4.240.020
5.088.025
5.936.029
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Kode INACBG
B-2-10-0
B-2-11-0
B-2-12-0
B-2-13-0
B-2-14-0
B-3-10-0
B-3-11-0
B-3-12-0
C-3-10-0
C-3-11-0
C-3-12-0
C-3-13-0
C-3-14-0
C-3-15-0
C-3-16-0
C-3-17-0
C-3-18-0
C-3-19-0
C-3-20-0
C-3-21-0
C-3-22-0
C-3-23-0
D-2-10-0
D-2-11-0
D-2-21-0
D-2-22-0
D-3-10-0
D-3-11-0
E-2-10-0
E-2-21-0
31
E-2-22-0
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
E-3-10-0
F-3-10-0
F-5-10-0
F-5-11-0
F-5-12-0
F-5-13-0
F-5-14-0
F-5-15-0
F-5-16-0
G-2-10-0
G-2-11-0
G-2-12-0
G-2-13-0
G-2-21-0
G-2-22-0
G-2-31-0
G-2-32-0
G-3-10-0
G-3-11-0
G-3-12-0
G-3-13-0
H-2-21-0
H-2-22-0
H-2-23-0
H-2-31-0
H-2-32-0
No
58
59
60
61
62
63
64
65
66
67
68
69
70
71
Kode INACBG
H-2-33-0
H-2-34-0
H-2-35-0
H-2-36-0
H-2-37-0
H-3-10-0
H-3-11-0
H-3-12-0
H-3-13-0
I-2-11-0
I-2-12-0
I-2-13-0
I-2-14-0
I-2-15-0
72
I-2-16-0
73
74
75
76
77
78
79
I-2-17-0
I-2-21-0
I-2-22-0
I-2-23-0
I-2-31-0
I-2-32-0
I-2-41-0
80
I-2-42-0
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
I-3-10-0
I-3-11-0
I-3-12-0
I-3-13-0
I-3-14-0
I-3-15-0
J-2-10-0
J-2-21-0
J-2-22-0
J-2-31-0
J-2-32-0
J-3-10-0
J-3-11-0
J-3-12-0
J-3-13-0
J-3-14-0
J-3-15-0
J-3-16-0
J-3-17-0
K-2-10-0
K-2-11-0
K-2-12-0
K-2-13-0
K-2-14-0
K-2-21-0
K-2-22-0
K-2-31-0
K-2-32-0
K-2-41-0
K-2-42-0
K-2-51-0
K-2-52-0
K-2-53-0
K-3-10-0
No
Kode INACBG
K-3-11-0
K-3-12-0
K-3-13-0
K-3-14-0
K-3-15-0
K-3-16-0
L-2-21-0
L-2-22-0
L-2-31-0
L-2-32-0
L-2-41-0
L-2-42-0
L-2-51-0
L-2-52-0
L-2-53-0
L-3-10-0
L-3-11-0
L-3-12-0
M-2-10-0
M-2-21-0
M-2-22-0
M-2-31-0
M-2-32-0
M-2-41-0
M-2-42-0
M-2-51-0
M-2-52-0
M-2-61-0
M-2-62-0
M-2-63-0
M-2-64-0
M-2-65-0
M-2-71-0
M-2-72-0
M-2-81-0
M-2-82-0
M-2-83-0
M-2-84-0
M-3-10-0
M-3-11-0
M-3-12-0
M-3-13-0
M-3-14-0
M-3-15-0
M-3-16-0
M-3-17-0
N-2-11-0
N-2-12-0
N-2-21-0
N-2-22-0
N-2-23-0
N-2-24-0
N-2-31-0
N-2-32-0
N-2-41-0
N-2-42-0
N-3-10-0
N-3-11-0
N-3-12-0
Kode INACBG
N-3-13-0
N-3-14-0
N-3-15-0
O-7-10-0
178 O-7-11-0
179 O-7-12-0
180 O-7-13-0
181 P-9-10-0
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
229
P-9-11-0
P-9-12-0
P-9-13-0
P-9-14-0
P-9-15-0
P-9-16-0
P-9-17-0
Q-5-10-0
Q-5-11-0
Q-5-12-0
Q-5-13-0
Q-5-14-0
Q-5-15-0
Q-5-16-0
Q-5-17-0
Q-5-18-0
Q-5-19-0
Q-5-20-0
Q-5-21-0
Q-5-22-0
Q-5-23-0
Q-5-24-0
Q-5-25-0
Q-5-26-0
Q-5-27-0
Q-5-28-0
Q-5-29-0
Q-5-30-0
Q-5-31-0
Q-5-32-0
Q-5-33-0
Q-5-34-0
Q-5-35-0
Q-5-36-0
Q-5-37-0
Q-5-38-0
Q-5-39-0
Q-5-40-0
Q-5-41-0
Q-5-42-0
Q-5-43-0
Q-5-44-0
T-2-10-0
U-2-10-0
U-2-11-0
U-2-12-0
U-2-13-0
U-2-14-0
333.605
233.674
920.117
2.485.679
1.999.876
1.189.904
1.244.424
182.674
182.674
182.674
182.674
148.088
94.656
122.828
181.888
237.785
145.630
127.881
96.874
129.366
90.578
102.172
88.106
135.479
151.465
109.086
82.879
107.347
130.611
89.490
139.378
197.542
140.837
114.297
321.935
374.669
133.788
154.861
162.291
230.137
260.397
304.370
190.783
207.062
131.930
129.605
180.282
141.377
202.198
165.288
105.516
1.407.584
1.673.071
183.192
241.827
364.280
Kode INACBG
U-2-15-0
U-2-21-0
U-2-22-0
U-2-23-0
U-2-24-0
U-2-25-0
U-2-31-0
U-2-32-0
207.320
467.399
242.419
751.132
516.801
196.690
181.985
157.829
238 U-3-10-0
200.146
239 U-3-11-0
187.861
240 U-3-12-0
88.391
241 U-3-13-0
242
243
244
245
246
247
248
249
250
251
252
253
254
255
256
257
258
259
260
261
262
263
264
265
266
267
268
U-3-14-0
U-3-15-0
U-3-16-0
V-2-10-0
V-2-11-0
V-2-12-0
V-2-13-0
V-2-14-0
V-2-15-0
V-3-10-0
V-3-11-0
V-3-12-0
W-2-10-0
W-2-11-0
W-2-12-0
W-2-13-0
W-2-21-0
W-2-22-0
W-2-23-0
W-2-31-0
W-2-32-0
W-2-33-0
W-2-34-0
W-3-10-0
W-3-11-0
W-3-12-0
Z-3-10-0
269 Z-3-11-0
270
271
272
273
274
275
276
277
278
279
280
281
282
283
284
Z-3-12-0
Z-3-13-0
Z-3-14-0
Z-3-15-0
Z-3-16-0
Z-3-17-0
Z-3-18-0
Z-3-19-0
Z-3-20-0
Z-3-21-0
Z-3-22-0
Z-3-23-0
Z-3-24-0
Z-3-25-0
Z-3-26-0
193.403
178.532
155.709
175.765
2.099.216
236.713
755.465
284.235
333.605
182.762
380.978
657.392
465.544
170.519
436.020
805.966
129.263
1.620.206
170.382
568.573
1.866.452
1.309.028
556.354
189.226
459.892
367.624
170.382
1.928.951
1.474.333
246.178
1.502.246
297.041
193.937
622.478
261.330
251.786
262.060
178.234
170.382
192.090
200.079
393.115
175.093
197.890
Kode INACBG
Z-3-27-0
Z-3-28-0
Z-3-29-0
Z-3-30-0
1
2
3
4
5
6
7
8
9
10
11
12
Kode INACBG
A-4-10-I
A-4-10-II
A-4-10-III
A-4-11-I
A-4-11-II
A-4-11-III
A-4-12-I
A-4-12-II
A-4-12-III
A-4-13-I
A-4-13-II
A-4-13-III
13
A-4-14-I
14
A-4-14-II
15
A-4-14-III
16
17
18
19
20
21
22
23
24
25
26
27
A-4-15-I
A-4-15-II
A-4-15-III
B-1-01-I
B-1-01-II
B-1-01-III
B-1-10-I
B-1-10-II
B-1-10-III
B-1-11-I
B-1-11-II
B-1-11-III
28
B-1-12-I
29
B-1-12-II
30
B-1-12-III
31
B-1-13-I
32
B-1-13-II
33
B-1-13-III
34
B-1-14-I
35
B-1-14-II
36
B-1-14-III
37
38
39
B-4-10-I
B-4-10-II
B-4-10-III
40
B-4-11-I
41
B-4-11-II
42
B-4-11-III
4.748.104
5.697.725
6.647.346
43
44
45
B-4-12-I
B-4-12-II
B-4-12-III
2.516.644
3.777.160
7.183.337
3.019.973
4.532.592
8.620.004
3.523.302
5.288.024
10.056.671
No
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
1.530.919
2.472.504
2.855.514
3.332.426
4.878.619
7.980.355
1.345.525
1.736.493
2.149.993
1.678.778
2.020.747
2.446.150
1.837.102
2.967.004
3.426.617
3.998.911
5.854.343
9.576.426
1.614.630
2.083.791
2.579.992
2.014.533
2.424.897
2.935.380
2.143.286
3.461.505
3.997.720
4.665.396
6.830.067
11.172.497
1.883.735
2.431.090
3.009.991
2.350.289
2.829.046
3.424.610
2.613.044
3.135.653
3.658.261
3.361.035
4.033.243
4.705.450
3.850.956
4.621.147
5.391.338
2.021.649
3.017.457
5.046.247
22.347.321
24.655.069
43.250.065
2.897.254
7.383.599
15.377.296
2.368.400
5.942.580
7.446.761
2.425.979
3.620.948
6.055.496
26.816.785
29.586.083
51.900.078
3.476.705
8.860.319
18.452.755
2.842.079
7.131.097
8.936.114
2.830.309
4.224.439
7.064.745
31.286.249
34.517.097
60.550.091
4.056.156
10.337.039
21.528.215
3.315.759
8.319.613
10.425.466
4.112.514
4.935.016
5.757.519
8.814.123
10.576.947
12.339.772
10.727.119
12.872.543
15.017.967
3.314.998
3.977.998
4.640.997
5.399.651
6.479.581
7.559.511
7.960.600
9.552.720
11.144.840
4.499.152
5.398.983
6.298.813
5.003.965
6.004.758
7.005.551
7.828.109
9.393.730
10.959.352
1.256.645
1.822.485
3.072.791
1.507.974
2.186.982
3.687.349
1.759.303
2.551.479
4.301.907
2.446.861
2.936.234
3.425.606
3.667.675
4.401.209
5.134.744
Kode INACBG
46
B-4-13-I
47
B-4-13-II
48
B-4-13-III
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
B-4-14-I
B-4-14-II
B-4-14-III
C-4-10-I
C-4-10-II
C-4-10-III
C-4-11-I
C-4-11-II
C-4-11-III
C-4-12-I
C-4-12-II
C-4-12-III
C-4-13-I
C-4-13-II
C-4-13-III
C-4-14-I
C-4-14-II
C-4-14-III
67
D-1-10-I
68
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
2.014.014
2.416.817
2.819.620
2.606.101
3.127.321
3.648.541
3.834.329
4.601.194
5.368.060
2.310.853
2.602.019
3.306.380
2.356.175
4.571.977
6.714.242
2.364.193
2.699.467
5.482.432
1.347.893
4.432.857
8.978.764
1.345.343
2.689.639
3.525.724
2.092.254
3.049.413
4.636.085
2.773.023
3.122.422
3.967.656
2.827.410
5.486.372
8.057.091
2.837.032
3.239.360
6.578.919
1.617.472
5.319.428
10.774.517
1.614.412
3.227.567
4.230.868
2.510.704
3.659.295
5.563.302
3.235.194
3.642.826
4.628.932
3.298.644
6.400.767
9.399.939
3.309.870
3.779.253
7.675.405
1.887.051
6.205.999
12.570.269
1.883.481
3.765.494
4.936.013
2.929.155
4.269.178
6.490.519
14.299.718
17.159.661
20.019.605
D-1-10-II
21.779.567
26.135.480
30.491.393
69
D-1-10-III
29.517.264
35.420.717
41.324.170
70
71
72
D-1-11-I
D-1-11-II
D-1-11-III
3.515.045
9.079.518
12.619.619
4.218.054
10.895.421
15.143.543
4.921.063
12.711.325
17.667.466
73
D-1-20-I
3.087.092
3.704.510
4.321.928
74
D-1-20-II
8.893.896
10.672.675
12.451.455
75
D-1-20-III
14.237.938
17.085.526
19.933.113
76
77
78
79
80
81
82
83
84
D-4-10-I
D-4-10-II
D-4-10-III
D-4-11-I
D-4-11-II
D-4-11-III
D-4-12-I
D-4-12-II
D-4-12-III
1.385.247
2.329.852
3.372.228
1.680.787
3.396.232
4.187.715
1.723.114
2.390.129
3.670.044
1.662.296
2.795.822
4.046.673
2.016.945
4.075.478
5.025.258
2.067.737
2.868.154
4.404.052
1.939.346
3.261.792
4.721.119
2.353.102
4.754.725
5.862.801
2.412.360
3.346.180
5.138.061
85
D-4-13-I
1.347.281
1.616.737
1.886.193
86
D-4-13-II
2.020.009
2.424.011
2.828.012
87
D-4-13-III
2.477.668
2.973.202
3.468.735
88
D-4-14-I
1.685.841
2.023.010
2.360.178
89
D-4-14-II
3.126.140
3.751.369
4.376.597
90
D-4-14-III
4.383.531
5.260.237
6.136.943
91
92
93
94
95
96
Kode INACBG
E-1-01-I
E-1-01-II
E-1-01-III
E-1-10-I
E-1-10-II
E-1-10-III
97
E-1-20-I
98
E-1-20-II
99
E-1-20-III
100
E-4-10-I
101
E-4-10-II
102
E-4-10-III
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
E-4-11-I
E-4-11-II
E-4-11-III
E-4-12-I
E-4-12-II
E-4-12-III
E-4-13-I
E-4-13-II
E-4-13-III
F-4-10-I
F-4-10-II
F-4-10-III
F-4-11-I
F-4-11-II
F-4-11-III
118
F-4-12-I
1.189.472
1.427.367
1.665.261
119
F-4-12-II
1.576.913
1.892.296
2.207.678
120
F-4-12-III
3.123.735
3.748.482
4.373.229
121
122
123
124
125
126
127
128
129
F-4-13-I
F-4-13-II
F-4-13-III
F-4-14-I
F-4-14-II
F-4-14-III
F-4-15-I
F-4-15-II
F-4-15-III
1.961.395
2.601.377
3.354.143
1.121.029
1.437.947
1.934.822
1.638.248
2.311.736
2.889.376
2.353.674
3.121.652
4.024.972
1.345.235
1.725.537
2.321.787
1.965.898
2.774.083
3.467.251
2.745.953
3.641.927
4.695.800
1.569.441
2.013.126
2.708.751
2.293.548
3.236.430
4.045.126
130
F-4-16-I
3.539.622
4.247.546
4.955.471
131
F-4-16-II
4.100.257
4.920.309
5.740.360
132
F-4-16-III
5.473.159
6.567.791
7.662.422
133
134
135
136
137
138
F-4-17-I
F-4-17-II
F-4-17-III
F-4-18-I
F-4-18-II
F-4-18-III
680.902
1.995.660
2.129.222
3.058.419
3.365.125
5.187.633
817.083
2.394.792
2.555.067
3.670.103
4.038.150
6.225.160
953.263
2.793.924
2.980.911
4.281.787
4.711.175
7.262.687
No
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
3.854.219
5.048.660
10.007.285
3.282.283
3.983.921
8.396.932
4.625.063
6.058.393
12.008.742
3.938.739
4.780.705
10.076.318
5.395.907
7.068.125
14.010.199
4.595.196
5.577.489
11.755.705
4.182.412
5.018.894
5.855.376
6.090.510
7.308.612
8.526.714
10.108.501
12.130.201
14.151.901
1.863.900
2.236.680
2.609.459
2.864.616
3.437.540
4.010.463
3.968.568
4.762.281
5.555.995
1.603.422
2.645.462
4.351.028
1.844.542
3.031.036
4.430.278
2.123.087
3.588.660
5.222.027
2.644.480
2.940.355
4.353.261
2.432.467
2.834.055
3.634.295
1.924.106
3.174.555
5.221.233
2.213.451
3.637.244
5.316.333
2.547.705
4.306.392
6.266.433
3.173.376
3.528.427
5.223.913
2.918.961
3.400.867
4.361.154
2.244.791
3.703.647
6.091.439
2.582.359
4.243.451
6.202.389
2.972.322
5.024.124
7.310.838
3.702.272
4.116.498
6.094.565
3.405.454
3.967.678
5.088.013
139
140
141
Kode INACBG
F-4-19-I
F-4-19-II
F-4-19-III
142
G-1-01-I
143
G-1-01-II
144
G-1-01-III
16.694.359
20.033.231
23.372.103
145
146
147
148
149
150
G-1-10-I
G-1-10-II
G-1-10-III
G-1-11-I
G-1-11-II
G-1-11-III
3.727.559
5.262.848
6.241.140
4.306.577
8.848.460
18.155.982
4.473.071
6.315.418
7.489.368
5.167.893
10.618.152
21.787.178
5.218.583
7.367.988
8.737.595
6.029.208
12.387.844
25.418.375
151
G-1-12-I
2.476.746
2.972.095
3.467.444
152
G-1-12-II
6.218.104
7.461.725
8.705.345
153
G-1-12-III
9.139.476
10.967.372
12.795.267
154
155
156
157
158
159
160
161
162
G-1-13-I
G-1-13-II
G-1-13-III
G-1-20-I
G-1-20-II
G-1-20-III
G-1-30-I
G-1-30-II
G-1-30-III
735.863
1.976.446
4.459.694
3.437.337
5.677.332
11.383.213
5.372.596
14.029.394
18.022.319
883.035
2.371.735
5.351.633
4.124.804
6.812.798
13.659.856
6.447.115
16.835.272
21.626.783
1.030.208
2.767.024
6.243.572
4.812.272
7.948.264
15.936.499
7.521.634
19.641.151
25.231.247
163
G-4-10-I
2.012.549
2.415.059
2.817.568
164
G-4-10-II
2.453.647
2.944.376
3.435.105
165
G-4-10-III
4.296.138
5.155.365
6.014.593
166
G-4-11-I
3.229.016
3.874.819
4.520.622
167
G-4-11-II
4.631.036
5.557.243
6.483.450
168
G-4-11-III
6.156.435
7.387.723
8.619.010
169
170
171
G-4-12-I
G-4-12-II
G-4-12-III
2.986.501
3.749.960
5.446.370
3.583.801
4.499.952
6.535.644
4.181.101
5.249.944
7.624.918
172
G-4-13-I
1.653.072
1.983.687
2.314.301
173
G-4-13-II
2.349.838
2.819.805
3.289.773
174
G-4-13-III
2.779.785
3.335.742
3.891.699
175
G-4-14-I
2.637.427
3.164.912
3.692.398
176
G-4-14-II
4.074.558
4.889.470
5.704.382
177
G-4-14-III
5.094.964
6.113.957
7.132.950
178
G-4-15-I
2.014.663
2.417.596
2.820.529
No
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
2.339.918
2.996.325
3.730.464
2.807.901
3.595.590
4.476.557
3.275.885
4.194.854
5.222.650
6.232.278
7.478.733
8.725.189
8.587.624
10.305.149
12.022.674
Kode INACBG
179
G-4-15-II
180
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
2.453.581
2.944.298
3.435.014
G-4-15-III
3.161.065
3.793.278
4.425.491
181
182
183
G-4-16-I
G-4-16-II
G-4-16-III
1.677.869
1.931.470
3.723.032
2.013.443
2.317.764
4.467.639
2.349.016
2.704.058
5.212.245
184
G-4-17-I
2.257.264
2.708.716
3.160.169
185
G-4-17-II
3.002.046
3.602.455
4.202.864
186
G-4-17-III
5.031.454
6.037.744
7.044.035
187
G-4-18-I
2.011.679
2.414.015
2.816.351
188
G-4-18-II
3.449.333
4.139.200
4.829.066
189
G-4-18-III
3.661.852
4.394.222
5.126.593
190
G-4-19-I
2.010.604
2.412.724
2.814.845
191
G-4-19-II
3.135.169
3.762.203
4.389.237
192
G-4-19-III
3.941.185
4.729.422
5.517.659
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
G-4-20-I
G-4-20-II
G-4-20-III
G-4-21-I
G-4-21-II
G-4-21-III
G-4-22-I
G-4-22-II
G-4-22-III
G-4-23-I
G-4-23-II
G-4-23-III
G-4-24-I
G-4-24-II
G-4-24-III
G-4-25-I
G-4-25-II
G-4-25-III
1.175.880
1.669.217
2.847.969
1.574.922
2.040.164
3.237.662
1.345.544
1.677.428
1.933.103
1.472.934
1.682.717
2.395.775
2.618.702
3.271.668
6.334.094
1.344.173
1.684.548
2.093.821
1.411.056
2.003.060
3.417.562
1.889.906
2.448.197
3.885.194
1.614.652
2.012.914
2.319.724
1.767.521
2.019.260
2.874.931
3.142.442
3.926.001
7.600.913
1.613.007
2.021.458
2.512.585
1.646.232
2.336.903
3.987.156
2.204.890
2.856.230
4.532.726
1.883.761
2.348.400
2.706.345
2.062.108
2.355.804
3.354.086
3.666.182
4.580.335
8.867.732
1.881.842
2.358.367
2.931.349
211
G-4-26-I
2.342.199
2.810.639
3.279.078
212
G-4-26-II
2.739.750
3.287.700
3.835.650
213
G-4-26-III
3.471.838
4.166.205
4.860.573
214
215
216
217
218
219
220
221
222
H-1-20-I
H-1-20-II
H-1-20-III
H-1-30-I
H-1-30-II
H-1-30-III
H-4-10-I
H-4-10-II
H-4-10-III
1.872.879
4.207.960
5.722.563
1.825.059
2.577.805
4.300.974
2.052.063
2.899.011
5.476.343
2.247.454
5.049.552
6.867.076
2.190.070
3.093.366
5.161.168
2.462.475
3.478.814
6.571.611
2.622.030
5.891.145
8.011.589
2.555.082
3.608.926
6.021.363
2.872.888
4.058.616
7.666.880
223
224
225
226
227
228
Kode INACBG
H-4-11-I
H-4-11-II
H-4-11-III
H-4-12-I
H-4-12-II
H-4-12-III
229
I-1-01-I
230
I-1-01-II
231
I-1-01-III
232
I-1-02-I
233
I-1-02-II
234
I-1-02-III
235
I-1-03-I
236
I-1-03-II
237
I-1-03-III
238
I-1-04-I
239
I-1-04-II
240
I-1-04-III
241
I-1-05-I
242
I-1-05-II
243
I-1-05-III
244
245
246
I-1-06-I
I-1-06-II
I-1-06-III
247
I-1-07-I
248
I-1-07-II
249
I-1-07-III
250
I-1-11-I
251
I-1-11-II
252
I-1-11-III
253
I-1-12-I
254
I-1-12-II
255
I-1-12-III
256
I-1-13-I
No
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
1.636.875
1.806.795
2.404.985
1.858.647
2.518.461
4.183.566
1.964.250
2.168.154
2.885.982
2.230.376
3.022.153
5.020.279
2.291.625
2.529.514
3.366.979
2.602.105
3.525.845
5.856.992
28.991.061
34.789.274
40.587.486
29.629.016
35.554.819
41.480.622
46.768.833
56.122.600
65.476.366
16.084.074
19.300.889
22.517.703
20.748.455
24.898.146
29.047.837
25.573.677
30.688.413
35.803.148
9.940.166
11.928.200
13.916.233
11.448.978
13.738.774
16.028.569
18.939.742
22.727.690
26.515.639
14.458.460
17.350.151
20.241.843
15.558.663
18.670.396
21.782.128
32.266.280
38.719.536
45.172.792
21.287.745
25.545.294
29.802.843
25.545.294
30.654.352
35.763.411
35.150.163
42.180.195
49.210.228
9.792.958
14.356.391
19.457.440
11.751.550
17.227.669
23.348.927
13.710.142
20.098.948
27.240.415
15.789.244
18.947.093
22.104.942
19.479.241
23.375.089
27.270.937
21.251.725
25.502.070
29.752.415
2.443.525
2.932.230
3.420.935
2.716.955
3.260.346
3.803.737
3.615.439
4.338.527
5.061.615
7.720.767
9.264.920
10.809.074
8.823.171
10.587.805
12.352.439
14.941.579
17.929.895
20.918.211
3.830.118
4.596.142
5.362.166
Kode INACBG
257
I-1-13-II
258
I-1-13-III
259
I-1-14-I
260
I-1-14-II
261
I-1-14-III
262
263
264
I-1-15-I
I-1-15-II
I-1-15-III
265
I-1-16-I
266
I-1-16-II
267
I-1-16-III
268
I-1-17-I
269
I-1-17-II
270
I-1-17-III
271
I-1-20-I
272
I-1-20-II
273
I-1-20-III
274
I-1-30-I
275
I-1-30-II
276
I-1-30-III
277
278
279
280
281
282
283
284
285
286
287
288
I-1-40-I
I-1-40-II
I-1-40-III
I-4-10-I
I-4-10-II
I-4-10-III
I-4-11-I
I-4-11-II
I-4-11-III
I-4-12-I
I-4-12-II
I-4-12-III
289
I-4-13-I
290
I-4-13-II
291
I-4-13-III
292
293
294
I-4-14-I
I-4-14-II
I-4-14-III
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
5.273.673
6.328.407
7.383.142
11.484.159
13.780.991
16.077.823
16.557.135
19.868.562
23.179.989
20.578.153
24.693.784
28.809.415
26.964.477
32.357.372
37.750.267
3.875.586
7.727.371
11.329.409
4.650.703
9.272.845
13.595.290
5.425.820
10.818.319
15.861.172
7.095.915
8.515.098
9.934.281
18.449.379
22.139.255
25.829.130
21.280.906
25.537.087
29.793.268
2.720.171
3.264.205
3.808.239
4.588.549
5.506.259
6.423.969
26.723.085
32.067.702
37.412.319
3.298.483
3.958.180
4.617.877
5.459.207
6.551.049
7.642.890
9.550.224
11.460.269
13.370.314
8.050.352
9.660.423
11.270.493
16.746.359
20.095.631
23.444.903
25.950.775
31.140.929
36.331.084
8.018.349
10.510.860
13.147.167
3.063.973
4.837.472
6.971.687
3.543.209
3.747.636
6.932.347
3.201.412
4.532.095
5.514.254
9.622.019
12.613.032
15.776.600
3.676.768
5.804.966
8.366.025
4.251.850
4.497.163
8.318.816
3.841.695
5.438.514
6.617.105
11.225.689
14.715.204
18.406.034
4.289.563
6.772.460
9.760.362
4.960.492
5.246.691
9.705.286
4.481.977
6.344.933
7.719.956
3.510.314
4.212.377
4.914.440
5.111.977
6.134.372
7.156.767
8.735.262
10.482.314
12.229.367
1.786.668
2.078.257
3.230.687
2.144.002
2.493.908
3.876.825
2.501.335
2.909.559
4.522.962
Kode INACBG
295
I-4-15-I
296
I-4-15-II
297
I-4-15-III
298
299
300
301
302
303
304
305
I-4-16-I
I-4-16-II
I-4-16-III
I-4-17-I
I-4-17-II
I-4-17-III
I-4-18-I
I-4-18-II
306
I-4-18-III
307
I-4-19-I
308
I-4-19-II
309
310
311
312
313
314
315
316
317
318
I-4-19-III
I-4-20-I
I-4-20-II
I-4-20-III
I-4-21-I
I-4-21-II
I-4-21-III
I-4-22-I
I-4-22-II
I-4-22-III
319
I-4-23-I
320
I-4-23-II
321
I-4-23-III
322
I-4-24-I
323
I-4-24-II
324
I-4-24-III
325
J-1-01-I
326
J-1-01-II
327
J-1-01-III
328
J-1-02-I
329
J-1-02-II
330
J-1-02-III
331
332
333
J-1-10-I
J-1-10-II
J-1-10-III
334
J-1-20-I
335
J-1-20-II
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
2.695.319
3.234.383
3.773.447
4.025.733
4.830.880
5.636.026
4.588.367
5.506.040
6.423.714
2.015.209
2.601.352
3.352.278
2.998.422
4.064.776
4.933.333
2.736.705
4.016.662
2.418.250
3.121.623
4.022.734
3.598.107
4.877.731
5.920.000
3.284.046
4.819.995
2.821.292
3.641.893
4.693.189
4.197.791
5.690.687
6.906.666
3.831.387
5.623.327
5.513.823
6.616.588
7.719.353
1.964.967
2.357.961
2.750.954
3.284.702
3.941.642
4.598.582
3.762.521
2.467.384
2.838.538
3.778.987
3.258.675
4.074.969
5.584.339
2.189.446
2.518.360
3.679.067
4.515.025
2.960.860
3.406.245
4.534.784
3.910.410
4.889.963
6.701.207
2.627.335
3.022.031
4.414.880
5.267.530
3.454.337
3.973.953
5.290.582
4.562.145
5.704.957
7.818.075
3.065.224
3.525.703
5.150.693
1.654.268
1.985.121
2.315.975
2.031.059
2.437.271
2.843.483
3.968.505
4.762.206
5.555.907
1.994.849
2.393.818
2.792.788
4.790.509
5.748.610
6.706.712
6.080.111
7.296.133
8.512.155
19.019.963
22.823.956
26.627.948
20.318.957
24.382.749
28.446.540
28.268.304
33.921.964
39.575.625
7.658.026
9.189.632
10.721.237
9.370.848
11.245.018
13.119.188
12.596.827
15.116.193
17.635.558
3.786.899
7.455.190
12.650.317
4.544.278
8.946.228
15.180.380
5.301.658
10.437.266
17.710.443
3.280.712
3.936.855
4.592.997
4.047.389
4.856.867
5.666.345
Kode INACBG
336
J-1-20-III
337
J-1-30-I
338
J-1-30-II
339
J-1-30-III
340
341
342
343
344
345
346
347
348
349
350
351
352
353
354
355
356
357
358
359
360
361
362
363
364
365
366
367
368
369
370
371
372
J-4-10-I
J-4-10-II
J-4-10-III
J-4-11-I
J-4-11-II
J-4-11-III
J-4-12-I
J-4-12-II
J-4-12-III
J-4-13-I
J-4-13-II
J-4-13-III
J-4-14-I
J-4-14-II
J-4-14-III
J-4-15-I
J-4-15-II
J-4-15-III
J-4-16-I
J-4-16-II
J-4-16-III
J-4-17-I
J-4-17-II
J-4-17-III
J-4-18-I
J-4-18-II
J-4-18-III
J-4-19-I
J-4-19-II
J-4-19-III
J-4-20-I
J-4-20-II
J-4-20-III
373
J-4-21-I
374
J-4-21-II
375
J-4-21-III
376
K-1-10-I
377
K-1-10-II
378
K-1-10-III
379
380
381
K-1-11-I
K-1-11-II
K-1-11-III
382
K-1-12-I
383
K-1-12-II
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
5.733.483
6.880.179
8.026.876
2.212.189
2.654.627
3.097.065
8.292.322
9.950.786
11.609.251
22.236.204
26.683.445
31.130.685
2.133.018
3.049.960
4.614.134
1.613.351
2.241.198
3.211.694
2.060.869
2.664.869
3.558.663
3.088.640
4.552.271
9.064.734
2.577.728
4.340.089
5.136.888
3.928.050
4.692.920
6.235.991
3.272.881
4.599.259
7.612.314
1.853.421
2.515.921
2.976.071
1.347.637
1.923.728
2.008.384
2.356.928
3.179.697
4.110.296
2.590.931
3.435.963
5.579.546
2.559.622
3.659.952
5.536.960
1.936.022
2.689.438
3.854.033
2.473.043
3.197.843
4.270.396
3.706.368
5.462.725
10.877.681
3.093.273
5.208.107
6.164.265
4.713.660
5.631.503
7.483.189
3.927.458
5.519.111
9.134.777
2.224.106
3.019.105
3.571.285
1.617.164
2.308.474
2.410.061
2.828.313
3.815.637
4.932.355
3.109.117
4.123.155
6.695.456
2.986.225
4.269.944
6.459.787
2.258.692
3.137.677
4.496.372
2.885.217
3.730.817
4.982.129
4.324.096
6.373.179
12.690.628
3.608.819
6.076.124
7.191.643
5.499.270
6.570.087
8.730.387
4.582.034
6.438.963
10.657.240
2.594.790
3.522.289
4.166.499
1.886.691
2.693.219
2.811.738
3.299.699
4.451.576
5.754.414
3.627.303
4.810.348
7.811.365
1.442.559
1.731.071
2.019.583
2.693.775
3.232.530
3.771.285
3.858.328
4.629.994
5.401.659
3.633.927
4.360.713
5.087.498
6.026.281
7.231.537
8.436.794
7.068.098
8.481.718
9.895.337
3.728.160
4.894.625
12.421.594
4.473.793
5.873.550
14.905.913
5.219.425
6.852.475
17.390.232
2.007.050
2.408.461
2.809.871
2.613.643
3.136.371
3.659.100
Kode INACBG
384
K-1-12-III
385
386
387
K-1-13-I
K-1-13-II
K-1-13-III
388
K-1-14-I
389
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
5.198.313
6.237.975
7.277.638
2.274.114
3.983.281
4.252.391
2.728.937
4.779.937
5.102.870
3.183.760
5.576.594
5.953.348
3.117.173
3.740.608
4.364.043
K-1-14-II
4.327.466
5.192.960
6.058.453
390
391
392
393
K-1-14-III
K-1-20-I
K-1-20-II
K-1-20-III
8.702.713
7.140.640
9.970.988
17.387.956
10.443.255
8.568.768
11.965.185
20.865.547
12.183.798
9.996.896
13.959.383
24.343.138
394
K-1-30-I
4.713.680
5.656.415
6.599.151
395
K-1-30-II
7.260.823
8.712.987
10.165.152
396
K-1-30-III
13.489.350
16.187.219
18.885.089
397
K-1-40-I
4.733.905
5.680.686
6.627.467
398
K-1-40-II
5.203.015
6.243.618
7.284.221
399
400
401
402
403
404
405
406
407
408
409
410
411
K-1-40-III
K-1-50-I
K-1-50-II
K-1-50-III
K-4-10-I
K-4-10-II
K-4-10-III
K-4-11-I
K-4-11-II
K-4-11-III
K-4-12-I
K-4-12-II
K-4-12-III
8.628.699
3.611.898
4.654.787
6.239.420
2.723.664
3.265.492
8.418.845
1.346.725
2.190.941
2.993.329
1.374.256
2.401.139
4.517.662
10.354.439
4.334.278
5.585.744
7.487.304
3.268.397
3.918.591
10.102.614
1.616.070
2.629.130
3.591.995
1.649.107
2.881.367
5.421.195
12.080.179
5.056.657
6.516.701
8.735.188
3.813.130
4.571.689
11.786.383
1.885.415
3.067.318
4.190.661
1.923.959
3.361.594
6.324.727
412
K-4-13-I
2.013.439
2.416.126
2.818.814
413
K-4-13-II
2.616.342
3.139.610
3.662.878
414
K-4-13-III
4.271.255
5.125.506
5.979.757
415
K-4-14-I
1.681.194
2.017.433
2.353.672
416
K-4-14-II
2.280.365
2.736.438
3.192.511
417
K-4-14-III
3.671.691
4.406.029
5.140.367
418
419
420
421
422
423
K-4-15-I
K-4-15-II
K-4-15-III
K-4-16-I
K-4-16-II
K-4-16-III
1.682.792
2.508.758
3.520.921
1.677.360
2.198.311
2.954.259
2.019.350
3.010.509
4.225.105
2.012.832
2.637.973
3.545.111
2.355.909
3.512.261
4.929.289
2.348.304
3.077.635
4.135.963
424
K-4-17-I
2.372.744
2.847.293
3.321.842
425
K-4-17-II
3.357.841
4.029.410
4.700.978
426
K-4-17-III
3.787.652
4.545.183
5.302.713
Kode INACBG
427
K-4-18-I
428
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
2.617.874
3.141.449
3.665.023
K-4-18-II
3.926.736
4.712.083
5.497.430
429
K-4-18-III
4.816.965
5.780.358
6.743.751
430
L-1-20-I
16.414.779
19.697.735
22.980.691
431
L-1-20-II
17.064.347
20.477.216
23.890.085
432
L-1-20-III
28.851.592
34.621.911
40.392.229
433
L-1-30-I
6.014.600
7.217.520
8.420.440
434
L-1-30-II
10.823.485
12.988.182
15.152.879
435
L-1-30-III
11.429.827
13.715.792
16.001.757
436
L-1-40-I
2.858.954
3.430.745
4.002.536
437
L-1-40-II
5.012.032
6.014.438
7.016.845
438
L-1-40-III
8.483.318
10.179.981
11.876.645
439
440
441
442
443
444
445
446
447
448
449
450
L-1-50-I
L-1-50-II
L-1-50-III
L-4-10-I
L-4-10-II
L-4-10-III
L-4-11-I
L-4-11-II
L-4-11-III
L-4-12-I
L-4-12-II
L-4-12-III
3.687.724
6.619.096
8.062.881
2.021.483
2.775.680
5.712.653
2.164.093
2.994.836
6.910.876
2.255.188
3.546.652
5.743.676
4.425.268
7.942.915
9.675.458
2.425.780
3.330.816
6.855.184
2.596.911
3.593.804
8.293.051
2.706.225
4.255.983
6.892.412
5.162.813
9.266.734
11.288.034
2.830.076
3.885.952
7.997.714
3.029.730
4.192.771
9.675.226
3.157.263
4.965.313
8.041.147
451
L-4-13-I
1.396.170
1.675.404
1.954.637
452
L-4-13-II
1.745.137
2.094.165
2.443.192
453
L-4-13-III
2.463.761
2.956.513
3.449.265
454
L-4-14-I
1.384.597
1.661.517
1.938.436
455
L-4-14-II
2.052.906
2.463.487
2.874.068
456
L-4-14-III
3.783.057
4.539.668
5.296.279
457
M-1-01-I
6.551.591
7.861.909
9.172.227
458
M-1-01-II
7.312.635
8.775.162
10.237.689
459
M-1-01-III
10.272.271
12.326.725
14.381.179
460
461
462
M-1-02-I
M-1-02-II
M-1-02-III
5.559.779
9.148.432
13.388.692
6.671.735
10.978.119
16.066.431
7.783.691
12.807.805
18.744.169
463
M-1-03-I
11.757.037
14.108.445
16.459.852
464
M-1-03-II
13.761.852
16.514.222
19.266.592
Kode INACBG
465
M-1-03-III
466
M-1-04-I
467
M-1-04-II
468
M-1-04-III
469
M-1-05-I
470
M-1-05-II
471
M-1-05-III
472
M-1-07-I
473
M-1-07-II
474
M-1-07-III
475
M-1-10-I
476
M-1-10-II
477
M-1-10-III
478
M-1-20-I
479
M-1-20-II
480
M-1-20-III
481
482
483
M-1-30-I
M-1-30-II
M-1-30-III
484
M-1-40-I
485
M-1-40-II
486
M-1-40-III
487
488
489
M-1-50-I
M-1-50-II
M-1-50-III
490
M-1-60-I
491
M-1-60-II
492
M-1-60-III
493
M-1-70-I
494
M-1-70-II
495
M-1-70-III
496
497
498
499
M-1-80-I
M-1-80-II
M-1-80-III
M-4-10-I
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
15.940.620
19.128.744
22.316.869
3.657.966
4.389.559
5.121.153
4.704.057
5.644.868
6.585.680
5.886.240
7.063.488
8.240.737
4.648.522
5.578.226
6.507.930
5.364.574
6.437.489
7.510.404
9.137.331
10.964.797
12.792.264
5.263.700
6.316.440
7.369.180
7.051.713
8.462.055
9.872.398
14.365.008
17.238.009
20.111.011
3.945.220
4.734.264
5.523.308
11.076.665
13.291.999
15.507.332
16.321.112
19.585.335
22.849.557
3.892.738
4.671.286
5.449.833
4.421.649
5.305.978
6.190.308
10.787.156
12.944.587
15.102.018
2.337.085
4.826.733
7.200.468
2.804.501
5.792.079
8.640.561
3.271.918
6.757.426
10.080.655
2.305.668
2.766.802
3.227.935
3.787.347
4.544.816
5.302.285
6.340.758
7.608.909
8.877.061
4.587.886
9.204.017
14.100.073
5.505.463
11.044.820
16.920.088
6.423.041
12.885.624
19.740.102
2.359.125
2.830.950
3.302.775
4.721.059
5.665.271
6.609.483
8.195.118
9.834.142
11.473.165
3.155.195
3.786.234
4.417.273
6.433.101
7.719.721
9.006.341
8.997.010
10.796.412
12.595.814
2.540.745
3.845.596
8.582.905
1.365.758
3.048.894
4.614.715
10.299.486
1.638.910
3.557.043
5.383.834
12.016.067
1.912.062
500
501
Kode INACBG
M-4-10-II
M-4-10-III
502
M-4-11-I
503
M-4-11-II
504
M-4-11-III
505
M-4-12-I
506
M-4-12-II
507
M-4-12-III
508
M-4-13-I
509
M-4-13-II
510
M-4-13-III
511
512
513
514
515
516
517
518
519
M-4-14-I
M-4-14-II
M-4-14-III
M-4-15-I
M-4-15-II
M-4-15-III
M-4-16-I
M-4-16-II
M-4-16-III
520
M-4-17-I
521
M-4-17-II
522
M-4-17-III
523
524
525
M-4-18-I
M-4-18-II
M-4-18-III
526
M-4-19-I
1.749.173
2.099.007
2.448.842
527
M-4-19-II
2.946.167
3.535.400
4.124.634
528
M-4-19-III
5.040.397
6.048.477
7.056.556
529
M-4-20-I
1.346.572
1.615.887
1.885.201
530
M-4-20-II
2.014.904
2.417.884
2.820.865
531
M-4-20-III
2.239.853
2.687.824
3.135.794
532
M-4-21-I
1.342.080
1.610.496
1.878.912
533
M-4-21-II
2.093.083
2.511.700
2.930.317
534
M-4-21-III
4.155.226
4.986.271
5.817.316
535
N-1-01-I
250.000.000
250.000.000
250.000.000
No
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
2.449.178
4.196.461
2.939.014
5.035.754
3.428.849
5.875.046
2.123.822
2.548.587
2.973.351
4.137.674
4.965.209
5.792.744
7.049.526
8.459.432
9.869.337
1.345.575
1.614.690
1.883.805
2.448.115
2.937.738
3.427.361
4.375.332
5.250.398
6.125.465
2.977.079
3.572.495
4.167.911
3.366.079
4.039.295
4.712.511
7.968.789
9.562.547
11.156.305
2.695.474
3.713.534
5.889.513
2.009.286
2.675.955
5.716.490
2.007.992
2.928.467
5.975.714
3.234.568
4.456.241
7.067.416
2.411.144
3.211.146
6.859.788
2.409.591
3.514.161
7.170.856
3.773.663
5.198.948
8.245.318
2.813.001
3.746.337
8.003.086
2.811.189
4.099.854
8.365.999
1.713.499
2.056.199
2.398.899
2.350.784
2.820.940
3.291.097
3.296.833
3.956.199
4.615.566
1.812.106
2.730.934
3.288.430
2.174.527
3.277.121
3.946.116
2.536.948
3.823.308
4.603.802
536
537
538
539
540
Kode INACBG
N-1-01-II
N-1-01-III
N-1-11-I
N-1-11-II
N-1-11-III
541
N-1-12-I
542
N-1-12-II
543
N-1-12-III
544
545
546
N-1-20-I
N-1-20-II
N-1-20-III
547
N-1-30-I
548
N-1-30-II
549
N-1-30-III
550
N-1-40-I
4.724.685
5.669.622
6.614.559
551
N-1-40-II
6.407.902
7.689.482
8.971.063
552
N-1-40-III
7.428.862
8.914.634
10.400.407
553
N-4-10-I
1.841.211
2.209.453
2.577.696
554
N-4-10-II
2.692.775
3.231.330
3.769.885
555
N-4-10-III
4.309.589
5.171.507
6.033.425
556
557
558
559
560
561
562
563
564
N-4-11-I
N-4-11-II
N-4-11-III
N-4-12-I
N-4-12-II
N-4-12-III
N-4-13-I
N-4-13-II
N-4-13-III
1.543.901
2.604.084
2.973.676
1.485.963
2.097.700
2.614.372
1.841.016
2.445.830
5.153.282
1.852.681
3.124.901
3.568.411
1.783.156
2.517.240
3.137.247
2.209.219
2.934.996
6.183.938
2.161.461
3.645.718
4.163.146
2.080.348
2.936.779
3.660.121
2.577.422
3.424.162
7.214.594
565
N-4-14-I
1.165.057
1.398.068
1.631.080
566
N-4-14-II
1.792.394
2.150.873
2.509.352
567
N-4-14-III
2.906.692
3.488.030
4.069.369
568
N-4-15-I
1.683.303
2.019.963
2.356.624
569
N-4-15-II
2.318.278
2.781.933
3.245.589
570
N-4-15-III
2.645.573
3.174.688
3.703.802
571
N-4-16-I
2.075.618
2.490.741
2.905.865
572
N-4-16-II
2.694.135
3.232.962
3.771.789
No
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
250.000.000
250.000.000
5.260.703
8.131.103
11.972.470
250.000.000
250.000.000
6.312.844
9.757.324
14.366.965
250.000.000
250.000.000
7.364.985
11.383.544
16.761.459
2.671.893
3.206.271
3.740.650
7.561.048
9.073.258
10.585.467
13.778.312
16.533.975
19.289.637
4.400.723
8.708.701
9.993.998
5.280.867
10.450.441
11.992.798
6.161.012
12.192.182
13.991.597
5.237.258
6.284.709
7.332.161
7.907.108
9.488.530
11.069.951
8.303.595
9.964.315
11.625.034
Kode INACBG
573
N-4-16-III
574
575
576
O-6-10-I
O-6-10-II
O-6-10-III
577
O-6-11-I
578
O-6-11-II
579
O-6-11-III
580
O-6-12-I
581
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
4.624.853
5.549.824
6.474.795
3.788.119
4.180.170
4.384.353
4.545.742
5.016.204
5.261.224
5.303.366
5.852.238
6.138.095
1.788.588
2.146.305
2.504.023
2.165.395
2.598.473
3.031.552
3.666.415
4.399.698
5.132.981
1.466.074
1.759.289
2.052.504
O-6-12-II
1.760.751
2.112.902
2.465.052
582
O-6-12-III
2.212.132
2.654.558
3.096.985
583
584
585
O-6-13-I
O-6-13-II
O-6-13-III
1.896.475
2.244.602
2.813.818
2.275.770
2.693.522
3.376.581
2.655.065
3.142.442
3.939.345
586
P-8-01-I
33.764.319
40.517.183
47.270.046
587
P-8-01-II
41.778.063
50.133.675
58.489.288
588
P-8-01-III
49.035.734
58.842.881
68.650.028
589
P-8-02-I
48.946.448
58.735.737
68.525.027
590
P-8-02-II
56.146.614
67.375.937
78.605.259
591
P-8-02-III
64.151.521
76.981.825
89.812.129
592
P-8-03-I
1.845.152
2.214.182
2.583.213
593
P-8-03-II
2.586.306
3.103.567
3.620.828
594
P-8-03-III
4.454.754
5.345.705
6.236.656
595
P-8-04-I
19.636.066
23.563.279
27.490.492
596
P-8-04-II
25.621.009
30.745.211
35.869.413
597
P-8-04-III
36.734.078
44.080.894
51.427.710
598
P-8-05-I
10.697.775
12.837.330
14.976.885
599
P-8-05-II
15.202.169
18.242.602
21.283.036
600
P-8-05-III
22.398.355
26.878.026
31.357.697
601
P-8-06-I
1.847.816
2.217.379
2.586.942
602
P-8-06-II
4.432.881
5.319.457
6.206.033
Kode INACBG
603
P-8-06-III
604
P-8-07-I
605
P-8-07-II
606
P-8-07-III
607
P-8-08-I
608
P-8-08-II
609
P-8-08-III
610
P-8-10-I
611
P-8-10-II
612
P-8-10-III
613
P-8-11-I
614
P-8-11-II
615
P-8-11-III
616
P-8-12-I
617
P-8-12-II
618
P-8-12-III
619
P-8-13-I
620
P-8-13-II
621
P-8-13-III
622
P-8-14-I
623
P-8-14-II
624
P-8-14-III
625
P-8-15-I
626
P-8-15-II
627
P-8-15-III
628
P-8-16-I
629
P-8-16-II
630
P-8-16-III
631
P-8-17-I
632
P-8-17-II
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
8.133.792
9.760.551
11.387.309
2.844.305
3.413.166
3.982.027
7.236.404
8.683.685
10.130.966
9.590.916
11.509.099
13.427.282
3.289.143
3.946.972
4.604.801
4.667.138
5.600.566
6.533.994
7.557.124
9.068.549
10.579.974
1.393.533
1.672.240
1.950.946
2.468.672
2.962.407
3.456.141
4.846.731
5.816.078
6.785.424
1.886.178
2.263.413
2.640.649
8.314.354
9.977.224
11.640.095
8.488.541
10.186.249
11.883.957
2.263.718
2.716.461
3.169.205
3.519.936
4.223.923
4.927.910
4.160.950
4.993.140
5.825.330
1.845.589
2.214.707
2.583.825
3.191.220
3.829.463
4.467.707
4.750.523
5.700.627
6.650.732
2.133.662
2.560.395
2.987.127
4.350.510
5.220.612
6.090.713
4.772.597
5.727.117
6.681.636
1.609.793
1.931.752
2.253.710
3.206.921
3.848.305
4.489.689
3.764.943
4.517.931
5.270.920
1.457.234
1.748.680
2.040.127
2.059.853
2.471.823
2.883.794
2.672.406
3.206.888
3.741.369
1.566.392
1.879.671
2.192.949
4.072.484
4.886.981
5.701.477
Kode INACBG
633
P-8-17-III
634
S-4-10-I
635
S-4-10-II
636
S-4-10-III
637
638
639
640
641
642
S-4-11-I
S-4-11-II
S-4-11-III
S-4-12-I
S-4-12-II
S-4-12-III
643
S-4-13-I
644
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
7.697.171
9.236.605
10.776.039
1.348.054
1.617.665
1.887.276
1.684.298
2.021.157
2.358.017
2.180.714
2.616.857
3.053.000
842.341
1.343.744
2.068.370
1.005.754
1.347.867
2.568.179
1.010.809
1.612.493
2.482.044
1.206.905
1.617.441
3.081.815
1.179.277
1.881.241
2.895.718
1.408.056
1.887.014
3.595.451
1.436.625
1.723.950
2.011.275
S-4-13-II
2.369.089
2.842.907
3.316.725
645
S-4-13-III
4.851.918
5.822.302
6.792.685
646
S-4-14-I
818.758
982.509
1.146.261
647
S-4-14-II
1.739.316
2.087.180
2.435.043
648
S-4-14-III
3.298.364
3.958.036
4.617.709
649
S-4-15-I
619.234
743.081
866.928
650
S-4-15-II
1.168.706
1.402.447
1.636.188
651
S-4-15-III
1.513.746
1.816.495
2.119.244
652
653
654
S-4-16-I
S-4-16-II
S-4-16-III
2.357.084
3.967.377
5.498.398
2.828.501
4.760.852
6.598.077
3.299.918
5.554.327
7.697.757
655
S-4-17-I
1.420.721
1.704.866
1.989.010
656
S-4-17-II
1.748.421
2.098.105
2.447.789
657
S-4-17-III
2.748.916
3.298.700
3.848.483
658
T-1-10-I
1.260.023
1.512.027
1.764.032
659
T-1-10-II
1.692.125
2.030.550
2.368.975
660
T-1-10-III
3.078.527
3.694.233
4.309.938
661
T-4-10-I
566.219
679.463
792.707
662
T-4-10-II
1.079.088
1.294.906
1.510.723
663
T-4-10-III
1.568.701
1.882.441
2.196.182
664
T-4-11-I
670.465
804.557
938.650
665
T-4-11-II
1.055.120
1.266.144
1.477.168
666
T-4-11-III
1.699.488
2.039.386
2.379.283
667
T-4-12-I
1.172.649
1.407.178
1.641.708
Kode INACBG
668
T-4-12-II
669
T-4-12-III
670
671
672
U-1-10-I
U-1-10-II
U-1-10-III
673
U-1-11-I
674
U-1-11-II
675
U-1-11-III
676
677
678
679
680
681
U-1-12-I
U-1-12-II
U-1-12-III
U-1-13-I
U-1-13-II
U-1-13-III
682
U-1-14-I
683
U-1-14-II
684
U-1-14-III
685
686
687
U-1-15-I
U-1-15-II
U-1-15-III
688
U-1-20-I
689
U-1-20-II
690
U-1-20-III
691
692
693
U-1-30-I
U-1-30-II
U-1-30-III
694
U-4-10-I
695
U-4-10-II
696
U-4-10-III
697
698
699
700
701
702
U-4-11-I
U-4-11-II
U-4-11-III
U-4-12-I
U-4-12-II
U-4-12-III
703
U-4-13-I
704
U-4-13-II
705
U-4-13-III
706
707
708
U-4-14-I
U-4-14-II
U-4-14-III
709
U-4-15-I
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
1.772.784
2.127.341
2.481.898
2.766.850
3.320.220
3.873.590
1.251.566
2.553.897
11.028.245
1.501.879
3.064.677
13.233.894
1.752.192
3.575.456
15.439.543
4.475.568
5.370.681
6.265.795
5.888.027
7.065.633
8.243.238
11.129.537
13.355.444
15.581.352
3.459.981
6.656.785
8.654.804
3.616.912
4.530.021
6.715.790
4.151.978
7.988.142
10.385.765
4.340.295
5.436.025
8.058.949
4.843.974
9.319.499
12.116.726
5.063.677
6.342.029
9.402.107
2.390.798
2.868.958
3.347.117
2.933.990
3.520.788
4.107.586
3.476.861
4.172.233
4.867.605
1.406.204
1.998.270
3.041.214
1.687.445
2.397.923
3.649.457
1.968.686
2.797.577
4.257.700
3.630.177
4.356.212
5.082.248
6.236.017
7.483.220
8.730.424
10.881.545
13.057.854
15.234.163
3.117.231
4.197.944
7.245.894
3.740.677
5.037.533
8.695.073
4.364.123
5.877.122
10.144.252
2.907.596
3.489.115
4.070.634
5.515.035
6.618.043
7.721.050
8.467.390
10.160.868
11.854.346
1.344.117
2.019.939
2.721.836
1.343.034
1.867.564
2.424.577
1.612.941
2.423.927
3.266.203
1.611.641
2.241.077
2.909.492
1.881.764
2.827.914
3.810.571
1.880.248
2.614.589
3.394.407
1.345.790
1.614.948
1.884.106
1.535.342
1.842.411
2.149.479
2.043.438
2.452.126
2.860.814
1.680.101
2.016.625
3.386.670
2.016.121
2.419.950
4.064.004
2.352.141
2.823.275
4.741.338
1.340.036
1.608.043
1.876.050
Kode INACBG
710
U-4-15-II
711
U-4-15-III
712
V-1-10-I
713
V-1-10-II
714
V-1-10-III
715
716
717
V-1-11-I
V-1-11-II
V-1-11-III
718
V-1-12-I
719
V-1-12-II
720
V-1-12-III
721
V-1-13-I
722
V-1-13-II
723
V-1-13-III
724
V-1-14-I
725
V-1-14-II
726
V-1-14-III
727
728
729
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
1.699.435
2.039.323
2.379.210
2.357.718
2.829.262
3.300.805
3.975.752
4.770.903
5.566.053
4.531.392
5.437.670
6.343.949
6.762.987
8.115.585
9.468.182
4.528.291
5.060.102
7.503.484
5.433.950
6.072.123
9.004.181
6.339.608
7.084.143
10.504.878
2.925.394
3.510.473
4.095.552
8.205.247
9.846.297
11.487.346
8.846.980
10.616.376
12.385.773
4.433.070
5.319.684
6.206.299
7.400.595
8.880.714
10.360.833
8.864.307
10.637.168
12.410.030
5.343.858
6.412.629
7.481.401
6.603.496
7.924.195
9.244.894
8.044.194
9.653.033
11.261.871
V-1-15-I
V-1-15-II
V-1-15-III
2.406.503
3.708.719
6.108.811
2.887.803
4.450.463
7.330.573
3.369.104
5.192.206
8.552.335
730
V-4-10-I
3.098.362
3.718.034
4.337.706
731
V-4-10-II
4.286.343
5.143.612
6.000.880
732
V-4-10-III
8.039.797
9.647.756
11.255.716
733
V-4-11-I
1.932.722
2.319.266
2.705.811
734
V-4-11-II
2.713.493
3.256.191
3.798.890
735
V-4-11-III
4.058.498
4.870.197
5.681.897
736
W-1-01-I
6.058.096
7.269.715
8.481.335
737
W-1-01-II
7.310.617
8.772.741
10.234.864
738
W-1-01-III
12.144.102
14.572.923
17.001.743
739
740
741
W-1-10-I
W-1-10-II
W-1-10-III
1.695.007
2.578.066
4.218.393
2.034.008
3.093.679
5.062.071
2.373.010
3.609.292
5.905.750
742
W-1-11-I
2.573.594
3.088.313
3.603.032
743
W-1-11-II
4.524.671
5.429.606
6.334.540
744
W-1-11-III
9.527.684
11.433.220
13.338.757
Kode INACBG
745
W-1-12-I
746
W-1-12-II
747
W-1-12-III
748
W-1-13-I
749
W-1-13-II
750
W-1-13-III
751
752
753
754
755
756
757
758
759
760
761
762
W-1-20-I
W-1-20-II
W-1-20-III
W-1-30-I
W-1-30-II
W-1-30-III
W-4-10-I
W-4-10-II
W-4-10-III
W-4-11-I
W-4-11-II
W-4-11-III
763
W-4-12-I
764
W-4-12-II
765
W-4-12-III
766
767
768
769
770
771
772
773
774
775
776
777
778
779
780
781
782
783
784
785
786
W-4-13-I
W-4-13-II
W-4-13-III
W-4-14-I
W-4-14-II
W-4-14-III
W-4-15-I
W-4-15-II
W-4-15-III
W-4-16-I
W-4-16-II
W-4-16-III
W-4-17-I
W-4-17-II
W-4-17-III
Z-4-10-I
Z-4-10-II
Z-4-10-III
Z-4-11-I
Z-4-11-II
Z-4-11-III
787
Z-4-12-I
788
Z-4-12-II
789
Z-4-12-III
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
1.599.196
1.919.035
2.238.874
1.808.808
2.170.570
2.532.331
2.778.557
3.334.269
3.889.980
1.586.011
1.903.213
2.220.415
1.721.951
2.066.341
2.410.731
2.312.897
2.775.477
3.238.056
4.147.797
5.881.366
6.391.123
2.678.998
4.273.141
11.994.629
2.109.245
2.842.758
5.369.221
1.586.774
2.188.070
2.641.727
4.977.356
7.057.639
7.669.348
3.214.798
5.127.769
14.393.555
2.531.094
3.411.309
6.443.065
1.904.128
2.625.684
3.170.073
5.806.916
8.233.912
8.947.572
3.750.598
5.982.397
16.792.481
2.952.943
3.979.861
7.516.909
2.221.483
3.063.299
3.698.418
1.347.925
1.617.510
1.887.095
2.042.307
2.450.768
2.859.230
2.464.452
2.957.343
3.450.233
736.389
1.009.240
1.345.401
1.007.133
1.348.611
1.635.317
955.616
1.074.751
1.369.047
1.964.007
2.626.419
3.559.667
986.739
1.346.491
2.537.192
2.305.816
3.060.639
4.347.929
1.965.421
2.366.037
3.688.716
883.667
1.211.088
1.614.481
1.208.560
1.618.334
1.962.381
1.146.739
1.289.701
1.642.857
2.356.809
3.151.703
4.271.600
1.184.087
1.615.789
3.044.630
2.766.980
3.672.766
5.217.515
2.358.505
2.839.244
4.426.459
1.030.945
1.412.936
1.883.561
1.409.986
1.888.056
2.289.444
1.337.862
1.504.651
1.916.666
2.749.610
3.676.987
4.983.534
1.381.435
1.885.087
3.552.069
3.228.143
4.284.894
6.087.101
2.751.589
3.312.452
5.164.202
1.011.522
1.213.827
1.416.131
2.464.744
2.957.693
3.450.642
3.125.810
3.750.972
4.376.134
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
B-2-10-0
B-2-11-0
B-2-12-0
B-2-13-0
B-2-14-0
B-3-10-0
B-3-11-0
B-3-12-0
C-3-10-0
C-3-11-0
C-3-12-0
C-3-13-0
C-3-14-0
C-3-15-0
C-3-16-0
C-3-17-0
C-3-18-0
C-3-19-0
C-3-20-0
C-3-21-0
C-3-22-0
C-3-23-0
D-2-10-0
D-2-11-0
D-2-21-0
D-2-22-0
D-3-10-0
D-3-11-0
E-2-10-0
E-2-21-0
784.747
1.017.940
1.892.993
1.564.375
1.306.900
374.086
833.850
209.933
760.571
1.252.340
1.421.776
2.137.536
2.915.574
2.672.240
606.000
1.998.025
507.349
1.244.287
3.790.190
1.357.374
3.205.529
547.413
1.008.914
1.263.332
1.059.578
232.546
1.352.788
439.188
259.412
188.065
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
E-2-22-0
E-3-10-0
F-3-10-0
F-5-10-0
F-5-11-0
F-5-12-0
F-5-13-0
F-5-14-0
F-5-15-0
F-5-16-0
G-2-10-0
G-2-11-0
G-2-12-0
G-2-13-0
G-2-21-0
G-2-22-0
G-2-31-0
G-2-32-0
G-3-10-0
G-3-11-0
G-3-12-0
G-3-13-0
H-2-21-0
H-2-22-0
H-2-23-0
H-2-31-0
H-2-32-0
H-2-33-0
H-2-34-0
H-2-35-0
H-2-36-0
175.645
178.552
248.139
305.289
200.898
258.163
267.165
146.827
137.089
139.229
2.236.535
1.278.406
1.852.724
454.515
674.983
612.312
1.241.443
636.363
252.237
274.064
448.313
450.315
591.349
387.908
153.699
1.197.171
306.385
153.823
539.176
144.466
1.935.549
H-2-37-0
H-3-10-0
H-3-11-0
H-3-12-0
H-3-13-0
I-2-11-0
I-2-12-0
I-2-13-0
I-2-14-0
I-2-15-0
72
73
74
75
76
77
78
79
I-2-16-0
I-2-17-0
I-2-21-0
I-2-22-0
I-2-23-0
I-2-31-0
I-2-32-0
I-2-41-0
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
I-2-42-0
I-3-10-0
I-3-11-0
I-3-12-0
I-3-13-0
I-3-14-0
I-3-15-0
J-2-10-0
J-2-21-0
J-2-22-0
J-2-31-0
J-2-32-0
J-3-10-0
J-3-11-0
J-3-12-0
J-3-13-0
J-3-14-0
J-3-15-0
J-3-16-0
J-3-17-0
K-2-10-0
K-2-11-0
K-2-12-0
K-2-13-0
K-2-14-0
K-2-21-0
K-2-22-0
K-2-31-0
K-2-32-0
K-2-41-0
K-2-42-0
K-2-51-0
K-2-52-0
K-2-53-0
K-3-10-0
K-3-11-0
K-3-12-0
K-3-13-0
K-3-14-0
K-3-15-0
K-3-16-0
L-2-21-0
L-2-22-0
L-2-31-0
L-2-32-0
L-2-41-0
L-2-42-0
L-2-51-0
L-2-52-0
L-2-53-0
L-3-10-0
L-3-11-0
L-3-12-0
M-2-10-0
M-2-21-0
M-2-22-0
M-2-31-0
M-2-32-0
M-2-41-0
M-2-42-0
M-2-51-0
M-2-52-0
M-2-61-0
M-2-62-0
M-2-63-0
M-2-64-0
M-2-65-0
M-2-71-0
M-2-72-0
M-2-81-0
M-2-82-0
M-2-83-0
M-2-84-0
M-3-10-0
M-3-11-0
M-3-12-0
M-3-13-0
M-3-14-0
M-3-15-0
M-3-16-0
M-3-17-0
N-2-11-0
N-2-12-0
N-2-21-0
N-2-22-0
N-2-23-0
N-2-24-0
N-2-31-0
N-2-32-0
N-2-41-0
N-2-42-0
N-3-10-0
N-3-11-0
N-3-12-0
N-3-13-0
N-3-14-0
N-3-15-0
O-7-10-0
O-7-11-0
179 O-7-12-0
180 O-7-13-0
181 P-9-10-0
182 P-9-11-0
183 P-9-12-0
P-9-13-0
P-9-14-0
P-9-15-0
P-9-16-0
P-9-17-0
Q-5-10-0
Q-5-11-0
Q-5-12-0
Q-5-13-0
Q-5-14-0
Q-5-15-0
Q-5-16-0
Q-5-17-0
Q-5-18-0
Q-5-19-0
Q-5-20-0
Q-5-21-0
Q-5-22-0
Q-5-23-0
Q-5-24-0
Q-5-25-0
Q-5-26-0
Q-5-27-0
Q-5-28-0
Q-5-29-0
Q-5-30-0
Q-5-31-0
Q-5-32-0
Q-5-33-0
Q-5-34-0
Q-5-35-0
Q-5-36-0
Q-5-37-0
Q-5-38-0
Q-5-39-0
Q-5-40-0
Q-5-41-0
Q-5-42-0
Q-5-43-0
Q-5-44-0
T-2-10-0
U-2-10-0
U-2-11-0
U-2-12-0
U-2-13-0
U-2-14-0
U-2-15-0
U-2-21-0
U-2-22-0
U-2-23-0
U-2-24-0
U-2-25-0
U-2-31-0
U-2-32-0
238 U-3-10-0
239 U-3-11-0
240 U-3-12-0
194.839
182.403
86.160
241
242
243
244
189.138
172.596
151.711
169.802
U-3-13-0
U-3-14-0
U-3-15-0
U-3-16-0
V-2-10-0
V-2-11-0
V-2-12-0
V-2-13-0
V-2-14-0
V-2-15-0
V-3-10-0
V-3-11-0
V-3-12-0
W-2-10-0
W-2-11-0
W-2-12-0
W-2-13-0
W-2-21-0
W-2-22-0
W-2-23-0
W-2-31-0
W-2-32-0
W-2-33-0
W-2-34-0
W-3-10-0
W-3-11-0
W-3-12-0
Z-3-10-0
269
270
271
272
273
274
275
276
277
278
279
280
281
282
283
284
285
286
287
288
Z-3-11-0
Z-3-12-0
Z-3-13-0
Z-3-14-0
Z-3-15-0
Z-3-16-0
Z-3-17-0
Z-3-18-0
Z-3-19-0
Z-3-20-0
Z-3-21-0
Z-3-22-0
Z-3-23-0
Z-3-24-0
Z-3-25-0
Z-3-26-0
Z-3-27-0
Z-3-28-0
Z-3-29-0
Z-3-30-0
DD01
Streptokinase
DD02
Deferiprone
DD03
Deferoksamin
DD04
Deferasirox
DD05
Human Albumin
RR01
RR02
Cote graft
RR03
TMJ Prothesis
RR04
RR05
YY01
YY02
YY03
PCI
Kelas
Rawat
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
Top Up
2.867.929
2.867.929
2.867.929
4.399.047
4.399.047
4.399.047
4.399.047
4.399.047
4.399.047
4.399.047
4.399.047
4.399.047
2.855.619
2.855.619
2.855.619
12.566.180
12.566.180
12.566.180
20.293.211
20.293.211
20.293.211
14.617.874
14.617.874
14.617.874
14.977.058
14.977.058
14.977.058
46.278.034
46.278.034
46.278.034
7.221.893
7.221.893
7.221.893
23.139.017
23.139.017
23.139.017
21.447.727
21.447.727
21.447.727
YY04
Keratoplasty
YY05
Pancreatectomy
YY06
YY07
YY08
Torakotomi
YY09
Lobektomi / bilobektomi
YY10
Air plumbage
YY11
Timektomi
YY12
Vitrectomy
YY13
YY14
YY15
II01
II02
II03
II04
Phacoemulsification
Microlaringoscopy
Cholangiograph
Other CT Scan
Nuclear Medicine
MRI
Diagnostic and Imaging Procedure of Eye
Kelas
Rawat
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
0
0
0
0
0
0
0
Top Up
6.957.377
6.957.377
6.957.377
11.212.929
11.212.929
11.212.929
45.307.026
45.307.026
45.307.026
5.834.889
5.834.889
5.834.889
28.559.587
28.559.587
28.559.587
33.130.019
33.130.019
33.130.019
10.229.736
10.229.736
10.229.736
11.768.421
11.768.421
11.768.421
6.957.377
6.957.377
6.957.377
4.174.426
1.742.897
6.355.624
1.259.967
1.256.454
2.992.829
876.612
Kode INACBG
A-4-10-I
A-4-10-II
A-4-10-III
A-4-11-I
A-4-11-II
A-4-11-III
A-4-12-I
A-4-12-II
A-4-12-III
A-4-13-I
A-4-13-II
A-4-13-III
A-4-14-I
A-4-14-II
A-4-14-III
A-4-15-I
A-4-15-II
A-4-15-III
B-1-01-I
B-1-01-II
B-1-01-III
B-1-10-I
B-1-10-II
B-1-10-III
B-1-11-I
B-1-11-II
B-1-11-III
B-1-12-I
B-1-12-II
B-1-12-III
B-1-13-I
B-1-13-II
B-1-13-III
B-1-14-I
B-1-14-II
B-1-14-III
B-4-10-I
B-4-10-II
B-4-10-III
B-4-11-I
B-4-11-II
B-4-11-III
B-4-12-I
B-4-12-II
B-4-12-III
46 B-4-13-I
47 B-4-13-II
48 B-4-13-III
49
50
51
52
53
54
55
56
57
58
59
60
61
B-4-14-I
B-4-14-II
B-4-14-III
C-4-10-I
C-4-10-II
C-4-10-III
C-4-11-I
C-4-11-II
C-4-11-III
C-4-12-I
C-4-12-II
C-4-12-III
C-4-13-I
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
5.711.238
SEPTIKEMIA RINGAN
9.425.527
SEPTIKEMIA SEDANG
12.137.461
SEPTIKEMIA BERAT
12.449.594
INFEKSI SESUDAH OPERASI & TRAUMA RINGAN
18.597.972
INFEKSI SESUDAH OPERASI & TRAUMA SEDANG
30.422.218
INFEKSI SESUDAH OPERASI & TRAUMA BERAT
5.315.366
DEMAM RINGAN
6.619.751
DEMAM SEDANG
8.019.433
DEMAM BERAT
6.772.204
INFEKSI NON BAKTERI RINGAN
8.195.073
INFEKSI NON BAKTERI SEDANG
10.303.936
INFEKSI NON BAKTERI BERAT
5.845.390
PENYAKIT INFEKSI BAKTERI DAN PARASIT LAIN-LAIN RINGAN
8.596.334
PENYAKIT INFEKSI BAKTERI DAN PARASIT LAIN-LAIN SEDANG
9.602.393
PENYAKIT INFEKSI BAKTERI DAN PARASIT LAIN-LAIN BERAT
8.763.385
INFEKSI HIV RINGAN
13.158.692
INFEKSI HIV SEDANG
18.827.693
INFEKSI HIV BERAT
86.488.407
PROSEDUR PENCANGKOKAN HATI RINGAN
95.419.836
PROSEDUR PENCANGKOKAN HATI SEDANG
167.386.028
PROSEDUR PENCANGKOKAN HATI BERAT
11.212.929
PROSEDUR HATI DAN PANKREAS RINGAN
28.575.943
PROSEDUR HATI DAN PANKREAS SEDANG
57.626.817
PROSEDUR HATI DAN PANKREAS BERAT
15.376.891
PROSEDUR SALURAN EMPEDU KOMPLEK (RINGAN)
22.244.531
PROSEDUR SALURAN EMPEDU KOMPLEK (SEDANG)
27.931.849
PROSEDUR SALURAN EMPEDU KOMPLEK (BERAT)
15.350.858
PROSEDUR CHOLESISTEKTOMI TANPA LAPAROSKOPIK RINGAN
32.900.643
PROSEDUR CHOLESISTEKTOMI TANPA LAPAROSKOPIK SEDANG
40.041.322
PROSEDUR CHOLESISTEKTOMI TANPA LAPAROSKOPIK BERAT
12.386.161
PROSEDUR PANKREAS DAN HEPATOBILLIARI LAIN-LAIN (RINGAN)
20.175.258
PROSEDUR PANKREAS DAN HEPATOBILLIARI LAIN-LAIN (SEDANG)
29.743.992
PROSEDUR PANKREAS DAN HEPATOBILLIARI LAIN-LAIN (BERAT)
16.830.804
PROSEDUR CHOLESISTEKTOMI DENGAN LAPAROSKOPIK RINGAN
18.719.251
PROSEDUR CHOLESISTEKTOMI DENGAN LAPAROSKOPIK SEDANG
29.284.043
PROSEDUR CHOLESISTEKTOMI DENGAN LAPAROSKOPIK BERAT
4.715.654
SIROSIS DAN HEPATITIS ALKOHOLIK RINGAN
7.328.254
SIROSIS DAN HEPATITIS ALKOHOLIK SEDANG
11.515.364
SIROSIS DAN HEPATITIS ALKOHOLIK BERAT
9.327.774
TUMOR SISTEM HEPATOBILLIARI DAN PANCREAS RINGAN
13.981.683
TUMOR SISTEM HEPATOBILLIARI DAN PANCREAS SEDANG
18.100.432
TUMOR SISTEM HEPATOBILLIARI DAN PANCREAS BERAT
9.593.796
GANGGUAN PANKREAS SELAIN TUMOR (RINGAN)
14.127.377
GANGGUAN PANKREAS SELAIN TUMOR (SEDANG)
26.919.741
GANGGUAN PANKREAS SELAIN TUMOR (BERAT)
GANGGUAN HATI SELAIN TUMOR, SIROSIS ATAU HEPATITIS ALKOHOLIK
8.675.369
RINGAN
GANGGUAN HATI SELAIN TUMOR, SIROSIS ATAU HEPATITIS ALKOHOLIK
10.228.747
SEDANG
GANGGUAN HATI SELAIN TUMOR, SIROSIS ATAU HEPATITIS ALKOHOLIK
14.616.991
BERAT
8.761.929
GANGGUAN SALURAN EMPEDU LAIN-LAIN RINGAN
10.241.309
GANGGUAN SALURAN EMPEDU LAIN-LAIN SEDANG
13.628.483
GANGGUAN SALURAN EMPEDU LAIN-LAIN BERAT
8.774.785
LEUKEMIA AKUT RINGAN
17.058.179
LEUKEMIA AKUT SEDANG
27.821.327
LEUKEMIA AKUT BERAT
8.832.379
LIMFOMA & LEUKEMIA NON AKUT RINGAN
11.724.697
LIMFOMA & LEUKEMIA NON AKUT SEDANG
20.467.382
LIMFOMA & LEUKEMIA NON AKUT BERAT
5.834.889
RADIOTERAPI RINGAN
16.604.773
RADIOTERAPI SEDANG
33.588.510
RADIOTERAPI BERAT
5.847.602
KEMOTERAPI RINGAN
6.853.486
11.310.632
14.564.953
14.939.513
22.317.566
36.506.662
6.378.439
7.943.701
9.623.319
8.126.644
9.834.088
12.364.723
7.014.468
10.315.601
11.522.872
10.516.062
15.790.431
22.593.232
103.786.089
114.503.803
200.863.234
13.455.514
34.291.131
69.152.181
18.452.269
26.693.438
33.518.219
18.421.029
39.480.771
48.049.587
14.863.393
24.210.310
35.692.790
20.196.965
22.463.101
35.140.851
5.658.784
8.793.904
13.818.436
11.193.329
16.778.020
21.720.518
11.512.555
16.952.852
32.303.689
7.995.733
13.195.737
16.992.445
17.429.432
26.037.160
42.591.106
7.441.512
9.267.651
11.227.206
9.481.085
11.473.103
14.425.511
8.183.546
12.034.868
13.443.351
12.268.739
18.422.169
26.358.771
121.083.770
133.587.770
234.340.439
15.698.100
40.006.320
80.677.544
21.527.648
31.142.344
39.104.589
21.491.201
46.060.900
56.057.851
17.340.625
28.245.361
41.641.588
23.563.126
26.206.951
40.997.660
6.601.915
10.259.555
16.121.509
13.058.884
19.574.357
25.340.605
13.431.314
19.778.327
37.687.637
10.410.443
12.145.517
12.274.497
14.320.246
17.540.390
20.463.788
10.514.315
12.289.571
16.354.180
10.529.743
20.469.814
33.385.593
10.598.855
14.069.636
24.560.859
7.001.867
19.925.728
40.306.212
7.017.123
12.266.700
14.337.833
19.079.877
12.284.700
23.881.450
38.949.858
12.365.330
16.414.575
28.654.335
8.168.844
23.246.683
47.023.914
8.186.643
Kode INACBG
C-4-13-II
C-4-13-III
C-4-14-I
C-4-14-II
C-4-14-III
D-1-10-I
D-1-10-II
D-1-10-III
D-1-11-I
D-1-11-II
D-1-11-III
73 D-1-20-I
74 D-1-20-II
75 D-1-20-III
76
77
78
79
80
81
82
83
84
D-4-10-I
D-4-10-II
D-4-10-III
D-4-11-I
D-4-11-II
D-4-11-III
D-4-12-I
D-4-12-II
D-4-12-III
85 D-4-13-I
86 D-4-13-II
87 D-4-13-III
88 D-4-14-I
89 D-4-14-II
90 D-4-14-III
91
92
93
94
95
96
E-1-01-I
E-1-01-II
E-1-01-III
E-1-10-I
E-1-10-II
E-1-10-III
97 E-1-20-I
98 E-1-20-II
99 E-1-20-III
100 E-4-10-I
101 E-4-10-II
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
11.732.604
15.315.972
7.815.640
11.405.448
17.319.929
55.342.644
84.291.092
114.237.461
17.880.934
34.359.735
47.292.349
14.079.125
18.379.167
9.378.767
13.686.537
20.783.915
66.411.172
101.149.310
137.084.953
21.457.120
41.231.682
56.750.819
16.425.646
21.442.361
10.941.895
15.967.627
24.247.901
77.479.701
118.007.528
159.932.446
25.033.307
48.103.628
66.209.289
11.768.421
14.122.105
16.475.789
34.596.698
41.516.037
48.435.377
54.276.992
65.132.391
75.987.789
5.608.936
8.881.717
13.973.260
8.118.958
14.826.449
20.367.938
6.668.781
9.250.255
14.203.772
6.730.723
10.658.061
16.767.912
9.742.750
17.791.738
24.441.525
8.002.538
11.100.306
17.044.526
7.852.510
12.434.404
19.562.564
11.366.542
20.757.028
28.515.113
9.336.294
12.950.357
19.885.280
5.865.396
7.038.475
8.211.555
8.235.886
9.883.063
11.530.241
10.246.626
12.295.951
14.345.276
7.263.268
8.715.921
10.168.575
13.406.941
16.088.329
18.769.717
16.710.628
20.052.753
23.394.879
14.443.787
18.919.986
41.597.669
12.703.062
15.418.536
32.497.734
17.332.544
22.703.983
49.917.202
15.243.674
18.502.243
38.997.280
20.221.301
26.487.981
58.236.736
17.784.287
21.585.950
45.496.827
15.943.933
19.132.719
22.321.506
22.826.555
27.391.866
31.957.177
38.535.006
46.242.007
53.949.008
7.318.181
8.781.818
10.245.454
10.689.196
12.827.036
14.964.875
102 E-4-10-III
16.260.406
19.512.487
22.764.568
103
104
105
106
107
108
109
110
111
6.112.467
9.869.380
16.358.881
7.670.891
11.730.691
16.888.833
8.093.502
13.680.468
19.518.281
7.334.960
11.843.257
19.630.657
9.205.069
14.076.829
20.266.599
9.712.203
16.416.561
23.421.938
8.557.454
13.817.133
22.902.433
10.739.247
16.422.967
23.644.366
11.330.903
19.152.655
27.325.594
E-4-11-I
E-4-11-II
E-4-11-III
E-4-12-I
E-4-12-II
E-4-12-III
E-4-13-I
E-4-13-II
E-4-13-III
Kode INACBG
F-4-10-I
F-4-10-II
F-4-10-III
F-4-11-I
F-4-11-II
F-4-11-III
F-4-12-I
F-4-12-II
F-4-12-III
F-4-13-I
F-4-13-II
F-4-13-III
F-4-14-I
F-4-14-II
F-4-14-III
F-4-15-I
F-4-15-II
F-4-15-III
F-4-16-I
F-4-16-II
F-4-16-III
F-4-17-I
F-4-17-II
F-4-17-III
F-4-18-I
F-4-18-II
F-4-18-III
F-4-19-I
F-4-19-II
F-4-19-III
G-1-01-I
G-1-01-II
G-1-01-III
G-1-10-I
G-1-10-II
G-1-10-III
G-1-11-I
G-1-11-II
G-1-11-III
G-1-12-I
G-1-12-II
G-1-12-III
G-1-13-I
G-1-13-II
G-1-13-III
G-1-20-I
G-1-20-II
G-1-20-III
G-1-30-I
G-1-30-II
G-1-30-III
G-4-10-I
G-4-10-II
G-4-10-III
G-4-11-I
G-4-11-II
G-4-11-III
G-4-12-I
G-4-12-II
G-4-12-III
G-4-13-I
G-4-13-II
G-4-13-III
G-4-14-I
G-4-14-II
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
9.845.768
11.000.502
16.286.486
9.120.471
10.626.215
13.626.691
4.457.578
6.283.114
13.305.151
7.353.317
9.782.343
12.613.082
4.184.487
5.367.453
7.222.147
6.118.637
8.757.920
11.573.418
13.190.304
15.354.709
20.495.973
2.635.223
7.723.586
8.240.498
11.461.505
12.610.893
19.440.790
8.780.713
11.243.929
13.998.842
24.120.108
37.560.106
72.235.097
25.132.359
29.019.273
31.452.228
18.122.093
33.003.536
69.213.118
14.977.058
23.210.434
40.938.116
6.549.048
7.649.223
17.259.869
16.417.729
21.318.133
42.361.187
28.208.095
52.252.521
67.322.601
8.803.260
10.209.960
16.093.470
12.144.597
17.288.260
23.469.185
11.116.020
14.053.071
20.410.413
6.172.253
10.237.608
12.137.175
10.054.237
15.231.758
11.814.922
13.200.602
19.543.783
10.944.566
12.751.458
16.352.029
5.349.093
7.539.736
15.966.181
8.823.980
11.738.812
15.135.699
5.021.384
6.440.943
8.666.577
7.342.364
10.509.503
13.888.102
15.828.365
18.425.650
24.595.167
3.162.267
9.268.303
9.888.598
13.753.806
15.133.071
23.328.948
10.536.856
13.492.715
16.798.611
28.944.130
45.072.127
86.682.116
30.158.831
34.823.127
37.742.674
21.746.511
39.604.243
83.055.741
17.972.470
27.852.521
49.125.739
7.858.858
9.179.068
20.711.843
19.701.275
25.581.760
50.833.424
33.849.714
62.703.025
80.787.122
10.563.912
12.251.952
19.312.164
14.573.516
20.745.912
28.163.022
13.339.223
16.863.686
24.492.496
7.406.704
12.285.129
14.564.610
12.065.084
18.278.109
13.784.075
15.400.703
22.801.080
12.768.660
14.876.701
19.077.368
6.240.609
8.796.359
18.627.211
10.294.643
13.695.280
17.658.315
5.858.282
7.514.434
10.111.006
8.566.092
12.261.087
16.202.785
18.466.426
21.496.592
28.694.362
3.689.312
10.813.021
11.536.698
16.046.107
17.655.250
27.217.106
12.292.999
15.741.501
19.598.379
33.768.151
52.584.148
101.129.136
35.185.303
40.626.982
44.033.119
25.370.930
46.204.950
96.898.365
20.967.881
32.494.607
57.313.362
9.168.667
10.708.913
24.163.817
22.984.820
29.845.387
59.305.662
39.491.333
73.153.529
94.251.642
12.324.564
14.293.944
22.530.858
17.002.435
24.203.565
32.856.858
15.562.427
19.674.300
28.574.579
8.641.155
14.332.651
16.992.045
14.075.932
21.324.461
178 G-4-15-I
179 G-4-15-II
180 G-4-15-III
181
182
183
184
185
186
187
188
189
G-4-16-I
G-4-16-II
G-4-16-III
G-4-17-I
G-4-17-II
G-4-17-III
G-4-18-I
G-4-18-II
G-4-18-III
190 G-4-19-I
191 G-4-19-II
192 G-4-19-III
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
229
230
231
232
233
234
G-4-20-I
G-4-20-II
G-4-20-III
G-4-21-I
G-4-21-II
G-4-21-III
G-4-22-I
G-4-22-II
G-4-22-III
G-4-23-I
G-4-23-II
G-4-23-III
G-4-24-I
G-4-24-II
G-4-24-III
G-4-25-I
G-4-25-II
G-4-25-III
G-4-26-I
G-4-26-II
G-4-26-III
H-1-20-I
H-1-20-II
H-1-20-III
H-1-30-I
H-1-30-II
H-1-30-III
H-4-10-I
H-4-10-II
H-4-10-III
H-4-11-I
H-4-11-II
H-4-11-III
H-4-12-I
H-4-12-II
H-4-12-III
I-1-01-I
I-1-01-II
I-1-01-III
I-1-02-I
I-1-02-II
I-1-02-III
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
19.046.301
22.855.561
26.664.821
7.836.914
9.404.296
10.971.679
9.353.392
11.224.070
13.094.749
13.733.133
16.479.760
19.226.387
6.460.877
8.946.083
16.095.649
8.605.002
11.444.215
19.180.598
8.788.334
12.896.463
13.653.805
7.753.053
10.735.299
19.314.779
10.326.002
13.733.058
23.016.718
10.546.001
15.475.756
16.384.566
9.045.228
12.524.516
22.533.909
12.047.003
16.021.901
26.852.837
12.303.667
18.055.048
19.115.327
7.531.786
9.038.143
10.544.500
11.951.699
14.342.039
16.732.379
17.954.089
21.544.907
25.135.725
5.115.631
6.992.621
11.549.842
6.003.819
7.777.388
12.115.532
5.636.702
7.331.376
8.380.724
5.865.981
7.295.206
10.446.274
5.839.847
7.317.005
12.553.510
5.725.333
7.218.910
9.155.750
8.928.786
10.301.233
15.948.327
14.252.658
15.751.424
21.420.953
6.957.377
9.647.187
16.095.982
8.783.435
11.051.433
22.569.273
6.150.209
6.788.650
9.530.718
6.934.021
9.413.208
15.641.633
112.200.955
114.669.961
181.004.335
62.248.444
80.300.492
98.975.026
6.138.757
8.391.146
13.859.810
7.204.583
9.332.865
14.538.639
6.764.043
8.797.651
10.056.869
7.039.177
8.754.247
12.535.528
7.007.817
8.780.406
15.064.212
6.870.399
8.662.692
10.986.900
10.714.544
12.361.480
19.137.993
17.103.190
18.901.709
25.705.144
8.348.852
11.576.624
19.315.179
10.540.122
13.261.720
27.083.128
7.380.251
8.146.380
11.436.862
8.320.825
11.295.850
18.769.960
134.641.146
137.603.954
217.205.201
74.698.132
96.360.591
118.770.031
7.161.884
9.789.670
16.169.778
8.405.347
10.888.343
16.961.745
7.891.383
10.263.926
11.733.013
8.212.374
10.213.288
14.624.783
8.175.786
10.243.807
17.574.914
8.015.466
10.106.474
12.818.049
12.500.301
14.421.726
22.327.658
19.953.721
22.051.994
29.989.334
9.740.327
13.506.062
22.534.375
12.296.809
15.472.007
31.596.982
8.610.293
9.504.110
13.343.005
9.707.629
13.178.491
21.898.286
157.081.338
160.537.946
253.406.068
87.147.821
112.420.689
138.565.036
Kode INACBG
235 I-1-03-I
236 I-1-03-II
237 I-1-03-III
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
40.586.421
48.703.705
56.820.989
49.287.555
59.145.066
69.002.577
76.557.696
91.869.235
107.180.774
238 I-1-04-I
47.894.985
57.473.982
67.052.979
239 I-1-04-II
75.591.150
90.709.380
105.827.610
120.756.420
144.907.704
169.058.988
82.387.646
98.865.175
115.342.705
98.865.175
118.638.210
138.411.245
136.037.857
163.245.429
190.453.000
45.307.026
65.630.903
83.753.937
54.368.431
78.757.084
100.504.725
63.429.836
91.883.264
117.255.512
59.170.604
71.004.725
82.838.846
72.998.960
87.598.752
102.198.544
79.641.391
95.569.669
111.497.948
9.120.992
10.945.190
12.769.388
10.141.631
12.169.957
14.198.283
13.495.419
16.194.503
18.893.587
33.070.375
37.839.542
60.919.111
23.293.946
26.109.052
43.037.185
39.684.449
45.407.450
73.102.933
27.952.736
31.330.863
51.644.622
46.298.524
52.975.358
85.286.755
32.611.525
36.552.673
60.252.059
240 I-1-04-III
241 I-1-05-I
242 I-1-05-II
243 I-1-05-III
244 I-1-06-I
245 I-1-06-II
246 I-1-06-III
247 I-1-07-I
248 I-1-07-II
249 I-1-07-III
250 I-1-11-I
251 I-1-11-II
252 I-1-11-III
253
254
255
256
257
258
I-1-12-I
I-1-12-II
I-1-12-III
I-1-13-I
I-1-13-II
I-1-13-III
259 I-1-14-I
64.079.280
76.895.136
89.710.992
260 I-1-14-II
79.641.391
95.569.669
111.497.948
261 I-1-14-III
104.357.685
125.229.222
146.100.759
11.129.896
14.783.892
31.628.586
13.355.875
17.740.671
37.954.303
15.581.854
20.697.449
44.280.020
27.462.549
32.955.058
38.447.568
71.402.627
85.683.152
99.963.677
82.361.178
98.833.413
115.305.649
262 I-1-15-I
263 I-1-15-II
264 I-1-15-III
265 I-1-16-I
266 I-1-16-II
267 I-1-16-III
268 I-1-17-I
34.952.758
41.943.310
48.933.861
269 I-1-17-II
43.764.132
52.516.959
61.269.785
54.135.567
32.529.498
40.638.193
42.719.242
64.962.680
39.035.397
48.765.832
51.263.090
75.789.794
45.541.297
56.893.471
59.806.939
64.165.611
76.998.733
89.831.855
70.582.172
84.698.606
98.815.040
270
271
272
273
I-1-17-III
I-1-20-I
I-1-20-II
I-1-20-III
274 I-1-30-I
275 I-1-30-II
Kode INACBG
276 I-1-30-III
277
278
279
280
281
282
283
284
285
286
287
288
289
290
291
292
293
294
295
296
297
298
299
300
301
302
303
304
305
306
307
308
309
310
311
312
313
314
315
316
317
318
I-1-40-I
I-1-40-II
I-1-40-III
I-4-10-I
I-4-10-II
I-4-10-III
I-4-11-I
I-4-11-II
I-4-11-III
I-4-12-I
I-4-12-II
I-4-12-III
I-4-13-I
I-4-13-II
I-4-13-III
I-4-14-I
I-4-14-II
I-4-14-III
I-4-15-I
I-4-15-II
I-4-15-III
I-4-16-I
I-4-16-II
I-4-16-III
I-4-17-I
I-4-17-II
I-4-17-III
I-4-18-I
I-4-18-II
I-4-18-III
I-4-19-I
I-4-19-II
I-4-19-III
I-4-20-I
I-4-20-II
I-4-20-III
I-4-21-I
I-4-21-II
I-4-21-III
I-4-22-I
I-4-22-II
I-4-22-III
319 I-4-23-I
320 I-4-23-II
321 I-4-23-III
322 I-4-24-I
323 I-4-24-II
324 I-4-24-III
325 J-1-01-I
326 J-1-01-II
327 J-1-01-III
328 J-1-02-I
329 J-1-02-II
330 J-1-02-III
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
120.521.357
140.608.249
25.737.272
63.626.927
84.983.948
13.766.057
21.814.997
31.487.034
16.277.910
20.143.977
31.712.480
14.291.571
20.408.424
24.740.218
15.820.266
22.907.829
43.434.820
7.991.025
9.327.063
14.545.147
13.932.108
18.415.982
20.989.789
9.455.082
13.863.568
17.571.604
7.760.074
10.865.337
13.274.671
12.519.239
18.374.488
25.223.350
8.988.873
14.730.296
17.279.666
11.081.239
12.739.150
16.889.165
14.712.795
18.379.891
24.978.242
10.168.288
13.176.461
19.176.152
30.026.818
74.231.415
99.147.940
16.060.400
25.450.830
36.734.873
18.990.896
23.501.306
36.997.893
16.673.500
23.809.828
28.863.588
18.456.977
26.725.801
50.673.957
9.322.863
10.881.574
16.969.339
16.254.126
21.485.312
24.488.087
11.030.929
16.174.163
20.500.205
9.053.419
12.676.226
15.487.116
14.605.779
21.436.902
29.427.241
10.487.018
17.185.346
20.159.610
12.928.112
14.862.341
19.704.026
17.164.928
21.443.207
29.141.282
11.863.003
15.372.537
22.372.178
7.682.799
8.963.265
9.432.706
11.004.824
18.430.648
21.502.423
9.125.567
21.586.911
27.239.201
10.646.495
25.184.729
31.779.068
97.498.734
113.748.523
108.331.927
126.387.248
120.368.808
140.430.276
51.739.111
60.362.296
70.731.485
82.520.066
114.716.058
133.835.401
Kode INACBG
J-1-10-I
J-1-10-II
J-1-10-III
J-1-20-I
J-1-20-II
J-1-20-III
J-1-30-I
J-1-30-II
J-1-30-III
J-4-10-I
J-4-10-II
J-4-10-III
J-4-11-I
J-4-11-II
J-4-11-III
J-4-12-I
J-4-12-II
J-4-12-III
J-4-13-I
J-4-13-II
J-4-13-III
J-4-14-I
J-4-14-II
J-4-14-III
J-4-15-I
J-4-15-II
J-4-15-III
J-4-16-I
J-4-16-II
J-4-16-III
J-4-17-I
J-4-17-II
J-4-17-III
J-4-18-I
J-4-18-II
J-4-18-III
J-4-19-I
J-4-19-II
J-4-19-III
J-4-20-I
J-4-20-II
J-4-20-III
373 J-4-21-I
374 J-4-21-II
375 J-4-21-III
376
377
378
379
380
381
K-1-10-I
K-1-10-II
K-1-10-III
K-1-11-I
K-1-11-II
K-1-11-III
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
33.130.019
36.443.021
49.273.124
18.374.978
23.143.814
35.737.859
28.559.587
31.611.479
97.001.972
8.255.188
11.803.928
17.857.580
6.041.784
8.398.948
12.035.907
8.958.959
10.313.553
13.772.708
11.595.924
17.050.497
33.970.327
9.676.630
16.197.921
19.298.723
8.793.217
11.796.837
13.449.723
7.326.338
9.919.720
15.063.231
7.305.007
9.385.884
13.103.698
5.854.221
7.801.614
8.459.933
10.268.496
11.902.384
15.669.016
10.229.736
12.855.804
22.997.055
39.756.022
43.731.625
59.127.748
22.049.974
27.772.576
42.885.430
34.271.505
37.933.775
116.402.367
9.906.226
14.164.713
21.429.097
7.250.141
10.078.738
14.443.088
10.750.751
12.376.264
16.527.250
13.915.108
20.460.597
40.764.392
11.611.956
19.437.506
23.158.468
10.551.861
14.156.204
16.139.668
8.791.606
11.903.665
18.075.877
8.766.009
11.263.060
15.724.438
7.025.065
9.361.937
10.151.919
12.322.195
14.282.860
18.802.820
12.275.683
15.426.964
27.596.466
46.382.026
51.020.229
68.982.373
25.724.969
32.401.339
50.033.002
39.983.422
44.256.071
135.802.761
11.557.264
16.525.499
25.000.613
8.458.498
11.758.527
16.850.270
12.542.543
14.438.975
19.281.792
16.234.293
23.870.696
47.558.458
13.547.282
22.677.090
27.018.212
12.310.504
16.515.572
18.829.612
10.256.874
13.887.609
21.088.523
10.227.010
13.140.237
18.345.178
8.195.910
10.922.260
11.843.906
14.375.895
16.663.337
21.936.623
14.321.630
17.998.125
32.195.878
5.842.937
7.011.525
8.180.112
11.706.710
14.048.052
16.389.394
16.748.690
20.098.428
23.448.165
15.738.189
22.614.065
26.551.218
13.940.692
18.302.446
46.448.006
18.885.827
27.136.878
31.861.461
16.728.831
21.962.935
55.737.607
22.033.465
31.659.691
37.171.705
19.516.969
25.623.424
65.027.208
382 K-1-12-I
7.468.984
8.962.781
10.456.577
383 K-1-12-II
9.777.912
11.733.494
13.689.076
384 K-1-12-III
19.465.102
23.358.122
27.251.143
385
386
387
388
389
8.534.832
14.843.587
15.902.907
11.883.096
16.166.963
10.241.798
17.812.305
19.083.489
14.259.715
19.400.356
11.948.765
20.781.022
22.264.070
16.636.335
22.633.748
K-1-13-I
K-1-13-II
K-1-13-III
K-1-14-I
K-1-14-II
Kode INACBG
K-1-14-III
K-1-20-I
K-1-20-II
K-1-20-III
394 K-1-30-I
395 K-1-30-II
396 K-1-30-III
397
398
399
400
401
402
403
404
405
406
407
408
409
410
411
K-1-40-I
K-1-40-II
K-1-40-III
K-1-50-I
K-1-50-II
K-1-50-III
K-4-10-I
K-4-10-II
K-4-10-III
K-4-11-I
K-4-11-II
K-4-11-III
K-4-12-I
K-4-12-II
K-4-12-III
412 K-4-13-I
413 K-4-13-II
414 K-4-13-III
415
416
417
418
419
420
421
422
423
424
425
426
427
428
429
430
431
432
433
434
435
K-4-14-I
K-4-14-II
K-4-14-III
K-4-15-I
K-4-15-II
K-4-15-III
K-4-16-I
K-4-16-II
K-4-16-III
K-4-17-I
K-4-17-II
K-4-17-III
K-4-18-I
K-4-18-II
K-4-18-III
L-1-20-I
L-1-20-II
L-1-20-III
L-1-30-I
L-1-30-II
L-1-30-III
436 L-1-40-I
437 L-1-40-II
438 L-1-40-III
439
440
441
442
443
444
445
L-1-50-I
L-1-50-II
L-1-50-III
L-4-10-I
L-4-10-II
L-4-10-III
L-4-11-I
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
32.537.947
26.687.363
37.319.680
65.029.892
39.045.537
32.024.835
44.783.616
78.035.870
45.553.126
37.362.308
52.247.552
91.041.849
17.558.475
21.070.170
24.581.865
31.564.070
37.876.885
44.189.699
50.628.064
60.753.676
70.879.289
17.668.370
19.406.528
32.183.858
13.479.181
17.411.979
23.785.533
10.226.458
15.590.223
39.956.786
5.850.262
8.610.487
13.021.408
5.857.331
9.003.417
17.221.955
21.202.044
23.287.833
38.620.629
16.175.018
20.894.375
28.542.639
12.271.749
18.708.268
47.948.144
7.020.314
10.332.584
15.625.690
7.028.797
10.804.100
20.666.346
24.735.718
27.169.139
45.057.401
18.870.854
24.376.770
33.299.746
14.317.041
21.826.313
55.939.501
8.190.366
12.054.682
18.229.971
8.200.264
12.604.783
24.110.737
8.528.341
10.234.010
11.939.678
11.269.895
13.523.874
15.777.853
16.873.176
20.247.811
23.622.446
6.710.937
9.008.361
14.945.944
7.010.968
11.237.384
15.905.352
7.104.811
8.781.448
11.022.428
5.242.927
7.242.462
9.516.762
6.012.610
8.712.952
10.854.462
38.426.382
40.156.365
98.202.024
22.928.489
40.405.481
42.520.342
8.053.125
10.810.033
17.935.132
8.413.162
13.484.861
19.086.423
8.525.773
10.537.737
13.226.914
6.291.512
8.690.955
11.420.114
7.215.132
10.455.543
13.025.354
46.111.658
48.187.638
117.842.428
27.514.187
48.486.577
51.024.411
9.395.312
12.611.705
20.924.321
9.815.356
15.732.338
22.267.493
9.946.735
12.294.027
15.431.400
7.340.097
10.139.447
13.323.466
8.417.654
12.198.133
15.196.246
53.796.935
56.218.912
137.482.833
32.099.884
56.567.673
59.528.479
12.711.722
15.254.067
17.796.411
19.106.560
22.927.872
26.749.184
35.178.553
42.214.264
49.249.974
16.021.183
28.983.749
34.998.649
8.754.942
10.378.278
21.359.633
8.249.821
19.225.419
34.780.499
41.998.379
10.505.931
12.453.933
25.631.560
9.899.785
22.429.656
40.577.249
48.998.109
12.256.919
14.529.589
29.903.486
11.549.749
Kode INACBG
L-4-11-II
L-4-11-III
L-4-12-I
L-4-12-II
L-4-12-III
451 L-4-13-I
452 L-4-13-II
453 L-4-13-III
454 L-4-14-I
455 L-4-14-II
456 L-4-14-III
457 M-1-01-I
458 M-1-01-II
459 M-1-01-III
460 M-1-02-I
461 M-1-02-II
462 M-1-02-III
463 M-1-03-I
464 M-1-03-II
465 M-1-03-III
466 M-1-04-I
467 M-1-04-II
468 M-1-04-III
469 M-1-05-I
470 M-1-05-II
471 M-1-05-III
472 M-1-07-I
473 M-1-07-II
474 M-1-07-III
475 M-1-10-I
476 M-1-10-II
477 M-1-10-III
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
11.416.731
25.782.283
8.728.008
13.235.691
21.549.968
13.700.078
30.938.739
10.473.609
15.882.829
25.859.962
15.983.424
36.095.196
12.219.211
18.529.968
30.169.956
5.322.392
6.386.870
7.451.349
6.545.977
7.855.173
9.164.368
9.392.198
11.270.638
13.149.077
5.843.807
GANGGUAN PADA KULIT & PAYUDARA LAIN-LAIN (RINGAN)
8.785.748
GANGGUAN PADA KULIT & PAYUDARA LAIN-LAIN (SEDANG)
14.097.456
GANGGUAN PADA KULIT & PAYUDARA LAIN-LAIN (BERAT)
PROSEDUR BILATERAL DAN MULTIPLE SENDI ANGGOTA TUBUH BAWAH
25.355.910
MAYOR (RINGAN)
PROSEDUR BILATERAL DAN MULTIPLE SENDI ANGGOTA TUBUH BAWAH
28.301.297
MAYOR (SEDANG)
PROSEDUR BILATERAL DAN MULTIPLE SENDI ANGGOTA TUBUH BAWAH
39.755.655
MAYOR (BERAT)
20.762.105
PROSEDUR AMPUTASI RINGAN
34.034.728
PROSEDUR AMPUTASI SEDANG
51.039.550
PROSEDUR AMPUTASI BERAT
PROSEDUR FUSI TULANG BELAKANG PADA LENGKUNGAN TULANG
51.260.574
BELAKANG RINGAN
PROSEDUR FUSI TULANG BELAKANG PADA LENGKUNGAN TULANG
59.956.668
BELAKANG SEDANG
PROSEDUR FUSI TULANG BELAKANG PADA LENGKUNGAN TULANG
61.111.174
BELAKANG BERAT
PROSEDUR PADA SENDI TUNGKAI/ANGGOTA TUBUH BAGIAN BAWAH
46.278.034
MAYOR (RINGAN)
PROSEDUR PADA SENDI TUNGKAI/ANGGOTA TUBUH BAGIAN BAWAH
50.905.837
MAYOR (SEDANG)
PROSEDUR PADA SENDI TUNGKAI/ANGGOTA TUBUH BAGIAN BAWAH
55.996.421
MAYOR (BERAT)
PROSEDUR PADA SENDI LENGAN/ANGGOTA TUBUH BAGIAN BAWAH
17.362.295
MAYOR (RINGAN)
PROSEDUR PADA SENDI LENGAN/ANGGOTA TUBUH BAGIAN BAWAH
20.024.449
MAYOR (SEDANG)
PROSEDUR PADA SENDI LENGAN/ANGGOTA TUBUH BAGIAN BAWAH
34.107.090
MAYOR (BERAT)
PROSEDUR FUSI TULANG BELAKANG SELAIN LENGKUNGAN TULANG
20.371.526
BELAKANG RINGAN
PROSEDUR FUSI TULANG BELAKANG SELAIN LENGKUNGAN TULANG
27.291.478
BELAKANG SEDANG
PROSEDUR FUSI TULANG BELAKANG SELAIN LENGKUNGAN TULANG
55.595.329
BELAKANG BERAT
27.104.601
PROSEDUR KRANIAL DAN REKONSTRUKSI TULANG WAJAH RINGAN
64.806.047
PROSEDUR KRANIAL DAN REKONSTRUKSI TULANG WAJAH SEDANG
139.780.542
PROSEDUR KRANIAL DAN REKONSTRUKSI TULANG WAJAH BERAT
7.012.568
10.542.897
16.916.947
8.181.330
12.300.047
19.736.439
30.427.091
35.498.273
33.961.556
39.621.816
47.706.785
55.657.916
24.914.526
40.841.673
61.247.460
29.066.947
47.648.619
71.455.370
61.512.688
71.764.803
71.948.001
83.939.335
73.333.409
85.555.644
55.533.641
64.789.248
61.087.005
71.268.172
67.195.705
78.394.990
20.834.755
24.307.214
24.029.338
28.034.228
40.928.507
47.749.925
24.445.831
28.520.136
32.749.774
38.208.069
66.714.394
77.833.460
32.525.522
77.767.256
167.736.650
37.946.442
90.728.465
195.692.759
478 M-1-20-I
19.635.616
23.562.739
27.489.862
479 M-1-20-II
21.599.178
25.919.013
30.238.849
480 M-1-20-III
40.383.411
48.460.093
56.536.776
13.023.142
27.013.021
40.297.732
15.627.771
32.415.626
48.357.278
18.232.399
37.818.230
56.416.825
8.603.831
10.324.598
12.045.364
15.714.710
18.857.652
22.000.594
27.541.256
33.049.507
38.557.758
481 M-1-30-I
482 M-1-30-II
483 M-1-30-III
490 M-1-60-I
491 M-1-60-II
492 M-1-60-III
493
494
495
496
497
498
499
500
501
502
503
504
505
506
507
M-1-70-I
M-1-70-II
M-1-70-III
M-1-80-I
M-1-80-II
M-1-80-III
M-4-10-I
M-4-10-II
M-4-10-III
M-4-11-I
M-4-11-II
M-4-11-III
M-4-12-I
M-4-12-II
M-4-12-III
508 M-4-13-I
509 M-4-13-II
510 M-4-13-III
511
512
513
514
515
516
517
518
519
520
521
522
523
524
525
M-4-14-I
M-4-14-II
M-4-14-III
M-4-15-I
M-4-15-II
M-4-15-III
M-4-16-I
M-4-16-II
M-4-16-III
M-4-17-I
M-4-17-II
M-4-17-III
M-4-18-I
M-4-18-II
M-4-18-III
526 M-4-19-I
527 M-4-19-II
528 M-4-19-III
529 M-4-20-I
530 M-4-20-II
531 M-4-20-III
532 M-4-21-I
533 M-4-21-II
534 M-4-21-III
535 N-1-01-I
536 N-1-01-II
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
12.429.120
21.600.868
31.557.815
14.914.944
25.921.042
37.869.378
17.400.768
30.241.216
44.180.940
14.617.874
17.541.448
20.465.023
17.596.706
21.116.047
24.635.388
30.752.786
36.903.343
43.053.900
34.318.035
37.749.839
41.524.823
18.360.818
21.449.811
49.078.832
5.850.974
9.206.931
15.997.492
7.941.599
15.773.387
26.313.901
5.844.542
9.379.450
17.870.755
41.181.642
45.299.806
49.829.787
22.032.981
25.739.773
58.894.599
7.021.168
11.048.317
19.196.991
9.529.919
18.928.064
31.576.681
7.013.450
11.255.340
21.444.906
48.045.249
52.849.774
58.134.752
25.705.145
30.029.736
68.710.365
8.191.363
12.889.704
22.396.489
11.118.239
22.082.742
36.839.461
8.182.358
13.131.231
25.019.057
11.110.110
13.332.132
15.554.154
14.651.594
17.581.913
20.512.231
30.378.129
36.453.755
42.529.380
11.108.669
14.156.507
22.451.639
7.517.305
10.029.869
24.777.263
7.519.661
11.734.133
22.394.142
7.322.605
10.257.154
14.324.574
6.907.998
10.410.700
12.535.951
13.330.403
16.987.809
26.941.967
9.020.766
12.035.842
29.732.716
9.023.593
14.080.959
26.872.970
8.787.127
12.308.584
17.189.488
8.289.597
12.492.840
15.043.141
15.552.136
19.819.110
31.432.295
10.524.227
14.041.816
34.688.169
10.527.526
16.427.786
31.351.799
10.251.648
14.360.015
20.054.403
9.671.197
14.574.980
17.550.331
6.564.707
7.877.649
9.190.590
11.057.069
13.268.483
15.479.897
21.595.275
25.914.329
30.233.384
5.610.185
6.732.223
7.854.260
8.215.072
9.858.086
11.501.100
9.181.322
11.017.587
12.853.851
5.852.086
7.022.504
8.192.921
7.869.067
9.442.881
11.016.694
15.840.296
19.008.355
22.176.414
250.000.000
250.000.000
250.000.000
250.000.000
250.000.000
250.000.000
Kode INACBG
N-1-01-III
N-1-11-I
N-1-11-II
N-1-11-III
541 N-1-12-I
542 N-1-12-II
543 N-1-12-III
544
545
546
547
548
549
550
551
552
553
554
555
556
557
558
559
560
561
562
563
564
N-1-20-I
N-1-20-II
N-1-20-III
N-1-30-I
N-1-30-II
N-1-30-III
N-1-40-I
N-1-40-II
N-1-40-III
N-4-10-I
N-4-10-II
N-4-10-III
N-4-11-I
N-4-11-II
N-4-11-III
N-4-12-I
N-4-12-II
N-4-12-III
N-4-13-I
N-4-13-II
N-4-13-III
565 N-4-14-I
566 N-4-14-II
567 N-4-14-III
568
569
570
571
572
573
574
575
576
N-4-15-I
N-4-15-II
N-4-15-III
N-4-16-I
N-4-16-II
N-4-16-III
O-6-10-I
O-6-10-II
O-6-10-III
577 O-6-11-I
578 O-6-11-II
579 O-6-11-III
580 O-6-12-I
581 O-6-12-II
582 O-6-12-III
583 O-6-13-I
584 O-6-13-II
585 O-6-13-III
586 P-8-01-I
587 P-8-01-II
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
250.000.000
20.054.529
30.351.122
51.345.805
250.000.000
24.065.435
36.421.347
61.614.966
250.000.000
28.076.341
42.491.571
71.884.127
10.185.624
12.222.749
14.259.874
28.309.052
33.970.863
39.632.673
51.546.111
61.855.333
72.164.556
16.487.824
32.534.799
37.304.786
19.561.815
29.841.561
31.654.456
17.660.287
23.975.443
27.737.936
7.320.379
10.099.662
17.509.591
5.737.098
9.739.825
11.099.897
5.853.520
8.787.606
11.909.788
7.018.207
9.323.843
19.238.174
19.785.389
39.041.759
44.765.743
23.474.178
35.809.873
37.985.347
21.192.344
28.770.531
33.285.523
8.784.455
12.119.594
21.011.509
6.884.518
11.687.790
13.319.876
7.024.225
10.545.127
14.291.745
8.421.849
11.188.611
23.085.809
23.082.953
45.548.719
52.226.700
27.386.541
41.778.186
44.316.239
24.724.401
33.565.620
38.833.110
10.248.531
14.139.527
24.513.427
8.031.938
13.635.755
15.539.855
8.194.929
12.302.648
16.673.703
9.825.490
13.053.380
26.933.444
5.075.838
6.091.006
7.106.174
6.936.908
8.324.290
9.711.671
11.249.454
13.499.344
15.749.235
6.416.983
7.961.797
9.085.848
7.776.899
10.868.164
20.048.935
7.230.376
9.015.688
10.732.367
7.700.379
9.554.157
10.903.017
9.332.279
13.041.796
24.058.722
8.676.451
10.818.826
12.878.841
8.983.776
11.146.516
12.720.187
10.887.659
15.215.429
28.068.509
10.122.526
12.621.963
15.025.314
6.102.417
7.322.901
8.543.384
8.072.156
9.686.587
11.301.018
13.770.123
16.524.147
19.278.172
5.472.443
6.566.932
7.661.420
6.572.390
7.886.868
9.201.347
8.257.267
9.908.720
11.560.173
3.175.600
5.133.650
6.069.167
3.810.720
6.160.380
7.283.000
4.445.840
7.187.110
8.496.833
130.674.375
156.809.250
182.944.126
161.689.099
194.026.919
226.364.738
Kode INACBG
588 P-8-01-III
589 P-8-02-I
590 P-8-02-II
591 P-8-02-III
592 P-8-03-I
593 P-8-03-II
594 P-8-03-III
595 P-8-04-I
596 P-8-04-II
597 P-8-04-III
598 P-8-05-I
599 P-8-05-II
600 P-8-05-III
601 P-8-06-I
602 P-8-06-II
603 P-8-06-III
604 P-8-07-I
605 P-8-07-II
606 P-8-07-III
607 P-8-08-I
608 P-8-08-II
609 P-8-08-III
610 P-8-10-I
611 P-8-10-II
612 P-8-10-III
613
614
615
616
617
618
619
620
621
P-8-11-I
P-8-11-II
P-8-11-III
P-8-12-I
P-8-12-II
P-8-12-III
P-8-13-I
P-8-13-II
P-8-13-III
622 P-8-14-I
623 P-8-14-II
624 P-8-14-III
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
189.777.676
227.733.211
265.688.746
183.428.086
220.113.703
256.799.320
210.410.895
252.493.074
294.575.253
240.409.492
288.491.390
336.573.289
8.055.035
9.666.042
11.277.049
11.220.535
13.464.642
15.708.749
17.717.587
21.261.105
24.804.622
73.746.433
88.495.719
103.245.006
95.500.373
114.600.448
133.700.523
136.923.498
164.308.197
191.692.897
40.053.159
48.063.791
56.074.423
56.820.882
68.185.059
79.549.235
83.717.942
100.461.531
117.205.119
7.894.284
9.473.141
11.051.998
16.558.054
19.869.665
23.181.276
30.869.942
37.043.931
43.217.919
11.250.277
13.500.333
15.750.388
31.625.578
37.950.694
44.275.810
41.858.854
50.230.625
58.602.395
8.404.395
10.085.274
11.766.153
11.915.225
14.298.270
16.681.315
16.299.274
19.559.129
22.818.984
5.193.850
6.232.620
7.271.390
9.251.414
11.101.697
12.951.979
18.163.252
21.795.902
25.428.553
10.247.694
31.104.134
31.755.771
13.589.930
20.027.587
20.206.520
4.367.147
8.077.124
17.740.834
12.297.233
37.324.961
38.106.925
16.307.916
24.033.105
24.247.824
5.240.577
9.692.549
21.289.000
14.346.772
43.545.788
44.458.079
19.025.902
28.038.622
28.289.128
6.114.006
11.307.974
24.837.167
8.009.741
9.611.689
11.213.637
16.315.075
19.578.090
22.841.105
17.859.630
21.431.556
25.003.482
628 P-8-16-I
629 P-8-16-II
630 P-8-16-III
631 P-8-17-I
632 P-8-17-II
633 P-8-17-III
634 S-4-10-I
635 S-4-10-II
636 S-4-10-III
637
638
639
640
641
642
643
644
645
S-4-11-I
S-4-11-II
S-4-11-III
S-4-12-I
S-4-12-II
S-4-12-III
S-4-13-I
S-4-13-II
S-4-13-III
646 S-4-14-I
647 S-4-14-II
648 S-4-14-III
649 S-4-15-I
650 S-4-15-II
651 S-4-15-III
652 S-4-16-I
653 S-4-16-II
654 S-4-16-III
655 S-4-17-I
656 S-4-17-II
657 S-4-17-III
658 T-1-10-I
659 T-1-10-II
660 T-1-10-III
661 T-4-10-I
662 T-4-10-II
663 T-4-10-III
664 T-4-11-I
665 T-4-11-II
666 T-4-11-III
667 T-4-12-I
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
6.020.967
12.062.224
14.138.266
7.225.160
14.474.669
16.965.920
8.429.353
16.887.113
19.793.573
5.441.029
6.529.235
7.617.440
7.735.243
9.282.292
10.829.341
18.462.957
22.155.548
25.848.139
3.594.401
9.705.631
19.589.189
4.313.281
11.646.758
23.507.027
5.032.161
13.587.884
27.424.865
5.190.878
6.229.054
7.267.229
7.320.503
8.784.603
10.248.704
9.036.071
10.843.285
12.650.499
3.666.752
5.727.060
9.026.866
4.395.158
5.842.695
9.790.256
5.829.943
10.366.910
20.104.548
4.400.102
6.872.472
10.832.239
5.274.189
7.011.234
11.748.307
6.995.931
12.440.292
24.125.458
5.133.453
8.017.885
12.637.612
6.153.221
8.179.773
13.706.358
8.161.920
14.513.675
28.146.367
3.168.750
3.802.500
4.436.250
6.731.487
8.077.785
9.424.082
12.765.298
15.318.358
17.871.418
2.396.555
2.875.866
3.355.176
4.523.115
5.427.738
6.332.361
5.858.485
7.030.182
8.201.879
13.261.910
16.866.281
21.107.360
15.914.292
20.239.538
25.328.832
18.566.673
23.612.794
29.550.304
5.415.987
6.499.184
7.582.381
7.331.746
8.798.095
10.264.444
10.859.327
13.031.192
15.203.057
4.703.311
6.316.228
11.491.278
5.643.974
7.579.474
13.789.533
6.584.636
8.842.719
16.087.789
2.191.376
2.629.651
3.067.927
4.176.277
5.011.533
5.846.788
6.071.173
7.285.408
8.499.643
2.507.596
3.009.115
3.510.635
3.946.243
4.735.491
5.524.740
6.356.235
7.627.481
8.898.728
5.122.897
6.147.476
7.172.056
Kode INACBG
668 T-4-12-II
669
670
671
672
673
674
675
676
677
678
679
680
681
T-4-12-III
U-1-10-I
U-1-10-II
U-1-10-III
U-1-11-I
U-1-11-II
U-1-11-III
U-1-12-I
U-1-12-II
U-1-12-III
U-1-13-I
U-1-13-II
U-1-13-III
682 U-1-14-I
683 U-1-14-II
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
7.730.488
9.276.586
10.822.684
12.045.118
4.843.800
9.884.072
42.681.418
19.194.170
25.588.411
42.427.336
13.189.928
28.925.008
37.401.902
14.141.714
17.895.407
25.601.523
14.454.141
5.812.560
11.860.886
51.217.702
23.033.004
30.706.094
50.912.803
15.827.913
34.710.009
44.882.283
16.970.057
21.474.488
30.721.828
16.863.165
6.781.320
13.837.700
59.753.985
26.871.838
35.823.776
59.398.270
18.465.899
40.495.011
52.362.663
19.798.400
25.053.569
35.842.133
8.960.876
10.753.051
12.545.226
10.996.797
13.196.156
15.395.515
684 U-1-14-III
13.031.514
15.637.816
18.244.119
685 U-1-15-I
686 U-1-15-II
687 U-1-15-III
5.239.729
7.478.332
11.593.531
6.287.675
8.973.999
13.912.237
7.335.620
10.469.665
16.230.943
13.588.640
16.306.368
19.024.096
23.772.560
28.527.072
33.281.584
47.429.738
56.915.686
66.401.633
11.676.049
15.704.950
29.385.481
10.820.249
21.024.079
32.278.862
5.838.210
8.191.794
10.161.636
5.197.800
7.012.621
9.050.263
14.011.259
18.845.940
35.262.577
12.984.299
25.228.895
38.734.635
7.005.852
9.830.153
12.193.963
6.237.360
8.415.145
10.860.316
16.346.468
21.986.930
41.139.673
15.148.349
29.433.711
45.190.407
8.173.494
11.468.512
14.226.290
7.276.921
9.817.669
12.670.368
5.700.375
6.840.451
7.980.526
6.669.627
8.003.552
9.337.478
7.789.870
9.347.843
10.905.817
7.308.518
8.750.175
14.694.826
8.770.221
10.500.210
17.633.791
10.231.925
12.250.245
20.572.756
5.832.997
6.999.596
8.166.196
7.316.218
8.779.462
10.242.706
10.242.080
12.290.496
14.338.912
17.138.072
19.759.804
30.551.012
19.728.541
21.965.041
32.595.623
20.565.686
23.711.764
36.661.215
23.674.250
26.358.049
39.114.747
23.993.301
27.663.725
42.771.417
27.619.958
30.751.057
45.633.872
10.942.908
13.131.490
15.320.071
688 U-1-20-I
689 U-1-20-II
690 U-1-20-III
691
692
693
694
695
696
697
698
699
700
701
702
U-1-30-I
U-1-30-II
U-1-30-III
U-4-10-I
U-4-10-II
U-4-10-III
U-4-11-I
U-4-11-II
U-4-11-III
U-4-12-I
U-4-12-II
U-4-12-III
703 U-4-13-I
704 U-4-13-II
705 U-4-13-III
706 U-4-14-I
707 U-4-14-II
708 U-4-14-III
709 U-4-15-I
710 U-4-15-II
711 U-4-15-III
712
713
714
715
716
717
V-1-10-I
V-1-10-II
V-1-10-III
V-1-11-I
V-1-11-II
V-1-11-III
718 V-1-12-I
Kode INACBG
719 V-1-12-II
720 V-1-12-III
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
33.976.051
40.771.261
47.566.472
39.627.950
47.553.540
55.479.129
721 V-1-13-I
16.547.406
19.856.887
23.166.368
722 V-1-13-II
28.212.092
33.854.511
39.496.929
723
724
725
726
727
728
729
730
731
732
38.682.909
19.949.318
25.173.442
30.665.581
9.173.922
14.138.150
23.287.632
11.811.384
15.978.626
30.648.819
46.419.491
23.939.181
30.208.130
36.798.697
11.008.706
16.965.780
27.945.159
14.173.660
19.174.351
36.778.583
54.156.072
27.929.045
35.242.818
42.931.813
12.843.490
19.793.410
32.602.685
16.535.937
22.370.076
42.908.347
733 V-4-11-I
7.367.804
8.841.365
10.314.925
734 V-4-11-II
10.344.211
12.413.053
14.481.895
735 V-4-11-III
15.182.907
18.219.488
21.256.070
22.689.138
27.226.966
31.764.794
27.414.698
32.897.638
38.380.578
49.005.969
58.807.163
68.608.356
6.321.132
9.621.475
15.705.871
6.555.588
9.758.590
19.305.904
7.585.358
11.545.770
18.847.046
7.866.706
11.710.308
23.167.085
8.849.585
13.470.065
21.988.220
9.177.824
13.662.025
27.028.266
5.946.752
7.136.102
8.325.453
6.786.838
8.144.205
9.501.573
10.425.438
12.510.526
14.595.613
6.138.165
6.664.278
8.951.356
15.811.977
22.125.572
27.896.605
10.212.713
16.289.805
44.762.553
7.859.024
10.624.497
23.327.742
6.049.001
9.550.705
11.631.578
7.365.798
7.997.134
10.741.627
18.974.372
26.550.687
33.475.926
12.255.255
19.547.766
53.715.064
9.430.829
12.749.396
27.993.291
7.258.801
11.460.846
13.957.893
8.593.431
9.329.990
12.531.898
22.136.767
30.975.801
39.055.247
14.297.798
22.805.727
62.667.574
11.002.633
14.874.295
32.658.839
8.468.602
13.370.988
16.284.209
5.841.957
7.010.349
8.178.740
8.045.075
9.654.090
11.263.105
9.209.410
11.051.291
12.893.173
3.211.133
4.392.883
5.861.548
3.853.360
5.271.460
7.033.858
4.495.587
6.150.036
8.206.168
V-1-13-III
V-1-14-I
V-1-14-II
V-1-14-III
V-1-15-I
V-1-15-II
V-1-15-III
V-4-10-I
V-4-10-II
V-4-10-III
736 W-1-01-I
737 W-1-01-II
738 W-1-01-III
739
740
741
742
743
744
W-1-10-I
W-1-10-II
W-1-10-III
W-1-11-I
W-1-11-II
W-1-11-III
745 W-1-12-I
746 W-1-12-II
747 W-1-12-III
748
749
750
751
752
753
754
755
756
757
758
759
760
761
762
W-1-13-I
W-1-13-II
W-1-13-III
W-1-20-I
W-1-20-II
W-1-20-III
W-1-30-I
W-1-30-II
W-1-30-III
W-4-10-I
W-4-10-II
W-4-10-III
W-4-11-I
W-4-11-II
W-4-11-III
763 W-4-12-I
764 W-4-12-II
765 W-4-12-III
766 W-4-13-I
767 W-4-13-II
768 W-4-13-III
Kode INACBG
W-4-14-I
W-4-14-II
W-4-14-III
W-4-15-I
W-4-15-II
W-4-15-III
W-4-16-I
W-4-16-II
W-4-16-III
W-4-17-I
W-4-17-II
W-4-17-III
Z-4-10-I
Z-4-10-II
Z-4-10-III
Z-4-11-I
Z-4-11-II
Z-4-11-III
787 Z-4-12-I
788 Z-4-12-II
789 Z-4-12-III
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
4.398.703
5.246.014
7.119.138
3.642.940
4.097.100
5.672.824
4.385.138
5.993.096
7.978.623
3.681.125
5.861.957
11.070.507
8.923.951
11.845.257
16.827.317
7.350.553
8.833.303
13.851.388
5.278.444
6.295.217
8.542.965
4.371.528
4.916.520
6.807.388
5.262.166
7.191.716
9.574.347
4.417.351
7.034.348
13.284.608
10.708.741
14.214.308
20.192.781
8.820.664
10.599.964
16.621.665
6.158.184
7.344.420
9.966.793
5.100.116
5.735.939
7.941.953
6.139.193
8.390.335
11.170.072
5.153.576
8.206.740
15.498.709
12.493.532
16.583.360
23.558.244
10.290.774
12.366.625
19.391.943
4.395.014
5.274.016
6.153.019
9.179.948
11.015.938
12.851.928
13.225.367
15.870.440
18.515.514
Kode INACBG
B-2-10-0
B-2-11-0
B-2-12-0
B-2-13-0
B-2-14-0
B-3-10-0
B-3-11-0
8 B-3-12-0
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
PROSEDUR RADIOTERAPI
KEMOTERAPI PADA TUMOR PARU & KANDUNG KEMIH
KEMOTERAPI PADA TUMOR KOLON
KEMOTERAPI PADA TUMOR PAYUDARA ATAU OVARIUM
KEMOTERAPI PADA TUMOR GASTROINTESTINAL
KEMOTERAPI PADA TUMOR MELANOMA, GINJAL ATAU PROSTAT
KEMOTERAPI PADA TUMOR OTAK
KEMOTERAPI PADA TUMOR KEPALA ATAU LEHER
KEMOTERAPI PADA LEUKEMIA AKUT
KEMOTERAPI PADA TUMOR LIMFOMA, MYELOMA ATAU TESTIS
KEMOTERAPI PADA TUMOR KULIT
KEMOTERAPI PADA TUMOR GINEKOLOGI
KEMOTERAPI PADA TUMOR METASTASE
KEMOTERAPI PADA TUMOR LAIN-LAIN
PROSEDUR PENCANGKOKAN SUMSUM TULANG
PROSEDUR LIMPA
PROSEDUR BESAR PADA NODUL LIMPA DAN TYMUS
PROSEDUR KECIL PADA NODUL LIMPA DAN TYMUS
PROSEDUR TRANSFUSI & TERAPI SUMSUM TULANG
PROSEDUR DIAGNOSTIK DARAH DAN ORGAN PEMBENTUK DARAH
PROSEDUR PADA KELENJAR ADRENAL
PROSEDUR BESAR PADA KELENJAR TIROID DAN PARATIROID
PROSEDUR KECIL PADA KELENJAR TIROID,PARATIROID DAN SALURAN
THYROGLOSSAL
PROSEDUR DIAGNOSTIK PADA KELENJAR ENDOKRIN
TERAPI SHOCK
PELAYANAN KESEHATAN MENTAL EKSTENSIF
TERAPI KELOMPOK
PROSEDUR TES DIAGNOSTIK KESEHATAN JIWA
PSIKOTERAPI INDIVIDU DEWASA AKUT
PSIKOTHERAPI INDIVIDU DEWASA BUKAN AKUT
PENGOBATAN INDIVIDU KETERBELAKANGAN MENTAL
PSIKOTHERAPI INDIVIDU PADA KANAK-KANAK MASALAH KESEHATAN
MENTAL
PROSEDUR KRANIOTOMI
PROSEDUR SHUNT VENTRIKEL
PROSEDUR PADA PEMBULUH DARAH EKSTRAKRANIAL
PROSEDUR CARPAL TUNNEL RELEASE
PROSEDUR BESAR PADA SARAF PERIFER
PROSEDUR KECIL PADA SARAF PERIFER
C-3-10-0
C-3-11-0
C-3-12-0
C-3-13-0
C-3-14-0
C-3-15-0
C-3-16-0
C-3-17-0
C-3-18-0
C-3-19-0
C-3-20-0
C-3-21-0
C-3-22-0
C-3-23-0
D-2-10-0
D-2-11-0
D-2-21-0
D-2-22-0
D-3-10-0
D-3-11-0
E-2-10-0
E-2-21-0
31 E-2-22-0
32
33
34
35
36
37
38
39
E-3-10-0
F-3-10-0
F-5-10-0
F-5-11-0
F-5-12-0
F-5-13-0
F-5-14-0
F-5-15-0
40 F-5-16-0
41
42
43
44
45
46
G-2-10-0
G-2-11-0
G-2-12-0
G-2-13-0
G-2-21-0
G-2-22-0
Kode INACBG
G-2-31-0
G-2-32-0
G-3-10-0
G-3-11-0
G-3-12-0
G-3-13-0
H-2-21-0
H-2-22-0
H-2-23-0
H-2-31-0
H-2-32-0
H-2-33-0
H-2-34-0
H-2-35-0
H-2-36-0
H-2-37-0
H-3-10-0
H-3-11-0
H-3-12-0
H-3-13-0
67 I-2-11-0
68 I-2-12-0
69 I-2-13-0
70 I-2-14-0
71 I-2-15-0
72 I-2-16-0
73
74
75
76
I-2-17-0
I-2-21-0
I-2-22-0
I-2-23-0
77 I-2-31-0
78 I-2-32-0
79 I-2-41-0
80 I-2-42-0
81
82
83
84
85
86
87
88
89
90
91
I-3-10-0
I-3-11-0
I-3-12-0
I-3-13-0
I-3-14-0
I-3-15-0
J-2-10-0
J-2-21-0
J-2-22-0
J-2-31-0
J-2-32-0
Kode INACBG
J-3-10-0
J-3-11-0
J-3-12-0
J-3-13-0
J-3-14-0
J-3-15-0
J-3-16-0
J-3-17-0
K-2-10-0
K-2-11-0
102 K-2-12-0
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
K-2-13-0
K-2-14-0
K-2-21-0
K-2-22-0
K-2-31-0
K-2-32-0
K-2-41-0
K-2-42-0
K-2-51-0
K-2-52-0
K-2-53-0
K-3-10-0
K-3-11-0
K-3-12-0
K-3-13-0
K-3-14-0
K-3-15-0
K-3-16-0
L-2-21-0
L-2-22-0
L-2-31-0
L-2-32-0
L-2-41-0
L-2-42-0
L-2-51-0
128 L-2-52-0
129 L-2-53-0
130
131
132
133
134
135
136
137
138
L-3-10-0
L-3-11-0
L-3-12-0
M-2-10-0
M-2-21-0
M-2-22-0
M-2-31-0
M-2-32-0
M-2-41-0
Kode INACBG
M-2-42-0
M-2-51-0
M-2-52-0
M-2-61-0
M-2-62-0
M-2-63-0
M-2-64-0
M-2-65-0
M-2-71-0
M-2-72-0
M-2-81-0
M-2-82-0
M-2-83-0
M-2-84-0
M-3-10-0
M-3-11-0
M-3-12-0
M-3-13-0
M-3-14-0
M-3-15-0
159 M-3-16-0
160 M-3-17-0
161 N-2-11-0
162 N-2-12-0
163 N-2-21-0
164
165
166
167
168
169
170
171
172
N-2-22-0
N-2-23-0
N-2-24-0
N-2-31-0
N-2-32-0
N-2-41-0
N-2-42-0
N-3-10-0
N-3-11-0
173 N-3-12-0
174
175
176
177
N-3-13-0
N-3-14-0
N-3-15-0
O-7-10-0
178 O-7-11-0
179 O-7-12-0
180 O-7-13-0
181 P-9-10-0
187 P-9-16-0
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
229
P-9-17-0
Q-5-10-0
Q-5-11-0
Q-5-12-0
Q-5-13-0
Q-5-14-0
Q-5-15-0
Q-5-16-0
Q-5-17-0
Q-5-18-0
Q-5-19-0
Q-5-20-0
Q-5-21-0
Q-5-22-0
Q-5-23-0
Q-5-24-0
Q-5-25-0
Q-5-26-0
Q-5-27-0
Q-5-28-0
Q-5-29-0
Q-5-30-0
Q-5-31-0
Q-5-32-0
Q-5-33-0
Q-5-34-0
Q-5-35-0
Q-5-36-0
Q-5-37-0
Q-5-38-0
Q-5-39-0
Q-5-40-0
Q-5-41-0
Q-5-42-0
Q-5-43-0
Q-5-44-0
T-2-10-0
U-2-10-0
U-2-11-0
U-2-12-0
U-2-13-0
U-2-14-0
Kode INACBG
Z-3-12-0
Z-3-13-0
Z-3-14-0
Z-3-15-0
Z-3-16-0
Z-3-17-0
Z-3-18-0
Z-3-19-0
Z-3-20-0
Z-3-21-0
Z-3-22-0
Z-3-23-0
Z-3-24-0
Z-3-25-0
Z-3-26-0
Z-3-27-0
Z-3-28-0
Z-3-29-0
Z-3-30-0
DD01
Streptokinase
DD02
Deferiprone
DD03
Deferoksamin
DD04
Deferasirox
DD05
Human Albumin
RR01
RR02
Cote graft
RR03
TMJ Prothesis
RR04
RR05
YY01
YY02
YY03
PCI
Kelas
Rawat
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
Top Up
2.547.318
2.547.318
2.547.318
3.323.015
3.323.015
3.323.015
3.323.015
3.323.015
3.323.015
3.323.015
3.323.015
3.323.015
2.534.057
2.534.057
2.534.057
10.032.070
10.032.070
10.032.070
20.293.211
20.293.211
20.293.211
7.800.717
7.800.717
7.800.717
9.008.608
9.008.608
9.008.608
12.100.048
12.100.048
12.100.048
6.383.729
6.383.729
6.383.729
6.050.024
6.050.024
6.050.024
21.447.727
21.447.727
21.447.727
YY04
Keratoplasty
YY05
Pancreatectomy
YY06
YY07
YY08
Torakotomi
YY09
Lobektomi / bilobektomi
YY10
Air plumbage
YY11
Timektomi
YY12
Vitrectomy
YY13
YY14
YY15
II01
II02
II03
II04
Phacoemulsification
Microlaringoscopy
Cholangiograph
Other CT Scan
Nuclear Medicine
MRI
Diagnostic and Imaging Procedure of Eye
Kelas
Rawat
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
0
0
0
0
0
0
0
Top Up
6.638.242
6.638.242
6.638.242
9.543.144
9.543.144
9.543.144
45.307.026
45.307.026
45.307.026
4.412.394
4.412.394
4.412.394
10.329.469
10.329.469
10.329.469
12.514.049
12.514.049
12.514.049
8.593.726
8.593.726
8.593.726
11.228.604
11.228.604
11.228.604
6.638.242
6.638.242
6.638.242
3.501.952
1.682.971
6.102.174
1.309.216
1.305.566
3.109.811
847.327
Kode INACBG
A-4-10-I
A-4-10-II
A-4-10-III
A-4-11-I
A-4-11-II
A-4-11-III
A-4-12-I
A-4-12-II
A-4-12-III
A-4-13-I
A-4-13-II
A-4-13-III
A-4-14-I
A-4-14-II
A-4-14-III
A-4-15-I
A-4-15-II
A-4-15-III
B-1-01-I
B-1-01-II
B-1-01-III
B-1-10-I
B-1-10-II
B-1-10-III
B-1-11-I
B-1-11-II
B-1-11-III
B-1-12-I
B-1-12-II
B-1-12-III
B-1-13-I
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
SEPTIKEMIA RINGAN
SEPTIKEMIA SEDANG
SEPTIKEMIA BERAT
INFEKSI SESUDAH OPERASI & TRAUMA RINGAN
INFEKSI SESUDAH OPERASI & TRAUMA SEDANG
INFEKSI SESUDAH OPERASI & TRAUMA BERAT
DEMAM RINGAN
DEMAM SEDANG
DEMAM BERAT
INFEKSI NON BAKTERI RINGAN
INFEKSI NON BAKTERI SEDANG
INFEKSI NON BAKTERI BERAT
PENYAKIT INFEKSI BAKTERI DAN PARASIT LAIN-LAIN RINGAN
PENYAKIT INFEKSI BAKTERI DAN PARASIT LAIN-LAIN SEDANG
PENYAKIT INFEKSI BAKTERI DAN PARASIT LAIN-LAIN BERAT
INFEKSI HIV RINGAN
INFEKSI HIV SEDANG
INFEKSI HIV BERAT
PROSEDUR PENCANGKOKAN HATI RINGAN
PROSEDUR PENCANGKOKAN HATI SEDANG
PROSEDUR PENCANGKOKAN HATI BERAT
PROSEDUR HATI DAN PANKREAS RINGAN
PROSEDUR HATI DAN PANKREAS SEDANG
PROSEDUR HATI DAN PANKREAS BERAT
PROSEDUR SALURAN EMPEDU KOMPLEK (RINGAN)
PROSEDUR SALURAN EMPEDU KOMPLEK (SEDANG)
PROSEDUR SALURAN EMPEDU KOMPLEK (BERAT)
PROSEDUR CHOLESISTEKTOMI TANPA LAPAROSKOPIK RINGAN
PROSEDUR CHOLESISTEKTOMI TANPA LAPAROSKOPIK SEDANG
PROSEDUR CHOLESISTEKTOMI TANPA LAPAROSKOPIK BERAT
PROSEDUR PANKREAS DAN HEPATOBILLIARI LAIN-LAIN (RINGAN)
5.068.113
8.651.438
10.386.292
11.054.308
17.744.884
29.026.753
4.432.535
6.316.103
6.741.482
5.524.636
6.654.110
8.081.325
4.655.241
7.610.123
8.453.535
6.641.686
9.977.566
16.655.815
73.608.901
81.210.297
142.459.572
9.543.144
24.320.528
50.938.717
7.848.787
19.661.660
24.715.908
12.465.289
26.716.164
32.514.578
10.987.554
6.081.736
10.381.725
12.463.551
13.265.169
21.293.861
34.832.104
5.319.042
7.579.324
8.089.778
6.629.564
7.984.932
9.697.590
5.586.289
9.132.147
10.144.242
7.970.024
11.973.079
19.986.978
88.330.681
97.452.356
170.951.487
11.451.773
29.184.634
61.126.460
9.418.545
23.593.992
29.659.089
14.958.347
32.059.396
39.017.494
13.185.064
7.095.359
12.112.013
14.540.809
15.476.031
24.842.837
40.637.454
6.205.549
8.842.545
9.438.074
7.734.491
9.315.754
11.313.855
6.517.337
10.654.172
11.834.949
9.298.361
13.968.592
23.318.141
103.052.461
113.694.416
199.443.401
13.360.402
34.048.739
71.314.204
10.988.302
27.526.324
34.602.271
17.451.405
37.402.629
45.520.409
15.382.575
32 B-1-13-II
17.897.130
21.476.556
25.055.982
33
34
35
36
37
38
39
40
41
42
43
44
45
26.385.392
14.835.250
16.499.792
25.811.964
4.156.540
6.038.638
10.178.904
8.899.910
13.340.344
16.493.009
8.824.195
12.511.606
23.795.467
31.662.470
17.802.301
19.799.751
30.974.357
4.987.847
7.246.366
12.214.685
10.679.892
16.008.413
19.791.610
10.589.034
15.013.927
28.554.561
36.939.549
20.769.351
23.099.709
36.136.749
5.819.155
8.454.093
14.250.466
12.459.874
18.676.482
23.090.212
12.353.873
17.516.249
33.313.654
6.638.499
7.966.199
9.293.899
8.660.203
10.392.244
12.124.284
13.946.511
16.735.813
19.525.115
7.646.029
8.603.872
10.943.856
7.778.975
15.096.321
22.297.938
7.831.025
8.981.701
18.098.285
4.412.394
14.581.273
29.789.200
4.436.059
8.841.978
11.571.450
9.175.235
10.324.647
13.132.627
9.334.770
18.115.585
26.757.526
9.397.231
10.778.041
21.717.942
5.294.873
17.497.527
35.747.040
5.323.271
10.610.373
13.885.740
10.704.440
12.045.421
15.321.399
10.890.565
21.134.849
31.217.114
10.963.436
12.574.381
25.337.599
6.177.352
20.413.782
41.704.880
6.210.483
12.378.769
16.200.030
B-1-13-III
B-1-14-I
B-1-14-II
B-1-14-III
B-4-10-I
B-4-10-II
B-4-10-III
B-4-11-I
B-4-11-II
B-4-11-III
B-4-12-I
B-4-12-II
B-4-12-III
46 B-4-13-I
47 B-4-13-II
48 B-4-13-III
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
B-4-14-I
B-4-14-II
B-4-14-III
C-4-10-I
C-4-10-II
C-4-10-III
C-4-11-I
C-4-11-II
C-4-11-III
C-4-12-I
C-4-12-II
C-4-12-III
C-4-13-I
C-4-13-II
C-4-13-III
Kode INACBG
C-4-14-I
C-4-14-II
C-4-14-III
D-1-10-I
D-1-10-II
D-1-10-III
D-1-11-I
D-1-11-II
D-1-11-III
73 D-1-20-I
74 D-1-20-II
75 D-1-20-III
76
77
78
79
80
81
82
83
84
D-4-10-I
D-4-10-II
D-4-10-III
D-4-11-I
D-4-11-II
D-4-11-III
D-4-12-I
D-4-12-II
D-4-12-III
85 D-4-13-I
86 D-4-13-II
87 D-4-13-III
88 D-4-14-I
89 D-4-14-II
90 D-4-14-III
91
92
93
94
95
96
E-1-01-I
E-1-01-II
E-1-01-III
E-1-10-I
E-1-10-II
E-1-10-III
97 E-1-20-I
98 E-1-20-II
99 E-1-20-III
100 E-4-10-I
101 E-4-10-II
102 E-4-10-III
103
104
105
106
107
108
109
110
111
112
113
114
115
116
E-4-11-I
E-4-11-II
E-4-11-III
E-4-12-I
E-4-12-II
E-4-12-III
E-4-13-I
E-4-13-II
E-4-13-III
F-4-10-I
F-4-10-II
F-4-10-III
F-4-11-I
F-4-11-II
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
6.906.456
10.100.989
15.356.317
47.101.239
71.738.800
97.225.677
11.645.305
29.794.558
41.803.655
8.287.747
12.121.186
18.427.580
56.521.487
86.086.561
116.670.812
13.974.366
35.753.469
50.164.386
9.669.038
14.141.384
21.498.843
65.941.735
100.434.321
136.115.948
16.303.427
41.712.381
58.525.117
11.228.604
13.474.325
15.720.046
29.378.677
35.254.412
41.130.148
51.787.310
62.144.772
72.502.234
4.588.759
8.474.314
11.079.147
7.265.923
14.826.449
20.367.938
5.675.693
7.872.744
12.088.603
5.506.511
10.169.176
13.294.977
8.719.108
17.791.738
24.441.525
6.810.832
9.447.293
14.506.323
6.424.262
11.864.039
15.510.806
10.172.292
20.757.028
28.515.113
7.945.970
11.021.842
16.924.044
4.430.686
5.316.823
6.202.960
6.647.958
7.977.550
9.307.141
8.214.540
9.857.448
11.500.356
5.544.082
6.652.898
7.761.714
11.370.636
13.644.763
15.918.890
14.859.912
17.831.895
20.803.877
12.767.458
16.724.155
33.150.058
10.811.373
13.122.469
27.658.302
15.320.949
20.068.986
39.780.070
12.973.647
15.746.963
33.189.962
17.874.441
23.413.817
46.410.082
15.135.922
18.371.457
38.721.622
15.060.459
18.072.551
21.084.643
20.161.597
24.193.916
28.226.235
36.767.408
44.120.889
51.474.371
6.186.817
7.424.180
8.661.544
9.482.205
11.378.646
13.275.087
13.070.860
15.685.032
18.299.204
5.674.622
8.224.168
14.347.646
6.099.190
9.961.418
15.953.001
7.166.252
12.308.928
17.361.662
8.720.460
9.700.011
14.361.080
8.047.639
9.376.264
6.809.547
9.869.002
17.217.176
7.319.028
11.953.702
19.143.602
8.599.502
14.770.713
20.833.994
10.464.552
11.640.013
17.233.296
9.657.167
11.251.517
7.944.471
11.513.835
20.086.705
8.538.866
13.945.985
22.334.202
10.032.752
17.232.499
24.306.326
12.208.644
13.580.016
20.105.513
11.266.695
13.126.769
Kode INACBG
F-4-11-III
F-4-12-I
F-4-12-II
F-4-12-III
F-4-13-I
F-4-13-II
F-4-13-III
F-4-14-I
F-4-14-II
F-4-14-III
F-4-15-I
F-4-15-II
F-4-15-III
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
12.023.797
3.940.237
5.223.671
10.282.824
6.496.315
8.595.918
11.083.339
3.397.911
4.358.509
5.864.568
5.427.304
7.645.918
9.519.436
14.428.556
4.728.284
6.268.405
12.339.389
7.795.578
10.315.102
13.300.006
4.077.493
5.230.211
7.037.482
6.512.765
9.175.101
11.423.324
16.833.316
5.516.331
7.313.139
14.395.954
9.094.841
12.034.285
15.516.674
4.757.075
6.101.913
8.210.396
7.598.226
10.704.285
13.327.211
130 F-4-16-I
11.659.453
13.991.344
16.323.234
131 F-4-16-II
13.563.956
16.276.747
18.989.538
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
18.105.617
2.242.796
6.573.421
7.013.356
10.131.296
11.147.287
17.184.515
7.757.354
9.933.492
12.367.330
20.528.238
27.888.892
54.960.051
20.064.141
23.757.441
25.323.892
14.218.283
29.174.249
59.745.660
9.008.608
18.847.466
33.242.798
2.423.827
6.510.132
14.689.599
13.955.069
18.832.820
37.460.661
17.737.772
46.395.129
59.754.572
6.644.485
8.120.120
14.199.103
21.726.740
2.691.355
7.888.105
8.416.028
12.157.556
13.376.745
20.621.418
9.308.825
11.920.190
14.840.796
24.633.886
33.466.670
65.952.062
24.076.969
28.508.929
30.388.670
17.061.940
35.009.099
71.694.792
10.810.330
22.616.959
39.891.357
2.908.592
7.812.158
17.627.519
16.746.083
22.599.384
44.952.793
21.285.326
55.674.154
71.705.486
7.973.382
9.744.144
17.038.923
25.347.863
3.139.914
9.202.789
9.818.699
14.183.815
15.606.202
24.058.321
10.860.296
13.906.888
17.314.262
28.739.534
39.044.448
76.944.072
28.089.797
33.260.418
35.453.449
19.905.597
40.843.949
83.643.924
12.612.051
26.386.453
46.539.917
3.393.358
9.114.184
20.565.438
19.537.097
26.365.948
52.444.926
24.832.880
64.953.180
83.656.401
9.302.279
11.368.168
19.878.744
166 G-4-11-I
10.486.448
12.583.737
14.681.027
167 G-4-11-II
15.290.834
18.349.001
21.407.167
168 G-4-11-III
22.392.654
26.871.185
31.349.716
169
170
171
172
173
174
9.836.329
12.422.089
18.041.605
5.477.305
7.733.007
9.170.300
11.803.595
14.906.506
21.649.926
6.572.766
9.279.609
11.004.360
13.770.860
17.390.924
25.258.247
7.668.227
10.826.210
12.838.420
F-4-16-III
F-4-17-I
F-4-17-II
F-4-17-III
F-4-18-I
F-4-18-II
F-4-18-III
F-4-19-I
F-4-19-II
F-4-19-III
G-1-01-I
G-1-01-II
G-1-01-III
G-1-10-I
G-1-10-II
G-1-10-III
G-1-11-I
G-1-11-II
G-1-11-III
G-1-12-I
G-1-12-II
G-1-12-III
G-1-13-I
G-1-13-II
G-1-13-III
G-1-20-I
G-1-20-II
G-1-20-III
G-1-30-I
G-1-30-II
G-1-30-III
G-4-10-I
G-4-10-II
G-4-10-III
G-4-12-I
G-4-12-II
G-4-12-III
G-4-13-I
G-4-13-II
G-4-13-III
175 G-4-14-I
9.593.050
11.511.660
13.430.270
176 G-4-14-II
10.420.159
12.504.191
14.588.223
177 G-4-14-III
16.807.904
20.169.485
23.531.066
Kode INACBG
178 G-4-15-I
179 G-4-15-II
180 G-4-15-III
181
182
183
184
185
186
G-4-16-I
G-4-16-II
G-4-16-III
G-4-17-I
G-4-17-II
G-4-17-III
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
6.654.917
7.985.901
9.316.884
8.433.513
10.120.216
11.806.918
10.358.257
12.429.909
14.501.560
5.548.065
7.025.289
12.255.613
8.210.291
10.919.269
18.300.785
6.657.679
8.430.347
14.706.736
9.852.349
13.103.123
21.960.942
7.767.292
9.835.405
17.157.859
11.494.407
15.286.977
25.621.099
187 G-4-18-I
6.644.080
7.972.896
9.301.712
188 G-4-18-II
11.452.407
13.742.888
16.033.369
189 G-4-18-III
12.152.524
14.583.029
17.013.534
6.645.217
7.974.260
9.303.304
11.403.476
13.684.171
15.964.866
14.335.177
17.202.212
20.069.247
3.897.759
5.510.965
9.400.104
5.401.904
7.420.639
10.737.187
4.426.215
5.533.890
6.341.894
4.872.603
5.544.458
7.916.728
4.434.720
5.914.158
10.088.084
4.435.722
5.544.029
6.921.422
8.033.628
9.077.911
12.628.032
12.114.759
13.922.485
18.933.709
6.638.242
8.518.609
14.212.990
6.791.729
10.544.505
18.045.510
5.431.204
5.995.007
7.966.736
6.124.817
8.301.556
13.929.209
95.492.439
97.593.771
154.049.895
52.978.655
68.342.465
84.236.062
4.677.311
6.613.158
11.280.124
6.482.285
8.904.767
12.884.624
5.311.458
6.640.669
7.610.272
5.847.124
6.653.350
9.500.074
5.321.664
7.096.990
12.105.701
5.322.867
6.652.834
8.305.707
9.640.353
10.893.494
15.153.638
14.537.711
16.706.982
22.720.451
7.965.890
10.222.330
17.055.588
8.150.075
12.653.406
21.654.613
6.517.445
7.194.008
9.560.083
7.349.780
9.961.867
16.715.050
114.590.927
117.112.525
184.859.875
63.574.386
82.010.958
101.083.274
5.456.863
7.715.351
13.160.145
7.562.666
10.388.895
15.032.061
6.196.701
7.747.447
8.878.651
6.821.644
7.762.241
11.083.419
6.208.608
8.279.821
14.123.318
6.210.011
7.761.640
9.689.991
11.247.079
12.709.076
17.679.245
16.960.663
19.491.479
26.507.193
9.293.539
11.926.052
19.898.186
9.508.420
14.762.307
25.263.715
7.603.686
8.393.010
11.153.430
8.574.744
11.622.178
19.500.892
133.689.415
136.631.279
215.669.854
74.170.117
95.679.452
117.930.487
40.586.421
48.703.705
56.820.989
190 G-4-19-I
191 G-4-19-II
192 G-4-19-III
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
229
230
231
232
233
234
G-4-20-I
G-4-20-II
G-4-20-III
G-4-21-I
G-4-21-II
G-4-21-III
G-4-22-I
G-4-22-II
G-4-22-III
G-4-23-I
G-4-23-II
G-4-23-III
G-4-24-I
G-4-24-II
G-4-24-III
G-4-25-I
G-4-25-II
G-4-25-III
G-4-26-I
G-4-26-II
G-4-26-III
H-1-20-I
H-1-20-II
H-1-20-III
H-1-30-I
H-1-30-II
H-1-30-III
H-4-10-I
H-4-10-II
H-4-10-III
H-4-11-I
H-4-11-II
H-4-11-III
H-4-12-I
H-4-12-II
H-4-12-III
I-1-01-I
I-1-01-II
I-1-01-III
I-1-02-I
I-1-02-II
I-1-02-III
235 I-1-03-I
Kode INACBG
236 I-1-03-II
237 I-1-03-III
238 I-1-04-I
239 I-1-04-II
240 I-1-04-III
241 I-1-05-I
242 I-1-05-II
243 I-1-05-III
244 I-1-06-I
245 I-1-06-II
246 I-1-06-III
247 I-1-07-I
248 I-1-07-II
249 I-1-07-III
250 I-1-11-I
251 I-1-11-II
252 I-1-11-III
253
254
255
256
257
258
I-1-12-I
I-1-12-II
I-1-12-III
I-1-13-I
I-1-13-II
I-1-13-III
259 I-1-14-I
260 I-1-14-II
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
49.287.555
59.145.066
69.002.577
76.557.696
91.869.235
107.180.774
47.894.985
57.473.982
67.052.979
75.591.150
90.709.380
105.827.610
120.756.420
144.907.704
169.058.988
70.118.809
84.142.570
98.166.332
84.142.570
100.971.084
117.799.598
127.201.853
152.642.223
178.082.594
45.307.026
65.630.903
83.753.937
54.368.431
78.757.084
100.504.725
63.429.836
91.883.264
117.255.512
57.494.732
68.993.678
80.492.624
70.931.431
85.117.717
99.304.004
107.431.657
128.917.989
150.404.320
7.406.479
8.887.774
10.369.070
8.235.263
9.882.316
11.529.369
10.958.626
13.150.351
15.342.076
31.553.438
40.115.382
58.124.755
15.969.257
20.078.614
38.042.340
37.864.126
48.138.459
69.749.706
19.163.108
24.094.337
45.650.808
44.174.814
56.161.535
81.374.657
22.356.959
28.110.059
53.259.276
54.536.851
65.444.221
76.351.591
67.781.515
81.337.818
94.894.121
261 I-1-14-III
88.817.157
106.580.589
124.344.020
262 I-1-15-I
263 I-1-15-II
264 I-1-15-III
11.129.896
14.783.892
31.628.586
13.355.875
17.740.670
37.954.303
15.581.854
20.697.449
44.280.020
23.372.936
28.047.523
32.722.111
60.769.634
72.923.561
85.077.488
70.096.282
84.115.538
98.134.794
268 I-1-17-I
34.952.758
41.943.310
48.933.861
269 I-1-17-II
43.764.132
52.516.959
61.269.785
270 I-1-17-III
54.135.567
64.962.680
75.789.794
271 I-1-20-I
272 I-1-20-II
273 I-1-20-III
27.650.073
34.542.464
54.346.284
33.180.088
41.450.957
65.215.541
38.710.102
48.359.450
76.084.798
72.831.791
87.398.150
101.964.508
87.810.968
105.373.162
122.935.356
95.827.541
114.993.049
134.158.557
21.447.727
25.737.272
30.026.818
265 I-1-16-I
266 I-1-16-II
267 I-1-16-III
274 I-1-30-I
275 I-1-30-II
276 I-1-30-III
277 I-1-40-I
Kode INACBG
I-1-40-II
I-1-40-III
I-4-10-I
I-4-10-II
I-4-10-III
I-4-11-I
I-4-11-II
I-4-11-III
I-4-12-I
I-4-12-II
I-4-12-III
I-4-13-I
I-4-13-II
I-4-13-III
I-4-14-I
I-4-14-II
I-4-14-III
I-4-15-I
I-4-15-II
I-4-15-III
I-4-16-I
I-4-16-II
I-4-16-III
I-4-17-I
I-4-17-II
I-4-17-III
I-4-18-I
I-4-18-II
I-4-18-III
I-4-19-I
I-4-19-II
I-4-19-III
I-4-20-I
I-4-20-II
I-4-20-III
I-4-21-I
I-4-21-II
I-4-21-III
I-4-22-I
I-4-22-II
I-4-22-III
319 I-4-23-I
320 I-4-23-II
321 I-4-23-III
322 I-4-24-I
323 I-4-24-II
324 I-4-24-III
325 J-1-01-I
326 J-1-01-II
327 J-1-01-III
328 J-1-02-I
329 J-1-02-II
330 J-1-02-III
331
332
333
334
335
336
J-1-10-I
J-1-10-II
J-1-10-III
J-1-20-I
J-1-20-II
J-1-20-III
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
53.022.439
70.819.957
10.189.272
15.995.654
23.208.972
11.015.066
13.631.187
25.214.858
10.520.131
15.042.087
18.183.421
11.633.049
16.924.034
28.767.979
5.877.719
6.871.993
10.635.309
8.862.029
14.642.702
16.689.157
6.645.748
9.461.836
11.762.049
6.170.100
7.611.560
9.281.655
9.954.152
14.609.709
20.055.297
7.147.128
10.912.555
12.499.984
8.122.955
9.385.950
12.479.211
10.810.280
13.505.835
18.416.016
7.195.553
8.289.772
12.084.153
63.626.927
84.983.948
12.227.127
19.194.785
27.850.767
13.218.080
16.357.425
30.257.830
12.624.158
18.050.505
21.820.105
13.959.659
20.308.841
34.521.575
7.053.262
8.246.392
12.762.371
10.634.434
17.571.242
20.026.988
7.974.898
11.354.204
14.114.458
7.404.120
9.133.872
11.137.986
11.944.983
17.531.651
24.066.356
8.576.554
13.095.066
14.999.981
9.747.546
11.263.140
14.975.054
12.972.336
16.207.002
22.099.219
8.634.664
9.947.726
14.500.984
74.231.415
99.147.940
14.264.981
22.393.915
32.492.561
15.421.093
19.083.662
35.300.802
14.728.184
21.058.922
25.456.789
16.286.269
23.693.648
40.275.171
8.228.806
9.620.790
14.889.432
12.406.840
20.499.782
23.364.820
9.304.048
13.246.571
16.466.868
8.638.140
10.656.183
12.994.317
13.935.813
20.453.593
28.077.415
10.005.979
15.277.577
17.499.978
11.372.137
13.140.330
17.470.896
15.134.392
18.908.168
25.782.423
10.073.775
11.605.680
16.917.814
5.448.923
6.538.707
7.628.492
6.690.021
8.028.026
9.366.030
13.071.692
15.686.030
18.300.368
7.255.815
15.807.704
20.104.582
8.706.978
18.969.245
24.125.498
10.158.141
22.130.786
28.146.414
81.248.945
97.498.734
113.748.523
90.276.606
108.331.927
126.387.248
100.307.340
120.368.808
140.430.276
43.115.926
51.739.111
60.362.296
58.942.904
70.731.485
82.520.066
95.596.715
114.716.058
133.835.401
12.514.049
22.597.153
40.011.037
15.618.731
19.672.242
30.377.180
15.016.858
27.116.584
48.013.244
18.742.478
23.606.690
36.452.616
17.519.668
31.636.015
56.015.452
21.866.224
27.541.138
42.528.052
Kode INACBG
J-1-30-I
J-1-30-II
J-1-30-III
J-4-10-I
J-4-10-II
J-4-10-III
J-4-11-I
J-4-11-II
J-4-11-III
J-4-12-I
J-4-12-II
J-4-12-III
J-4-13-I
J-4-13-II
J-4-13-III
J-4-14-I
J-4-14-II
J-4-14-III
J-4-15-I
J-4-15-II
J-4-15-III
J-4-16-I
J-4-16-II
J-4-16-III
J-4-17-I
J-4-17-II
J-4-17-III
J-4-18-I
J-4-18-II
J-4-18-III
J-4-19-I
J-4-19-II
J-4-19-III
J-4-20-I
J-4-20-II
J-4-20-III
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
10.329.469
30.161.463
73.374.953
7.025.859
10.046.134
15.198.301
5.329.710
7.424.176
10.639.034
6.785.807
8.777.700
11.721.732
10.212.941
15.052.605
30.027.771
8.517.045
14.351.001
17.059.559
7.495.521
10.557.862
12.832.785
5.533.971
8.821.104
11.098.287
6.139.630
8.328.968
10.824.790
4.434.353
6.364.410
6.659.298
7.774.088
10.520.366
14.950.279
8.593.726
11.386.652
17.345.598
12.395.363
36.193.755
88.049.944
8.431.031
12.055.361
18.237.962
6.395.652
8.909.011
12.766.841
8.142.968
10.533.241
14.066.078
12.255.529
18.063.126
36.033.325
10.220.454
17.221.201
20.471.470
8.994.625
12.669.435
15.399.342
6.640.766
10.585.324
13.317.944
7.367.556
9.994.762
12.989.748
5.321.223
7.637.292
7.991.157
9.328.906
12.624.440
17.940.335
10.312.471
13.663.982
20.814.718
14.461.256
42.226.048
102.724.934
9.836.202
14.064.588
21.277.622
7.461.594
10.393.847
14.894.647
9.500.129
12.288.781
16.410.424
14.298.117
21.073.647
42.038.879
11.923.863
20.091.401
23.883.382
10.493.729
14.781.007
17.965.899
7.747.560
12.349.545
15.537.601
8.595.482
11.660.555
15.154.706
6.208.094
8.910.174
9.323.017
10.883.723
14.728.513
20.930.391
12.031.217
15.941.312
24.283.838
4.781.912
5.738.294
6.694.676
8.857.395
10.628.874
12.400.353
12.675.694
15.210.833
17.745.971
376 K-1-10-I
11.936.716
14.324.059
16.711.402
377 K-1-10-II
20.035.562
24.042.674
28.049.787
378
379
380
381
23.456.773
12.299.322
16.147.526
40.979.242
28.148.128
14.759.187
19.377.031
49.175.090
32.839.483
17.219.051
22.606.536
57.370.939
6.628.115
7.953.738
9.279.361
8.660.202
10.392.242
12.124.283
384 K-1-12-III
17.230.402
20.676.483
24.122.563
385
386
387
388
389
390
391
392
393
7.514.956
13.185.974
14.096.617
11.338.019
14.323.572
28.697.459
23.595.913
32.970.212
57.495.266
9.017.947
15.823.169
16.915.940
13.605.623
17.188.287
34.436.951
28.315.095
39.564.254
68.994.319
10.520.939
18.460.364
19.735.264
15.873.227
20.053.001
40.176.443
33.034.278
46.158.297
80.493.373
15.538.226
18.645.871
21.753.517
373 J-4-21-I
374 J-4-21-II
375 J-4-21-III
K-1-10-III
K-1-11-I
K-1-11-II
K-1-11-III
382 K-1-12-I
383 K-1-12-II
K-1-13-I
K-1-13-II
K-1-13-III
K-1-14-I
K-1-14-II
K-1-14-III
K-1-20-I
K-1-20-II
K-1-20-III
394 K-1-30-I
Kode INACBG
395 K-1-30-II
396 K-1-30-III
397
398
399
400
401
402
403
404
405
406
407
408
409
410
411
K-1-40-I
K-1-40-II
K-1-40-III
K-1-50-I
K-1-50-II
K-1-50-III
K-4-10-I
K-4-10-II
K-4-10-III
K-4-11-I
K-4-11-II
K-4-11-III
K-4-12-I
K-4-12-II
K-4-12-III
412 K-4-13-I
413 K-4-13-II
414 K-4-13-III
415
416
417
418
419
420
421
422
423
424
425
426
427
428
429
430
431
432
433
434
435
K-4-14-I
K-4-14-II
K-4-14-III
K-4-15-I
K-4-15-II
K-4-15-III
K-4-16-I
K-4-16-II
K-4-16-III
K-4-17-I
K-4-17-II
K-4-17-III
K-4-18-I
K-4-18-II
K-4-18-III
L-1-20-I
L-1-20-II
L-1-20-III
L-1-30-I
L-1-30-II
L-1-30-III
436 L-1-40-I
437 L-1-40-II
438 L-1-40-III
439
440
441
442
443
444
445
446
447
448
449
450
L-1-50-I
L-1-50-II
L-1-50-III
L-4-10-I
L-4-10-II
L-4-10-III
L-4-11-I
L-4-11-II
L-4-11-III
L-4-12-I
L-4-12-II
L-4-12-III
451 L-4-13-I
452 L-4-13-II
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
23.845.875
28.615.050
33.384.225
44.714.439
53.657.327
62.600.215
15.631.892
17.209.315
28.539.992
11.920.526
15.449.304
21.877.490
9.807.488
15.590.223
30.621.663
4.465.528
7.246.092
9.833.930
4.554.234
7.946.148
16.431.985
18.758.270
20.651.178
34.247.990
14.304.631
18.539.164
26.252.988
11.768.985
18.708.268
36.745.996
5.358.634
8.695.311
11.800.716
5.465.080
9.535.378
19.718.382
21.884.649
24.093.041
39.955.989
16.688.736
21.629.025
30.628.486
13.730.483
21.826.313
42.870.329
6.251.740
10.144.529
13.767.502
6.375.927
11.124.607
23.004.779
6.639.912
7.967.894
9.295.877
8.602.357
10.322.828
12.043.299
14.086.804
16.904.164
19.721.525
5.545.091
7.503.564
12.162.816
5.538.803
9.125.043
12.806.561
5.545.151
7.255.820
9.750.931
4.432.156
6.910.251
7.794.188
5.311.647
8.230.157
9.616.813
38.426.382
40.156.365
86.951.283
20.892.306
35.818.761
37.631.125
6.654.109
9.004.277
14.595.380
6.646.564
10.950.052
15.367.873
6.654.181
8.706.984
11.701.117
5.318.588
8.292.301
9.353.025
6.373.977
9.876.188
11.540.176
46.111.658
48.187.638
104.341.539
25.070.768
42.982.514
45.157.350
7.763.127
10.504.990
17.027.943
7.754.324
12.775.061
17.929.185
7.763.212
10.158.148
13.651.303
6.205.019
9.674.351
10.911.863
7.436.306
11.522.219
13.463.538
53.796.935
56.218.912
121.731.796
29.249.229
50.146.266
52.683.575
9.982.853
11.979.424
13.975.994
18.230.143
21.876.172
25.522.200
34.303.283
41.163.940
48.024.596
12.084.025
21.689.621
24.644.475
6.613.071
9.151.691
18.835.184
7.556.546
10.348.394
21.484.411
7.453.251
11.732.350
19.000.120
14.500.830
26.027.545
29.573.370
7.935.686
10.982.029
22.602.220
9.067.855
12.418.073
25.781.294
8.943.901
14.078.820
22.800.144
16.917.635
30.365.469
34.502.265
9.258.300
12.812.368
26.369.257
10.579.164
14.487.752
30.078.176
10.434.551
16.425.290
26.600.168
4.976.689
5.972.027
6.967.365
5.790.863
6.949.036
8.107.208
Kode INACBG
453 L-4-13-III
454 L-4-14-I
455 L-4-14-II
456 L-4-14-III
457 M-1-01-I
458 M-1-01-II
459 M-1-01-III
460 M-1-02-I
461 M-1-02-II
462 M-1-02-III
463 M-1-03-I
464 M-1-03-II
465 M-1-03-III
466 M-1-04-I
467 M-1-04-II
468 M-1-04-III
469 M-1-05-I
470 M-1-05-II
471 M-1-05-III
472 M-1-07-I
473 M-1-07-II
474 M-1-07-III
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
8.674.614
10.409.537
12.144.460
4.561.325
6.790.729
12.461.322
5.473.590
8.148.874
14.953.586
6.385.855
9.507.020
17.445.851
21.580.009
25.896.011
30.212.013
24.086.781
28.904.138
33.721.494
33.835.402
40.602.482
47.369.563
18.296.504
30.148.290
48.698.369
21.955.805
36.177.948
58.438.043
25.615.105
42.207.606
68.177.717
38.666.478
46.399.774
54.133.070
45.313.537
54.376.245
63.438.952
52.804.780
63.365.736
73.926.693
12.100.048
14.520.058
16.940.068
15.548.462
18.658.154
21.767.847
19.455.969
23.347.163
27.238.357
15.344.215
18.413.058
21.481.901
16.260.365
19.512.437
22.764.510
27.695.829
33.234.995
38.774.161
17.337.880
20.805.456
24.273.032
23.227.341
27.872.809
32.518.277
47.316.295
56.779.555
66.242.814
475 M-1-10-I
23.038.911
27.646.694
32.254.476
476 M-1-10-II
55.085.140
66.102.168
77.119.195
477 M-1-10-III
118.813.461
142.576.153
166.338.845
12.878.500
15.454.200
18.029.900
14.596.115
17.515.338
20.434.561
478 M-1-20-I
479 M-1-20-II
480 M-1-20-III
35.805.661
42.966.794
50.127.926
481 M-1-30-I
482 M-1-30-II
483 M-1-30-III
11.069.671
22.961.068
34.253.072
13.283.605
27.553.282
41.103.687
15.497.539
32.145.495
47.954.301
7.630.398
9.156.478
10.682.557
12.557.372
15.068.847
17.580.321
20.826.665
24.991.998
29.157.331
9.614.187
20.610.038
23.882.910
11.537.024
24.732.045
28.659.492
13.459.862
28.854.053
33.436.075
7.800.717
9.360.861
10.921.004
15.613.396
18.736.075
21.858.754
27.168.664
32.602.397
38.036.130
484 M-1-40-I
485 M-1-40-II
486 M-1-40-III
487 M-1-50-I
488 M-1-50-II
489 M-1-50-III
490 M-1-60-I
491 M-1-60-II
492 M-1-60-III
Kode INACBG
M-1-70-I
M-1-70-II
M-1-70-III
M-1-80-I
M-1-80-II
M-1-80-III
M-4-10-I
M-4-10-II
M-4-10-III
M-4-11-I
M-4-11-II
M-4-11-III
M-4-12-I
M-4-12-II
M-4-12-III
508 M-4-13-I
509 M-4-13-II
510 M-4-13-III
511
512
513
514
515
516
517
518
519
520
521
522
523
524
525
M-4-14-I
M-4-14-II
M-4-14-III
M-4-15-I
M-4-15-II
M-4-15-III
M-4-16-I
M-4-16-II
M-4-16-III
M-4-17-I
M-4-17-II
M-4-17-III
M-4-18-I
M-4-18-II
M-4-18-III
526 M-4-19-I
527 M-4-19-II
528 M-4-19-III
529 M-4-20-I
530 M-4-20-II
531 M-4-20-III
532 M-4-21-I
533 M-4-21-II
534 M-4-21-III
535
536
537
538
539
540
N-1-01-I
N-1-01-II
N-1-01-III
N-1-11-I
N-1-11-II
N-1-11-III
541 N-1-12-I
542 N-1-12-II
543 N-1-12-III
544 N-1-20-I
545 N-1-20-II
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
27.454.428
30.199.871
33.219.858
15.606.695
18.232.339
41.717.007
4.535.254
8.116.485
15.263.688
7.045.922
15.049.863
21.367.560
4.419.636
8.063.243
13.373.352
32.945.314
36.239.845
39.863.830
18.728.034
21.878.807
50.060.409
5.442.304
9.739.781
18.316.426
8.455.106
18.059.835
25.641.073
5.303.563
9.675.892
16.048.023
38.436.199
42.279.819
46.507.801
21.849.373
25.525.275
58.403.810
6.349.355
11.363.078
21.369.164
9.864.291
21.069.808
29.914.585
6.187.490
11.288.541
18.722.693
9.848.197
11.817.837
13.787.476
11.048.335
13.258.002
15.467.669
28.984.686
34.781.623
40.578.560
8.860.860
13.507.149
20.093.633
6.656.285
8.869.570
18.798.654
6.633.408
9.672.004
19.795.104
5.684.648
7.746.913
10.814.290
6.591.128
9.615.301
11.960.927
10.633.032
16.208.579
24.112.360
7.987.542
10.643.484
22.558.385
7.960.089
11.606.405
23.754.125
6.821.577
9.296.296
12.977.148
7.909.354
11.538.361
14.353.113
12.405.204
18.910.009
28.131.086
9.318.799
12.417.398
26.318.116
9.286.771
13.540.806
27.713.146
7.958.507
10.845.678
15.140.005
9.227.580
13.461.421
16.745.298
5.780.253
6.936.303
8.092.354
9.735.797
11.682.956
13.630.116
16.581.106
19.897.327
23.213.548
4.432.157
5.318.588
6.205.020
6.646.833
7.976.200
9.305.567
7.358.548
8.830.257
10.301.967
4.433.486
5.320.183
6.206.881
6.962.069
8.354.483
9.746.897
15.113.702
18.136.443
21.159.183
250.000.000
250.000.000
250.000.000
19.134.629
26.925.633
43.547.179
250.000.000
250.000.000
250.000.000
22.961.555
32.310.759
52.256.615
250.000.000
250.000.000
250.000.000
26.788.481
37.695.886
60.966.050
8.960.374
10.752.449
12.544.524
25.078.857
30.094.628
35.110.399
45.695.397
54.834.476
63.973.555
14.556.040
28.846.231
17.467.249
34.615.477
20.378.457
40.384.723
33.018.760
39.622.512
46.226.264
547 N-1-30-I
17.336.834
20.804.200
24.271.567
548 N-1-30-II
26.344.466
31.613.359
36.882.252
549 N-1-30-III
30.202.468
36.242.962
42.283.455
550
551
552
553
554
555
556
557
558
559
560
561
562
563
564
15.645.030
21.177.998
24.614.857
6.088.922
8.909.712
13.750.146
5.099.565
8.625.866
9.854.651
4.936.437
6.925.613
9.509.194
6.696.283
8.469.143
16.969.336
18.774.036
25.413.597
29.537.829
7.306.707
10.691.655
16.500.175
6.119.478
10.351.039
11.825.581
5.923.724
8.310.735
11.411.033
8.035.539
10.162.972
20.363.204
21.903.042
29.649.197
34.460.800
8.524.491
12.473.597
19.250.204
7.139.391
12.076.212
13.796.511
6.911.012
9.695.858
13.312.871
9.374.796
11.856.800
23.757.071
No
N-1-40-I
N-1-40-II
N-1-40-III
N-4-10-I
N-4-10-II
N-4-10-III
N-4-11-I
N-4-11-II
N-4-11-III
N-4-12-I
N-4-12-II
N-4-12-III
N-4-13-I
N-4-13-II
N-4-13-III
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
565 N-4-14-I
3.834.050
4.600.860
5.367.669
566 N-4-14-II
5.903.892
7.084.670
8.265.448
567 N-4-14-III
9.574.230
11.489.076
13.403.922
568 N-4-15-I
6.122.636
7.347.163
8.571.690
569 N-4-15-II
7.596.590
9.115.908
10.635.226
570 N-4-15-III
8.669.080
10.402.896
12.136.713
571
572
573
574
575
576
6.842.090
8.866.044
14.886.608
7.795.163
8.602.139
9.022.092
8.210.508
10.639.252
17.863.930
9.354.195
10.322.567
10.826.510
9.578.926
12.412.461
20.841.252
10.913.228
12.042.995
12.630.928
5.406.142
6.487.371
7.568.599
6.970.033
8.364.040
9.758.046
12.152.115
14.582.538
17.012.961
4.443.764
5.332.516
6.221.269
5.336.949
6.404.339
7.471.729
6.705.112
8.046.134
9.387.156
2.812.866
4.898.170
5.790.774
3.375.439
5.877.804
6.948.929
3.938.012
6.857.438
8.107.084
111.214.872
133.457.846
155.700.821
137.611.007
165.133.209
192.655.410
161.516.746
193.820.095
226.123.445
162.139.639
194.567.567
226.995.494
185.990.855
223.189.026
260.387.197
N-4-16-I
N-4-16-II
N-4-16-III
O-6-10-I
O-6-10-II
O-6-10-III
577 O-6-11-I
578 O-6-11-II
579 O-6-11-III
580 O-6-12-I
581 O-6-12-II
582 O-6-12-III
583 O-6-13-I
584 O-6-13-II
585 O-6-13-III
586 P-8-01-I
587 P-8-01-II
588 P-8-01-III
589 P-8-02-I
590 P-8-02-II
Kode INACBG
591 P-8-02-III
592 P-8-03-I
593 P-8-03-II
594 P-8-03-III
595 P-8-04-I
596 P-8-04-II
597 P-8-04-III
598 P-8-05-I
599 P-8-05-II
600 P-8-05-III
601 P-8-06-I
602 P-8-06-II
603 P-8-06-III
604 P-8-07-I
605 P-8-07-II
606 P-8-07-III
607 P-8-08-I
608 P-8-08-II
609 P-8-08-III
610 P-8-10-I
611 P-8-10-II
612 P-8-10-III
613
614
615
616
617
618
619
620
621
P-8-11-I
P-8-11-II
P-8-11-III
P-8-12-I
P-8-12-II
P-8-12-III
P-8-13-I
P-8-13-II
P-8-13-III
622 P-8-14-I
623 P-8-14-II
624 P-8-14-III
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
212.507.850
255.009.421
297.510.991
6.061.843
7.274.212
8.486.581
8.494.477
10.193.373
11.892.268
14.672.162
17.606.595
20.541.027
65.249.536
78.299.443
91.349.350
84.907.065
101.888.478
118.869.891
121.735.360
146.082.431
170.429.503
35.436.584
42.523.900
49.611.217
50.326.619
60.391.942
70.457.266
74.149.517
88.979.420
103.809.323
6.102.992
7.323.591
8.544.189
14.563.261
17.475.913
20.388.565
26.181.280
31.417.536
36.653.792
9.448.512
11.338.215
13.227.917
23.782.721
28.539.265
33.295.810
31.679.843
38.015.812
44.351.781
7.378.595
8.854.314
10.330.033
10.482.303
12.578.764
14.675.224
15.551.627
18.661.953
21.772.278
4.578.756
5.494.507
6.410.259
8.177.706
9.813.247
11.448.788
16.055.246
19.266.296
22.477.345
9.189.336
27.533.396
28.110.225
11.691.687
14.789.731
15.653.061
3.862.995
7.163.907
17.740.834
11.027.204
33.040.075
33.732.270
14.030.024
17.747.677
18.783.673
4.635.594
8.596.688
21.289.000
12.865.071
38.546.754
39.354.315
16.368.362
20.705.623
21.914.285
5.408.193
10.029.470
24.837.167
7.076.723
8.492.067
9.907.412
14.460.309
17.352.371
20.244.433
15.871.317
19.045.580
22.219.844
625 P-8-15-I
5.332.339
6.398.807
7.465.275
626 P-8-15-II
10.622.432
12.746.918
14.871.404
627 P-8-15-III
12.508.673
15.010.407
17.512.142
4.828.411
5.794.093
6.759.775
6.843.670
8.212.404
9.581.138
628 P-8-16-I
629 P-8-16-II
Kode INACBG
630 P-8-16-III
631 P-8-17-I
632 P-8-17-II
633 P-8-17-III
634 S-4-10-I
635 S-4-10-II
636 S-4-10-III
637
638
639
640
641
642
643
644
645
S-4-11-I
S-4-11-II
S-4-11-III
S-4-12-I
S-4-12-II
S-4-12-III
S-4-13-I
S-4-13-II
S-4-13-III
646 S-4-14-I
647 S-4-14-II
648 S-4-14-III
649 S-4-15-I
650 S-4-15-II
651 S-4-15-III
652 S-4-16-I
653 S-4-16-II
654 S-4-16-III
655 S-4-17-I
656 S-4-17-II
657 S-4-17-III
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
18.462.957
22.155.548
25.848.139
3.181.097
8.380.484
17.308.837
3.817.317
10.056.581
20.770.604
4.453.536
11.732.677
24.232.371
4.432.732
5.319.278
6.205.824
5.540.945
6.649.134
7.757.322
7.207.647
8.649.176
10.090.705
2.753.303
4.432.204
6.807.228
3.323.613
4.428.123
8.649.930
4.736.573
7.840.285
15.940.536
3.303.964
5.318.644
8.168.674
3.988.336
5.313.748
10.379.916
5.683.888
9.408.342
19.128.643
3.854.625
6.205.085
9.530.120
4.653.058
6.199.372
12.109.902
6.631.203
10.976.399
22.316.750
2.696.872
3.236.247
3.775.621
5.729.061
6.874.873
8.020.686
10.864.341
13.037.210
15.210.078
2.039.669
2.447.603
2.855.537
3.849.551
4.619.461
5.389.371
4.986.063
5.983.275
6.980.488
7.746.005
13.162.035
19.999.190
9.295.206
15.794.442
23.999.028
10.844.407
18.426.849
27.998.866
4.971.188
5.965.426
6.959.664
5.787.136
6.944.563
8.101.990
9.024.614
10.829.537
12.634.459
658 T-1-10-I
3.819.209
4.583.051
5.346.893
659 T-1-10-II
5.128.939
6.154.726
7.180.514
660 T-1-10-III
9.331.211
11.197.454
13.063.696
1.865.045
2.238.054
2.611.063
3.554.363
4.265.235
4.976.108
5.167.079
6.200.494
7.233.910
2.212.397
2.654.876
3.097.355
3.481.683
4.178.019
4.874.356
5.607.965
6.729.558
7.851.151
667 T-4-12-I
3.860.515
4.632.618
5.404.721
668 T-4-12-II
5.845.046
7.014.055
8.183.064
669 T-4-12-III
9.069.843
10.883.811
12.697.780
670
671
672
673
4.122.481
8.412.175
36.325.473
16.278.875
4.946.977
10.094.610
43.590.567
19.534.651
5.771.473
11.777.045
50.855.662
22.790.426
661 T-4-10-I
662 T-4-10-II
663 T-4-10-III
664 T-4-11-I
665 T-4-11-II
666 T-4-11-III
U-1-10-I
U-1-10-II
U-1-10-III
U-1-11-I
Kode INACBG
U-1-11-II
U-1-11-III
U-1-12-I
U-1-12-II
U-1-12-III
U-1-13-I
U-1-13-II
U-1-13-III
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
19.360.407
40.481.196
12.584.907
20.519.122
30.230.699
11.927.843
14.940.227
24.427.183
23.232.488
48.577.436
15.101.888
24.622.947
36.276.838
14.313.411
17.928.273
29.312.620
27.104.570
56.673.675
17.618.869
28.726.771
42.322.978
16.698.980
20.916.318
34.198.056
7.921.391
9.505.669
11.089.948
9.721.140
11.665.368
13.609.596
11.519.824
13.823.789
16.127.754
4.645.580
6.603.478
11.061.736
5.574.696
7.924.174
13.274.084
6.503.812
9.244.869
15.486.431
12.010.827
14.412.992
16.815.158
21.185.095
25.422.113
29.659.132
35.795.878
42.955.054
50.114.230
691 U-1-30-I
692 U-1-30-II
693 U-1-30-III
10.309.878
13.922.368
23.859.973
12.371.854
16.706.841
28.631.967
14.433.829
19.491.315
33.403.962
694 U-4-10-I
9.618.876
11.542.652
13.466.427
695 U-4-10-II
20.059.706
24.071.647
28.083.588
696 U-4-10-III
30.798.233
36.957.879
43.117.526
697
698
699
700
701
702
DYSEQUILIBRIUM RINGAN
DYSEQUILIBRIUM SEDANG
DYSEQUILIBRIUM BERAT
EPISTAKSIS/PERDARAHAN HIDUNG RINGAN
EPISTAKSIS/PERDARAHAN HIDUNG SEDANG
EPISTAKSIS/PERDARAHAN HIDUNG BERAT
PERADANGAN EPIGLOTIS, TELINGA TENGAH, ISPA DAN
LARINGOTRAKEITIS RINGAN
PERADANGAN EPIGLOTIS, TELINGA TENGAH, ISPA DAN
LARINGOTRAKEITIS SEDANG
PERADANGAN EPIGLOTIS, TELINGA TENGAH, ISPA DAN
LARINGOTRAKEITIS BERAT
PENYAKIT MULUT DAN GIGI RINGAN
PENYAKIT MULUT DAN GIGI SEDANG
PENYAKIT MULUT DAN GIGI BERAT
DIAGNOSIS TENGGOROKAN, MULUT, HIDUNG & TELINGA LAIN-LAIN
(RINGAN)
DIAGNOSIS TENGGOROKAN, MULUT, HIDUNG & TELINGA LAIN-LAIN
(SEDANG)
DIAGNOSIS TENGGOROKAN, MULUT, HIDUNG & TELINGA LAIN-LAIN
(BERAT)
PROSEDUR PENGANGKATAN PROSTAT KOMPLEK RINGAN
PROSEDUR PENGANGKATAN PROSTAT KOMPLEK SEDANG
PROSEDUR PENGANGKATAN PROSTAT KOMPLEK BERAT
PROSEDUR PADA PENIS RINGAN
PROSEDUR PADA PENIS SEDANG
PROSEDUR PADA PENIS BERAT
PROSEDUR PADA SKROTUM DAN PROSTAT KOMPLEK-MODERAT
(RINGAN)
PROSEDUR PADA SKROTUM DAN PROSTAT KOMPLEK-MODERAT
(SEDANG)
PROSEDUR PADA SKROTUM DAN PROSTAT KOMPLEK-MODERAT
(BERAT)
4.456.329
6.651.448
8.181.875
4.423.765
6.208.660
7.349.045
5.347.595
7.981.737
9.818.250
5.308.518
7.450.392
8.818.854
6.238.861
9.312.027
11.454.625
6.193.271
8.692.124
10.288.663
4.432.703
5.319.244
6.205.784
5.064.979
6.077.975
7.090.971
6.912.270
8.294.724
9.677.178
5.533.632
6.619.410
11.116.472
6.640.359
7.943.292
13.339.766
7.747.085
9.267.173
15.563.060
4.424.696
5.309.635
6.194.574
5.595.156
6.714.188
7.833.219
7.738.048
9.285.657
10.833.267
13.170.550
14.940.448
24.598.852
14.917.699
16.658.530
24.626.490
15.804.660
17.928.538
29.518.622
17.901.238
19.990.236
29.551.787
18.438.770
20.916.627
34.438.392
20.884.778
23.321.942
34.477.085
9.682.824
11.619.389
13.555.954
26.963.187
32.355.824
37.748.461
32.178.909
38.614.691
45.050.472
14.691.029
17.629.235
20.567.441
682 U-1-14-I
683 U-1-14-II
684 U-1-14-III
685 U-1-15-I
686 U-1-15-II
687 U-1-15-III
688 U-1-20-I
689 U-1-20-II
690 U-1-20-III
U-4-11-I
U-4-11-II
U-4-11-III
U-4-12-I
U-4-12-II
U-4-12-III
703 U-4-13-I
704 U-4-13-II
705 U-4-13-III
706 U-4-14-I
707 U-4-14-II
708 U-4-14-III
709 U-4-15-I
710 U-4-15-II
711 U-4-15-III
712
713
714
715
716
717
V-1-10-I
V-1-10-II
V-1-10-III
V-1-11-I
V-1-11-II
V-1-11-III
718 V-1-12-I
719 V-1-12-II
720 V-1-12-III
721 V-1-13-I
Kode INACBG
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
722 V-1-13-II
26.918.005
32.301.607
37.685.208
723 V-1-13-III
28.282.395
33.938.875
39.595.354
724 V-1-14-I
17.725.010
21.270.012
24.815.014
725 V-1-14-II
24.018.737
28.822.485
33.626.232
726
727
728
729
730
731
732
29.258.952
8.332.965
13.489.634
22.219.430
11.269.596
13.797.002
29.242.960
35.110.743
9.999.558
16.187.560
26.663.316
13.523.515
16.556.402
35.091.552
40.962.533
11.666.151
18.885.487
31.107.202
15.777.435
19.315.803
40.940.144
V-1-14-III
V-1-15-I
V-1-15-II
V-1-15-III
V-4-10-I
V-4-10-II
V-4-10-III
733 V-4-11-I
6.840.037
8.208.045
9.576.052
734 V-4-11-II
9.869.722
11.843.667
13.817.611
735 V-4-11-III
13.439.917
16.127.900
18.815.884
20.102.076
24.122.491
28.142.906
24.220.689
29.064.826
33.908.964
39.794.100
47.752.921
55.711.741
5.602.298
7.879.947
13.911.402
5.810.092
9.310.964
14.562.395
6.722.757
9.455.937
16.693.682
6.972.111
11.173.156
17.474.874
7.843.217
11.031.926
19.475.963
8.134.129
13.035.349
20.387.354
5.288.573
6.346.287
7.404.002
6.009.288
7.211.145
8.413.003
9.231.024
11.077.229
12.923.433
5.224.094
5.671.861
7.618.356
15.086.682
18.765.043
23.246.279
9.354.486
14.920.889
39.678.315
6.952.395
9.434.309
17.662.562
5.540.673
7.958.616
9.608.691
6.268.913
6.806.233
9.142.027
18.104.019
22.518.052
27.895.534
11.225.383
17.905.067
47.613.978
8.342.874
11.321.171
21.195.075
6.648.807
9.550.339
11.530.429
7.313.732
7.940.605
10.665.698
21.121.355
26.271.061
32.544.790
13.096.280
20.889.244
55.549.641
9.733.353
13.208.033
24.727.587
7.756.942
11.142.062
13.452.167
4.435.843
5.323.012
6.210.180
6.776.382
8.131.658
9.486.935
8.173.655
9.808.387
11.443.118
2.427.948
3.320.232
4.436.012
3.313.880
4.434.766
5.382.663
3.319.426
3.572.978
2.913.537
3.984.278
5.323.214
3.976.656
5.321.720
6.459.196
3.983.311
4.287.573
3.399.127
4.648.325
6.210.416
4.639.432
6.208.673
7.535.729
4.647.196
5.002.169
736 W-1-01-I
737 W-1-01-II
738 W-1-01-III
739
740
741
742
743
744
W-1-10-I
W-1-10-II
W-1-10-III
W-1-11-I
W-1-11-II
W-1-11-III
745 W-1-12-I
746 W-1-12-II
747 W-1-12-III
748
749
750
751
752
753
754
755
756
757
758
759
760
761
762
W-1-13-I
W-1-13-II
W-1-13-III
W-1-20-I
W-1-20-II
W-1-20-III
W-1-30-I
W-1-30-II
W-1-30-III
W-4-10-I
W-4-10-II
W-4-10-III
W-4-11-I
W-4-11-II
W-4-11-III
763 W-4-12-I
764 W-4-12-II
765 W-4-12-III
766
767
768
769
770
771
772
773
W-4-13-I
W-4-13-II
W-4-13-III
W-4-14-I
W-4-14-II
W-4-14-III
W-4-15-I
W-4-15-II
Kode INACBG
W-4-15-III
W-4-16-I
W-4-16-II
W-4-16-III
W-4-17-I
W-4-17-II
W-4-17-III
Z-4-10-I
Z-4-10-II
Z-4-10-III
Z-4-11-I
Z-4-11-II
Z-4-11-III
787 Z-4-12-I
788 Z-4-12-II
789 Z-4-12-III
Tarif Kelas 3
Tarif Kelas 2
Tarif Kelas 1
4.508.705
3.347.194
5.302.987
6.758.542
3.266.605
4.428.088
8.361.213
7.595.032
10.081.309
14.321.461
6.498.888
7.112.338
12.211.768
5.410.447
4.016.632
6.363.584
8.110.251
3.919.926
5.313.706
10.033.456
9.114.039
12.097.571
17.185.753
7.798.666
8.534.805
14.654.122
6.312.188
4.686.071
7.424.182
9.461.959
4.573.247
6.199.323
11.705.699
10.633.045
14.113.832
20.050.045
9.098.444
9.957.273
17.096.475
3.318.001
3.981.601
4.645.202
8.150.897
9.781.076
11.411.255
13.225.367
15.870.440
18.515.514
Kode INACBG
B-2-10-0
B-2-11-0
B-2-12-0
B-2-13-0
B-2-14-0
B-3-10-0
B-3-11-0
15 C-3-16-0
16 C-3-17-0
17 C-3-18-0
18 C-3-19-0
1.887.364
19
20
21
22
23
24
25
26
27
5.749.047
2.058.895
4.862.220
830.328
3.465.179
4.338.996
3.639.189
798.693
2.051.940
8 B-3-12-0
9
10
11
12
13
C-3-10-0
C-3-11-0
C-3-12-0
C-3-13-0
C-3-14-0
14 C-3-15-0
C-3-20-0
C-3-21-0
C-3-22-0
C-3-23-0
D-2-10-0
D-2-11-0
D-2-21-0
D-2-22-0
D-3-10-0
28 D-3-11-0
29 E-2-10-0
30 E-2-21-0
31 E-2-22-0
32
33
34
35
36
37
38
39
E-3-10-0
F-3-10-0
F-5-10-0
F-5-11-0
F-5-12-0
F-5-13-0
F-5-14-0
F-5-15-0
40 F-5-16-0
41 G-2-10-0
42 G-2-11-0
43 G-2-12-0
721.030
1.713.233
1.899.578
2.156.583
3.242.264
4.422.410
4.053.315
919.194
3.030.650
769.559
1.605.617
890.966
645.920
564.980
652.629
910.775
1.117.719
737.268
944.077
917.594
537.327
504.261
524.220
13.242.333
4.390.766
6.363.301
Kode INACBG
G-2-13-0
G-2-21-0
G-2-22-0
G-2-31-0
G-2-32-0
G-3-10-0
G-3-11-0
G-3-12-0
G-3-13-0
H-2-21-0
H-2-22-0
H-2-23-0
H-2-31-0
H-2-32-0
H-2-33-0
H-2-34-0
H-2-35-0
H-2-36-0
1.561.060
2.485.757
2.245.288
4.263.815
2.185.628
930.926
1.009.904
1.653.086
1.651.262
2.172.984
563.243
563.373
3.948.594
373.450
565.623
1.978.335
530.537
3.501.952
62 H-2-37-0
3.036.592
63
64
65
66
1.305.818
556.940
584.107
564.885
H-3-10-0
H-3-11-0
H-3-12-0
H-3-13-0
67 I-2-11-0
68 I-2-12-0
69 I-2-13-0
70 I-2-14-0
71 I-2-15-0
72 I-2-16-0
73
74
75
76
I-2-17-0
I-2-21-0
I-2-22-0
I-2-23-0
77 I-2-31-0
78 I-2-32-0
79 I-2-41-0
80 I-2-42-0
81
82
83
84
85
86
87
I-3-10-0
I-3-11-0
I-3-12-0
I-3-13-0
I-3-14-0
I-3-15-0
J-2-10-0
7.477.872
5.257.760
6.682.296
11.826.242
8.182.374
7.469.768
2.150.248
5.765.599
4.738.675
1.190.512
8.641.356
11.299.841
7.576.682
7.676.424
970.903
590.206
3.430.055
899.945
774.325
683.233
3.960.411
Kode INACBG
J-2-21-0
J-2-22-0
J-2-31-0
J-2-32-0
J-3-10-0
J-3-11-0
J-3-12-0
J-3-13-0
J-3-14-0
J-3-15-0
J-3-16-0
J-3-17-0
K-2-10-0
K-2-11-0
683.134
2.803.106
4.173.030
2.704.571
645.920
1.593.234
753.434
908.240
963.062
841.485
956.227
564.769
1.617.548
3.970.106
118 K-3-14-0
1.731.080
119 K-3-15-0
120
121
122
123
124
125
102 K-2-12-0
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
K-2-13-0
K-2-14-0
K-2-21-0
K-2-22-0
K-2-31-0
K-2-32-0
K-2-41-0
K-2-42-0
K-2-51-0
K-2-52-0
K-2-53-0
K-3-10-0
K-3-11-0
K-3-12-0
K-3-13-0
K-3-16-0
L-2-21-0
L-2-22-0
L-2-31-0
L-2-32-0
L-2-41-0
126 L-2-42-0
127 L-2-51-0
128 L-2-52-0
129 L-2-53-0
130 L-3-10-0
131 L-3-11-0
3.047.568
4.960.083
645.920
645.920
8.301.612
2.791.410
645.920
3.074.796
7.405.979
2.037.546
1.111.094
522.618
1.110.380
789.203
749.393
693.248
896.325
969.871
3.808.326
2.441.110
963.078
967.016
2.913.416
767.090
4.981.100
3.810.706
692.135
768.609
744.706
Kode INACBG
L-3-12-0
M-2-10-0
M-2-21-0
M-2-22-0
M-2-31-0
M-2-32-0
M-2-41-0
M-2-42-0
M-2-51-0
M-2-52-0
M-2-61-0
M-2-62-0
M-2-63-0
M-2-64-0
M-2-65-0
M-2-71-0
M-2-72-0
M-2-81-0
M-2-82-0
M-2-83-0
M-2-84-0
M-3-10-0
154 M-3-11-0
155
156
157
158
M-3-12-0
M-3-13-0
M-3-14-0
M-3-15-0
159 M-3-16-0
160 M-3-17-0
161 N-2-11-0
162 N-2-12-0
163 N-2-21-0
164
165
166
167
168
169
170
171
172
N-2-22-0
N-2-23-0
N-2-24-0
N-2-31-0
N-2-32-0
N-2-41-0
N-2-42-0
N-3-10-0
N-3-11-0
173 N-3-12-0
174 N-3-13-0
175 N-3-14-0
176 N-3-15-0
178 O-7-11-0
179 O-7-12-0
180 O-7-13-0
181 P-9-10-0
182 P-9-11-0
183 P-9-12-0
184 P-9-13-0
185 P-9-14-0
186 P-9-15-0
187 P-9-16-0
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
P-9-17-0
Q-5-10-0
Q-5-11-0
Q-5-12-0
Q-5-13-0
Q-5-14-0
Q-5-15-0
Q-5-16-0
Q-5-17-0
Q-5-18-0
Q-5-19-0
Q-5-20-0
Q-5-21-0
Q-5-22-0
Q-5-23-0
Q-5-24-0
Q-5-25-0
Q-5-26-0
Q-5-27-0
Q-5-28-0
208 Q-5-29-0
209
210
211
212
213
214
215
216
217
218
219
220
Q-5-30-0
Q-5-31-0
Q-5-32-0
Q-5-33-0
Q-5-34-0
Q-5-35-0
Q-5-36-0
Q-5-37-0
Q-5-38-0
Q-5-39-0
Q-5-40-0
Q-5-41-0
500.898
726.080
591.385
224 T-2-10-0
280.749
225
226
227
228
4.688.062
5.572.284
656.113
700.804
229 U-2-14-0
1.298.560
230 U-2-15-0
No
U-2-10-0
U-2-11-0
U-2-12-0
U-2-13-0
231 U-2-21-0
232 U-2-22-0
233
234
235
236
237
U-2-23-0
U-2-24-0
U-2-25-0
U-2-31-0
U-2-32-0
238 U-3-10-0
239 U-3-11-0
240 U-3-12-0
241 U-3-13-0
242 U-3-14-0
243 U-3-15-0
244
245
246
247
248
249
250
251
U-3-16-0
V-2-10-0
V-2-11-0
V-2-12-0
V-2-13-0
V-2-14-0
V-2-15-0
V-3-10-0
252 V-3-11-0
253 V-3-12-0
254 W-2-10-0
255 W-2-11-0
256 W-2-12-0
740.557
860.157
1.659.805
2.501.701
1.846.033
698.429
563.772
697.728
671.046
713.778
313.126
624.211
6.991.592
761.756
2.516.132
967.919
1.111.094
507.251
1.268.874
2.684.328
692.685
636.421
552.453
2.335.315
1.656.230
609.101
1.549.733
Kode INACBG
257 W-2-13-0
258 W-2-21-0
259 W-2-22-0
260 W-2-23-0
261 W-2-31-0
262 W-2-32-0
263
264
265
266
267
268
W-2-33-0
W-2-34-0
W-3-10-0
W-3-11-0
W-3-12-0
Z-3-10-0
269 Z-3-11-0
270
271
272
273
274
275
276
277
278
279
280
281
282
283
284
285
286
287
288
Z-3-12-0
Z-3-13-0
Z-3-14-0
Z-3-15-0
Z-3-16-0
Z-3-17-0
Z-3-18-0
Z-3-19-0
Z-3-20-0
Z-3-21-0
Z-3-22-0
Z-3-23-0
Z-3-24-0
Z-3-25-0
Z-3-26-0
Z-3-27-0
Z-3-28-0
Z-3-29-0
Z-3-30-0
DD01
Streptokinase
DD02
Deferiprone
DD03
Deferoksamin
DD04
Deferasirox
DD05
Human Albumin
RR01
RR02
Cote graft
RR03
TMJ Prothesis
RR04
RR05
YY01
YY02
YY03
PCI
YY04
Keratoplasty
Kelas
Rawat
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
Top Up
1.631.239
1.631.239
1.631.239
2.747.971
2.747.971
2.747.971
2.747.971
2.747.971
2.747.971
2.747.971
2.747.971
2.747.971
1.627.875
1.627.875
1.627.875
9.120.064
9.120.064
9.120.064
12.847.870
12.847.870
12.847.870
4.988.382
4.988.382
4.988.382
6.338.553
6.338.553
6.338.553
7.807.062
7.807.062
7.807.062
4.101.340
4.101.340
4.101.340
3.903.531
3.903.531
3.903.531
19.302.954
19.302.954
19.302.954
4.670.726
4.670.726
4.670.726
YY05
Pancreatectomy
YY06
YY08
YY09
Torakotomi
YY10
Lobektomi / bilobektomi
YY11
Air plumbage
YY12
Timektomi
YY13
Vitrectomy
YY14
YY15
YY16
II01
II02
II03
II04
Phacoemulsification
Microlaringoscopy
Cholangiograph
Other CT Scan
Nuclear Medicine
MRI
Diagnostic and Imaging Procedure of Eye
Kelas
Rawat
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
0
0
0
0
0
0
0
Top Up
7.527.158
7.527.158
7.527.158
40.776.323
40.776.323
40.776.323
3.786.769
3.786.769
3.786.769
9.390.426
9.390.426
9.390.426
12.125.411
12.125.411
12.125.411
6.622.782
6.622.782
6.622.782
8.334.933
8.334.933
8.334.933
4.670.726
4.670.726
4.670.726
2.802.435
1.084.182
3.936.205
902.905
900.388
2.144.692
507.259
DD01
Streptokinase
DD02
Deferiprone
DD03
Deferoksamin
DD04
Deferasirox
DD05
Human Albumin
RR01
RR02
Cote graft
RR03
TMJ Prothesis
RR04
RR05
YY01
YY02
YY03
PCI
YY04
Keratoplasty
Kelas
Rawat
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
Top Up
1.253.662
1.253.662
1.253.662
1.470.229
1.470.229
1.470.229
1.470.229
1.470.229
1.470.229
1.470.229
1.470.229
1.470.229
1.143.801
1.143.801
1.143.801
3.052.060
3.052.060
3.052.060
7.014.040
7.014.040
7.014.040
3.835.377
3.835.377
3.835.377
4.463.864
4.463.864
4.463.864
5.978.542
5.978.542
5.978.542
3.042.306
3.042.306
3.042.306
2.989.271
2.989.271
2.989.271
15.598.347
15.598.347
15.598.347
3.008.837
3.008.837
3.008.837
YY05
Pancreatectomy
YY06
YY08
YY09
Torakotomi
YY10
Lobektomi / bilobektomi
YY11
Air plumbage
YY12
Timektomi
YY13
Vitrectomy
YY14
YY15
YY16
II01
II02
II03
II04
Phacoemulsification
Microlaringoscopy
Cholangiograph
Other CT Scan
Nuclear Medicine
MRI
Diagnostic and Imaging Procedure of Eye
Kelas
Rawat
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
0
0
0
0
0
0
0
Top Up
4.109.511
4.109.511
4.109.511
32.621.059
32.621.059
32.621.059
1.954.338
1.954.338
1.954.338
3.618.147
3.618.147
3.618.147
6.209.543
6.209.543
6.209.543
4.244.754
4.244.754
4.244.754
4.313.098
4.313.098
4.313.098
3.008.837
3.008.837
3.008.837
2.260.631
473.304
1.711.569
394.561
393.461
937.209
292.308
DD01
Streptokinase
DD02
Deferiprone
DD03
Deferoksamin
DD04
Deferasirox
DD05
Human Albumin
RR01
RR02
Cote graft
RR03
TMJ Prothesis
RR04
RR05
YY01
YY02
YY03
PCI
YY04
Keratoplasty
Kelas
Rawat
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
Top Up
1.002.930
1.002.930
1.002.930
1.164.074
1.164.074
1.164.074
1.164.074
1.164.074
1.164.074
1.164.074
1.164.074
1.164.074
937.583
937.583
937.583
2.441.648
2.441.648
2.441.648
5.720.720
5.720.720
5.720.720
2.947.397
2.947.397
2.947.397
2.836.486
2.836.486
2.836.486
4.782.834
4.782.834
4.782.834
2.433.845
2.433.845
2.433.845
2.391.417
2.391.417
2.391.417
10.221.342
10.221.342
10.221.342
2.320.059
2.320.059
2.320.059
YY05
Pancreatectomy
YY06
YY08
YY09
Torakotomi
YY10
Lobektomi / bilobektomi
YY11
Air plumbage
YY12
Timektomi
YY13
Vitrectomy
YY14
YY15
YY16
II01
II02
II03
II04
Phacoemulsification
Microlaringoscopy
Cholangiograph
Other CT Scan
Nuclear Medicine
MRI
Diagnostic and Imaging Procedure of Eye
Kelas
Rawat
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
0
0
0
0
0
0
0
Top Up
3.351.758
3.351.758
3.351.758
12.846.455
12.846.455
12.846.455
1.557.392
1.557.392
1.557.392
2.894.518
2.894.518
2.894.518
4.967.634
4.967.634
4.967.634
2.719.984
2.719.984
2.719.984
3.535.482
3.535.482
3.535.482
2.320.059
2.320.059
2.320.059
2.055.119
458.671
1.669.386
381.641
380.577
906.521
283.559
DD01
Streptokinase
DD02
Deferiprone
DD03
Deferoksamin
DD04
Deferasirox
DD05
Human Albumin
RR01
RR02
Cote graft
RR03
TMJ Prothesis
RR04
RR05
YY01
YY02
YY03
PCI
YY04
Keratoplasty
Kelas
Rawat
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
Top Up
739.376
739.376
739.376
975.348
975.348
975.348
975.348
975.348
975.348
975.348
975.348
975.348
738.860
738.860
738.860
1.799.015
1.799.015
1.799.015
4.797.378
4.797.378
4.797.378
2.277.148
2.277.148
2.277.148
2.390.681
2.390.681
2.390.681
3.530.855
3.530.855
3.530.855
1.860.144
1.860.144
1.860.144
1.765.428
1.765.428
1.765.428
7.739.720
7.739.720
7.739.720
1.761.640
1.761.640
1.761.640
YY05
Pancreatectomy
YY06
YY08
YY09
Torakotomi
YY10
Lobektomi / bilobektomi
YY11
Air plumbage
YY12
Timektomi
YY13
Vitrectomy
YY14
YY15
YY16
II01
II02
II03
II04
Phacoemulsification
Microlaringoscopy
Cholangiograph
Other CT Scan
Nuclear Medicine
MRI
Diagnostic and Imaging Procedure of Eye
Kelas
Rawat
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
0
0
0
0
0
0
0
Top Up
2.796.577
2.796.577
2.796.577
9.452.662
9.452.662
9.452.662
1.301.055
1.301.055
1.301.055
2.135.318
2.135.318
2.135.318
3.655.308
3.655.308
3.655.308
2.500.898
2.500.898
2.500.898
2.979.818
2.979.818
2.979.818
1.761.640
1.761.640
1.761.640
1.868.290
442.589
1.609.750
367.943
366.917
873.982
273.339
DD01
Streptokinase
DD02
Deferiprone
DD03
Deferoksamin
DD04
Deferasirox
DD05
Human Albumin
RR01
RR02
Cote graft
RR03
TMJ Prothesis
RR04
RR05
YY01
YY02
YY03
PCI
Kelas
Rawat
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
Top Up
1.645.920
1.645.920
1.645.920
2.772.703
2.772.703
2.772.703
2.772.703
2.772.703
2.772.703
2.772.703
2.772.703
2.772.703
1.642.526
1.642.526
1.642.526
9.202.145
9.202.145
9.202.145
12.963.501
12.963.501
12.963.501
5.033.278
5.033.278
5.033.278
6.395.600
6.395.600
6.395.600
7.877.326
7.877.326
7.877.326
4.138.252
4.138.252
4.138.252
3.938.663
3.938.663
3.938.663
19.476.681
19.476.681
19.476.681
YY04
Keratoplasty
YY05
Pancreatectomy
YY06
YY07
YY08
Torakotomi
YY09
Lobektomi / bilobektomi
YY10
Air plumbage
YY11
Timektomi
YY12
Vitrectomy
YY13
YY14
YY15
II01
II02
II03
II04
Phacoemulsification
Microlaringoscopy
Cholangiograph
Other CT Scan
Nuclear Medicine
MRI
Diagnostic and Imaging Procedure of Eye
Kelas
Rawat
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
0
0
0
0
0
0
0
Top Up
4.712.762
4.712.762
4.712.762
7.594.902
7.594.902
7.594.902
41.143.310
41.143.310
41.143.310
3.820.850
3.820.850
3.820.850
9.474.940
9.474.940
9.474.940
12.234.539
12.234.539
12.234.539
6.682.387
6.682.387
6.682.387
8.409.948
8.409.948
8.409.948
4.712.762
4.712.762
4.712.762
2.827.657
1.093.940
3.971.631
911.032
908.492
2.163.994
511.824
DD01
Streptokinase
DD02
Deferiprone
DD03
Deferoksamin
DD04
Deferasirox
DD05
Human Albumin
RR01
RR02
Cote graft
RR03
TMJ Prothesis
RR04
RR05
YY01
YY02
YY03
PCI
Kelas
Rawat
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
Top Up
1.264.945
1.264.945
1.264.945
1.483.461
1.483.461
1.483.461
1.483.461
1.483.461
1.483.461
1.483.461
1.483.461
1.483.461
1.154.095
1.154.095
1.154.095
3.079.529
3.079.529
3.079.529
7.077.167
7.077.167
7.077.167
3.869.895
3.869.895
3.869.895
4.504.039
4.504.039
4.504.039
6.032.349
6.032.349
6.032.349
3.069.687
3.069.687
3.069.687
3.016.175
3.016.175
3.016.175
15.738.732
15.738.732
15.738.732
YY04
Keratoplasty
YY05
Pancreatectomy
YY06
YY07
YY08
Torakotomi
YY09
Lobektomi / bilobektomi
YY10
Air plumbage
YY11
Timektomi
YY12
Vitrectomy
YY13
YY14
YY15
II01
II02
II03
II04
Phacoemulsification
Microlaringoscopy
Cholangiograph
Other CT Scan
Nuclear Medicine
MRI
Diagnostic and Imaging Procedure of Eye
Kelas
Rawat
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
0
0
0
0
0
0
0
Top Up
3.035.916
3.035.916
3.035.916
4.146.497
4.146.497
4.146.497
32.914.648
32.914.648
32.914.648
1.971.927
1.971.927
1.971.927
3.650.710
3.650.710
3.650.710
6.265.429
6.265.429
6.265.429
4.282.957
4.282.957
4.282.957
4.351.916
4.351.916
4.351.916
3.035.916
3.035.916
3.035.916
2.280.977
477.563
1.726.973
398.112
397.002
945.644
294.939
DD01
Streptokinase
DD02
Deferiprone
DD03
Deferoksamin
DD04
Deferasirox
DD05
Human Albumin
RR01
RR02
Cote graft
RR03
TMJ Prothesis
RR04
RR05
YY01
YY02
YY03
PCI
Kelas
Rawat
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
Top Up
1.011.956
1.011.956
1.011.956
1.174.551
1.174.551
1.174.551
1.174.551
1.174.551
1.174.551
1.174.551
1.174.551
1.174.551
946.021
946.021
946.021
2.463.623
2.463.623
2.463.623
5.772.206
5.772.206
5.772.206
2.973.924
2.973.924
2.973.924
2.862.014
2.862.014
2.862.014
4.825.879
4.825.879
4.825.879
2.455.750
2.455.750
2.455.750
2.412.940
2.412.940
2.412.940
10.313.334
10.313.334
10.313.334
YY04
Keratoplasty
YY05
Pancreatectomy
YY06
YY07
YY08
Torakotomi
YY09
Lobektomi / bilobektomi
YY10
Air plumbage
YY11
Timektomi
YY12
Vitrectomy
YY13
YY14
YY15
II01
II02
II03
II04
Phacoemulsification
Microlaringoscopy
Cholangiograph
Other CT Scan
Nuclear Medicine
MRI
Diagnostic and Imaging Procedure of Eye
Kelas
Rawat
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
0
0
0
0
0
0
0
Top Up
2.340.939
2.340.939
2.340.939
3.381.923
3.381.923
3.381.923
12.962.073
12.962.073
12.962.073
1.571.409
1.571.409
1.571.409
2.920.568
2.920.568
2.920.568
5.012.343
5.012.343
5.012.343
2.744.464
2.744.464
2.744.464
3.567.302
3.567.302
3.567.302
2.340.939
2.340.939
2.340.939
2.073.615
462.799
1.684.410
385.076
384.002
914.680
286.111
DD01
Streptokinase
DD02
Deferiprone
DD03
Deferoksamin
DD04
Deferasirox
DD05
Human Albumin
RR01
RR02
Cote graft
RR03
TMJ Prothesis
RR04
RR05
YY01
YY02
YY03
PCI
Kelas
Rawat
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
Top Up
746.030
746.030
746.030
984.126
984.126
984.126
984.126
984.126
984.126
984.126
984.126
984.126
745.510
745.510
745.510
1.815.206
1.815.206
1.815.206
4.840.554
4.840.554
4.840.554
2.297.642
2.297.642
2.297.642
2.412.197
2.412.197
2.412.197
3.562.633
3.562.633
3.562.633
1.876.886
1.876.886
1.876.886
1.781.317
1.781.317
1.781.317
7.809.377
7.809.377
7.809.377
YY04
Keratoplasty
YY05
Pancreatectomy
YY06
YY07
YY08
Torakotomi
YY09
Lobektomi / bilobektomi
YY10
Air plumbage
YY11
Timektomi
YY12
Vitrectomy
YY13
YY14
YY15
II01
II02
II03
II04
Phacoemulsification
Microlaringoscopy
Cholangiograph
Other CT Scan
Nuclear Medicine
MRI
Diagnostic and Imaging Procedure of Eye
Kelas
Rawat
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
0
0
0
0
0
0
0
Top Up
1.777.494
1.777.494
1.777.494
2.821.747
2.821.747
2.821.747
9.537.736
9.537.736
9.537.736
1.312.765
1.312.765
1.312.765
2.154.536
2.154.536
2.154.536
3.688.205
3.688.205
3.688.205
2.523.406
2.523.406
2.523.406
3.006.636
3.006.636
3.006.636
1.777.494
1.777.494
1.777.494
1.885.105
446.572
1.624.237
371.254
370.219
881.848
275.799
DD01
Streptokinase
DD02
Deferiprone
DD03
Deferoksamin
DD04
Deferasirox
DD05
Human Albumin
RR01
RR02
Cote graft
RR03
TMJ Prothesis
RR04
RR05
YY01
YY02
YY03
PCI
Kelas
Rawat
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
Top Up
1.650.814
1.650.814
1.650.814
2.780.947
2.780.947
2.780.947
2.780.947
2.780.947
2.780.947
2.780.947
2.780.947
2.780.947
1.647.409
1.647.409
1.647.409
9.229.505
9.229.505
9.229.505
13.002.044
13.002.044
13.002.044
5.048.243
5.048.243
5.048.243
6.414.615
6.414.615
6.414.615
7.900.747
7.900.747
7.900.747
4.150.556
4.150.556
4.150.556
3.950.374
3.950.374
3.950.374
19.534.590
19.534.590
19.534.590
YY04
Keratoplasty
YY05
Pancreatectomy
YY06
YY07
YY08
Torakotomi
YY09
Lobektomi / bilobektomi
YY10
Air plumbage
YY11
Timektomi
YY12
Vitrectomy
YY13
YY14
YY15
II01
II02
II03
II04
Phacoemulsification
Microlaringoscopy
Cholangiograph
Other CT Scan
Nuclear Medicine
MRI
Diagnostic and Imaging Procedure of Eye
Kelas
Rawat
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
0
0
0
0
0
0
0
Top Up
4.726.774
4.726.774
4.726.774
7.617.484
7.617.484
7.617.484
41.265.639
41.265.639
41.265.639
3.832.210
3.832.210
3.832.210
9.503.111
9.503.111
9.503.111
12.270.916
12.270.916
12.270.916
6.702.255
6.702.255
6.702.255
8.434.953
8.434.953
8.434.953
4.726.774
4.726.774
4.726.774
2.836.065
1.097.193
3.983.440
913.740
911.193
2.170.428
513.346
DD01
Streptokinase
DD02
Deferiprone
DD03
Deferoksamin
DD04
Deferasirox
DD05
Human Albumin
RR01
RR02
Cote graft
RR03
TMJ Prothesis
RR04
RR05
YY01
YY02
YY03
PCI
Kelas
Rawat
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
Top Up
1.268.706
1.268.706
1.268.706
1.487.872
1.487.872
1.487.872
1.487.872
1.487.872
1.487.872
1.487.872
1.487.872
1.487.872
1.157.526
1.157.526
1.157.526
3.088.685
3.088.685
3.088.685
7.098.209
7.098.209
7.098.209
3.881.401
3.881.401
3.881.401
4.517.430
4.517.430
4.517.430
6.050.285
6.050.285
6.050.285
3.078.814
3.078.814
3.078.814
3.025.142
3.025.142
3.025.142
15.785.527
15.785.527
15.785.527
YY04
Keratoplasty
YY05
Pancreatectomy
YY06
YY07
YY08
Torakotomi
YY09
Lobektomi / bilobektomi
YY10
Air plumbage
YY11
Timektomi
YY12
Vitrectomy
YY13
YY14
YY15
II01
II02
II03
II04
Phacoemulsification
Microlaringoscopy
Cholangiograph
Other CT Scan
Nuclear Medicine
MRI
Diagnostic and Imaging Procedure of Eye
Kelas
Rawat
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
0
0
0
0
0
0
0
Top Up
3.044.943
3.044.943
3.044.943
4.158.825
4.158.825
4.158.825
33.012.511
33.012.511
33.012.511
1.977.790
1.977.790
1.977.790
3.661.565
3.661.565
3.661.565
6.284.058
6.284.058
6.284.058
4.295.691
4.295.691
4.295.691
4.364.855
4.364.855
4.364.855
3.044.943
3.044.943
3.044.943
2.287.759
478.983
1.732.107
399.295
398.182
948.456
295.816
DD01
Streptokinase
DD02
Deferiprone
DD03
Deferoksamin
DD04
Deferasirox
DD05
Human Albumin
RR01
RR02
Cote graft
RR03
TMJ Prothesis
RR04
RR05
YY01
YY02
YY03
PCI
Kelas
Rawat
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
Top Up
1.014.965
1.014.965
1.014.965
1.178.043
1.178.043
1.178.043
1.178.043
1.178.043
1.178.043
1.178.043
1.178.043
1.178.043
948.834
948.834
948.834
2.470.948
2.470.948
2.470.948
5.789.369
5.789.369
5.789.369
2.982.766
2.982.766
2.982.766
2.870.523
2.870.523
2.870.523
4.840.228
4.840.228
4.840.228
2.463.051
2.463.051
2.463.051
2.420.114
2.420.114
2.420.114
10.343.998
10.343.998
10.343.998
YY04
Keratoplasty
YY05
Pancreatectomy
YY06
YY07
YY08
Torakotomi
YY09
Lobektomi / bilobektomi
YY10
Air plumbage
YY11
Timektomi
YY12
Vitrectomy
YY13
YY14
YY15
II01
II02
II03
II04
Phacoemulsification
Microlaringoscopy
Cholangiograph
Other CT Scan
Nuclear Medicine
MRI
Diagnostic and Imaging Procedure of Eye
Kelas
Rawat
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
0
0
0
0
0
0
0
Top Up
2.347.899
2.347.899
2.347.899
3.391.979
3.391.979
3.391.979
13.000.612
13.000.612
13.000.612
1.576.081
1.576.081
1.576.081
2.929.252
2.929.252
2.929.252
5.027.246
5.027.246
5.027.246
2.752.624
2.752.624
2.752.624
3.577.908
3.577.908
3.577.908
2.347.899
2.347.899
2.347.899
2.079.781
464.175
1.689.419
386.221
385.144
917.399
286.962
DD01
Streptokinase
DD02
Deferiprone
DD03
Deferoksamin
DD04
Deferasirox
DD05
Human Albumin
RR01
RR02
Cote graft
RR03
TMJ Prothesis
RR04
RR05
YY01
YY02
YY03
PCI
Kelas
Rawat
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
Top Up
748.248
748.248
748.248
987.052
987.052
987.052
987.052
987.052
987.052
987.052
987.052
987.052
747.727
747.727
747.727
1.820.603
1.820.603
1.820.603
4.854.946
4.854.946
4.854.946
2.304.474
2.304.474
2.304.474
2.419.369
2.419.369
2.419.369
3.573.226
3.573.226
3.573.226
1.882.466
1.882.466
1.882.466
1.786.613
1.786.613
1.786.613
7.832.596
7.832.596
7.832.596
YY04
Keratoplasty
YY05
Pancreatectomy
YY06
YY07
YY08
Torakotomi
YY09
Lobektomi / bilobektomi
YY10
Air plumbage
YY11
Timektomi
YY12
Vitrectomy
YY13
YY14
YY15
II01
II02
II03
II04
Phacoemulsification
Microlaringoscopy
Cholangiograph
Other CT Scan
Nuclear Medicine
MRI
Diagnostic and Imaging Procedure of Eye
Kelas
Rawat
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
0
0
0
0
0
0
0
Top Up
1.782.779
1.782.779
1.782.779
2.830.136
2.830.136
2.830.136
9.566.094
9.566.094
9.566.094
1.316.668
1.316.668
1.316.668
2.160.941
2.160.941
2.160.941
3.699.171
3.699.171
3.699.171
2.530.909
2.530.909
2.530.909
3.015.576
3.015.576
3.015.576
1.782.779
1.782.779
1.782.779
1.890.710
447.900
1.629.067
372.358
371.320
884.470
276.619
DD01
Streptokinase
DD02
Deferiprone
DD03
Deferoksamin
DD04
Deferasirox
DD05
Human Albumin
RR01
RR02
Cote graft
RR03
TMJ Prothesis
RR04
RR05
YY01
YY02
YY03
PCI
Kelas
Rawat
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
Top Up
1.675.283
1.675.283
1.675.283
2.822.166
2.822.166
2.822.166
2.822.166
2.822.166
2.822.166
2.822.166
2.822.166
2.822.166
1.671.827
1.671.827
1.671.827
9.366.306
9.366.306
9.366.306
13.194.763
13.194.763
13.194.763
5.123.068
5.123.068
5.123.068
6.509.693
6.509.693
6.509.693
8.017.853
8.017.853
8.017.853
4.212.076
4.212.076
4.212.076
4.008.927
4.008.927
4.008.927
19.824.134
19.824.134
19.824.134
YY04
Keratoplasty
YY05
Pancreatectomy
YY06
YY07
YY08
Torakotomi
YY09
Lobektomi / bilobektomi
YY10
Air plumbage
YY11
Timektomi
YY12
Vitrectomy
YY13
YY14
YY15
II01
II02
II03
II04
Phacoemulsification
Microlaringoscopy
Cholangiograph
Other CT Scan
Nuclear Medicine
MRI
Diagnostic and Imaging Procedure of Eye
Kelas
Rawat
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
0
0
0
0
0
0
0
Top Up
4.796.835
4.796.835
4.796.835
7.730.391
7.730.391
7.730.391
41.877.284
41.877.284
41.877.284
3.889.012
3.889.012
3.889.012
9.643.968
9.643.968
9.643.968
12.452.797
12.452.797
12.452.797
6.801.597
6.801.597
6.801.597
8.559.977
8.559.977
8.559.977
4.796.835
4.796.835
4.796.835
2.878.101
1.113.455
4.042.483
927.284
924.699
2.202.599
520.955
DD01
Streptokinase
DD02
Deferiprone
DD03
Deferoksamin
DD04
Deferasirox
DD05
Human Albumin
RR01
RR02
Cote graft
RR03
TMJ Prothesis
RR04
RR05
YY01
YY02
YY03
PCI
Kelas
Rawat
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
Top Up
1.287.511
1.287.511
1.287.511
1.509.926
1.509.926
1.509.926
1.509.926
1.509.926
1.509.926
1.509.926
1.509.926
1.509.926
1.174.683
1.174.683
1.174.683
3.134.466
3.134.466
3.134.466
7.203.419
7.203.419
7.203.419
3.938.932
3.938.932
3.938.932
4.584.388
4.584.388
4.584.388
6.139.963
6.139.963
6.139.963
3.124.449
3.124.449
3.124.449
3.069.981
3.069.981
3.069.981
16.019.502
16.019.502
16.019.502
YY04
Keratoplasty
YY05
Pancreatectomy
YY06
YY07
YY08
Torakotomi
YY09
Lobektomi / bilobektomi
YY10
Air plumbage
YY11
Timektomi
YY12
Vitrectomy
YY13
YY14
YY15
II01
II02
II03
II04
Phacoemulsification
Microlaringoscopy
Cholangiograph
Other CT Scan
Nuclear Medicine
MRI
Diagnostic and Imaging Procedure of Eye
Kelas
Rawat
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
0
0
0
0
0
0
0
Top Up
3.090.075
3.090.075
3.090.075
4.220.468
4.220.468
4.220.468
33.501.827
33.501.827
33.501.827
2.007.105
2.007.105
2.007.105
3.715.837
3.715.837
3.715.837
6.377.201
6.377.201
6.377.201
4.359.362
4.359.362
4.359.362
4.429.551
4.429.551
4.429.551
3.090.075
3.090.075
3.090.075
2.321.668
486.083
1.757.781
405.214
404.084
962.514
300.201
DD01
Streptokinase
DD02
Deferiprone
DD03
Deferoksamin
DD04
Deferasirox
DD05
Human Albumin
RR01
RR02
Cote graft
RR03
TMJ Prothesis
RR04
RR05
YY01
YY02
YY03
PCI
Kelas
Rawat
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
Top Up
1.030.009
1.030.009
1.030.009
1.195.504
1.195.504
1.195.504
1.195.504
1.195.504
1.195.504
1.195.504
1.195.504
1.195.504
962.898
962.898
962.898
2.507.573
2.507.573
2.507.573
5.875.179
5.875.179
5.875.179
3.026.977
3.026.977
3.026.977
2.913.071
2.913.071
2.913.071
4.911.970
4.911.970
4.911.970
2.499.559
2.499.559
2.499.559
2.455.985
2.455.985
2.455.985
10.497.318
10.497.318
10.497.318
YY04
Keratoplasty
YY05
Pancreatectomy
YY06
YY07
YY08
Torakotomi
YY09
Lobektomi / bilobektomi
YY10
Air plumbage
YY11
Timektomi
YY12
Vitrectomy
YY13
YY14
YY15
II01
II02
II03
II04
Phacoemulsification
Microlaringoscopy
Cholangiograph
Other CT Scan
Nuclear Medicine
MRI
Diagnostic and Imaging Procedure of Eye
Kelas
Rawat
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
0
0
0
0
0
0
0
Top Up
2.382.700
2.382.700
2.382.700
3.442.255
3.442.255
3.442.255
13.193.309
13.193.309
13.193.309
1.599.442
1.599.442
1.599.442
2.972.670
2.972.670
2.972.670
5.101.761
5.101.761
5.101.761
2.793.424
2.793.424
2.793.424
3.630.940
3.630.940
3.630.940
2.382.700
2.382.700
2.382.700
2.110.607
471.056
1.714.459
391.945
390.853
930.997
291.215
DD01
Streptokinase
DD02
Deferiprone
DD03
Deferoksamin
DD04
Deferasirox
DD05
Human Albumin
RR01
RR02
Cote graft
RR03
TMJ Prothesis
RR04
RR05
YY01
YY02
YY03
PCI
Kelas
Rawat
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
Top Up
759.339
759.339
759.339
1.001.682
1.001.682
1.001.682
1.001.682
1.001.682
1.001.682
1.001.682
1.001.682
1.001.682
758.810
758.810
758.810
1.847.588
1.847.588
1.847.588
4.926.907
4.926.907
4.926.907
2.338.631
2.338.631
2.338.631
2.455.230
2.455.230
2.455.230
3.626.188
3.626.188
3.626.188
1.910.368
1.910.368
1.910.368
1.813.094
1.813.094
1.813.094
7.948.692
7.948.692
7.948.692
YY04
Keratoplasty
YY05
Pancreatectomy
YY06
YY07
YY08
Torakotomi
YY09
Lobektomi / bilobektomi
YY10
Air plumbage
YY11
Timektomi
YY12
Vitrectomy
YY13
YY14
YY15
II01
II02
II03
II04
Phacoemulsification
Microlaringoscopy
Cholangiograph
Other CT Scan
Nuclear Medicine
MRI
Diagnostic and Imaging Procedure of Eye
Kelas
Rawat
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
0
0
0
0
0
0
0
Top Up
1.809.204
1.809.204
1.809.204
2.872.085
2.872.085
2.872.085
9.707.884
9.707.884
9.707.884
1.336.184
1.336.184
1.336.184
2.192.971
2.192.971
2.192.971
3.754.001
3.754.001
3.754.001
2.568.422
2.568.422
2.568.422
3.060.273
3.060.273
3.060.273
1.809.204
1.809.204
1.809.204
1.918.734
454.539
1.653.213
377.877
376.823
897.580
280.719
DD01
Streptokinase
DD02
Deferiprone
DD03
Deferoksamin
DD04
Deferasirox
DD05
Human Albumin
RR01
RR02
Cote graft
RR03
TMJ Prothesis
RR04
RR05
YY01
YY02
YY03
PCI
Kelas
Rawat
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
Top Up
1.689.964
1.689.964
1.689.964
2.846.898
2.846.898
2.846.898
2.846.898
2.846.898
2.846.898
2.846.898
2.846.898
2.846.898
1.686.478
1.686.478
1.686.478
9.448.386
9.448.386
9.448.386
13.310.393
13.310.393
13.310.393
5.167.964
5.167.964
5.167.964
6.566.740
6.566.740
6.566.740
8.088.117
8.088.117
8.088.117
4.248.988
4.248.988
4.248.988
4.044.058
4.044.058
4.044.058
19.997.861
19.997.861
19.997.861
YY04
Keratoplasty
YY05
Pancreatectomy
YY06
YY07
YY08
Torakotomi
YY09
Lobektomi / bilobektomi
YY10
Air plumbage
YY11
Timektomi
YY12
Vitrectomy
YY13
YY14
YY15
II01
II02
II03
II04
Phacoemulsification
Microlaringoscopy
Cholangiograph
Other CT Scan
Nuclear Medicine
MRI
Diagnostic and Imaging Procedure of Eye
Kelas
Rawat
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
0
0
0
0
0
0
0
Top Up
4.838.872
4.838.872
4.838.872
7.798.135
7.798.135
7.798.135
42.244.271
42.244.271
42.244.271
3.923.093
3.923.093
3.923.093
9.728.482
9.728.482
9.728.482
12.561.925
12.561.925
12.561.925
6.861.202
6.861.202
6.861.202
8.634.991
8.634.991
8.634.991
4.838.872
4.838.872
4.838.872
2.903.323
1.123.213
4.077.908
935.410
932.802
2.221.901
525.520
DD01
Streptokinase
DD02
Deferiprone
DD03
Deferoksamin
DD04
Deferasirox
DD05
Human Albumin
RR01
RR02
Cote graft
RR03
TMJ Prothesis
RR04
RR05
YY01
YY02
YY03
PCI
Kelas
Rawat
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
Top Up
1.298.794
1.298.794
1.298.794
1.523.158
1.523.158
1.523.158
1.523.158
1.523.158
1.523.158
1.523.158
1.523.158
1.523.158
1.184.977
1.184.977
1.184.977
3.161.935
3.161.935
3.161.935
7.266.546
7.266.546
7.266.546
3.973.450
3.973.450
3.973.450
4.624.563
4.624.563
4.624.563
6.193.770
6.193.770
6.193.770
3.151.829
3.151.829
3.151.829
3.096.885
3.096.885
3.096.885
16.159.887
16.159.887
16.159.887
YY04
Keratoplasty
YY05
Pancreatectomy
YY06
YY07
YY08
Torakotomi
YY09
Lobektomi / bilobektomi
YY10
Air plumbage
YY11
Timektomi
YY12
Vitrectomy
YY13
YY14
YY15
II01
II02
II03
II04
Phacoemulsification
Microlaringoscopy
Cholangiograph
Other CT Scan
Nuclear Medicine
MRI
Diagnostic and Imaging Procedure of Eye
Kelas
Rawat
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
0
0
0
0
0
0
0
Top Up
3.117.155
3.117.155
3.117.155
4.257.454
4.257.454
4.257.454
33.795.417
33.795.417
33.795.417
2.024.694
2.024.694
2.024.694
3.748.400
3.748.400
3.748.400
6.433.087
6.433.087
6.433.087
4.397.565
4.397.565
4.397.565
4.468.369
4.468.369
4.468.369
3.117.155
3.117.155
3.117.155
2.342.014
490.343
1.773.185
408.765
407.625
970.949
302.831
DD01
Streptokinase
DD02
Deferiprone
DD03
Deferoksamin
DD04
Deferasirox
DD05
Human Albumin
RR01
RR02
Cote graft
RR03
TMJ Prothesis
RR04
RR05
YY01
YY02
YY03
PCI
Kelas
Rawat
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
Top Up
1.039.035
1.039.035
1.039.035
1.205.981
1.205.981
1.205.981
1.205.981
1.205.981
1.205.981
1.205.981
1.205.981
1.205.981
971.336
971.336
971.336
2.529.548
2.529.548
2.529.548
5.926.666
5.926.666
5.926.666
3.053.504
3.053.504
3.053.504
2.938.599
2.938.599
2.938.599
4.955.016
4.955.016
4.955.016
2.521.463
2.521.463
2.521.463
2.477.508
2.477.508
2.477.508
10.589.310
10.589.310
10.589.310
YY04
Keratoplasty
YY05
Pancreatectomy
YY06
YY07
YY08
Torakotomi
YY09
Lobektomi / bilobektomi
YY10
Air plumbage
YY11
Timektomi
YY12
Vitrectomy
YY13
YY14
YY15
II01
II02
II03
II04
Phacoemulsification
Microlaringoscopy
Cholangiograph
Other CT Scan
Nuclear Medicine
MRI
Diagnostic and Imaging Procedure of Eye
Kelas
Rawat
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
0
0
0
0
0
0
0
Top Up
2.403.581
2.403.581
2.403.581
3.472.421
3.472.421
3.472.421
13.308.927
13.308.927
13.308.927
1.613.458
1.613.458
1.613.458
2.998.720
2.998.720
2.998.720
5.146.469
5.146.469
5.146.469
2.817.903
2.817.903
2.817.903
3.662.760
3.662.760
3.662.760
2.403.581
2.403.581
2.403.581
2.129.104
475.184
1.729.484
395.380
394.278
939.156
293.768
DD01
Streptokinase
DD02
Deferiprone
DD03
Deferoksamin
DD04
Deferasirox
DD05
Human Albumin
RR01
RR02
Cote graft
RR03
TMJ Prothesis
RR04
RR05
YY01
YY02
YY03
PCI
Kelas
Rawat
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
Top Up
765.993
765.993
765.993
1.010.460
1.010.460
1.010.460
1.010.460
1.010.460
1.010.460
1.010.460
1.010.460
1.010.460
765.459
765.459
765.459
1.863.780
1.863.780
1.863.780
4.970.083
4.970.083
4.970.083
2.359.125
2.359.125
2.359.125
2.476.746
2.476.746
2.476.746
3.657.966
3.657.966
3.657.966
1.927.110
1.927.110
1.927.110
1.828.983
1.828.983
1.828.983
8.018.349
8.018.349
8.018.349
YY04
Keratoplasty
YY05
Pancreatectomy
YY06
YY07
YY08
Torakotomi
YY09
Lobektomi / bilobektomi
YY10
Air plumbage
YY11
Timektomi
YY12
Vitrectomy
YY13
YY14
YY15
II01
II02
II03
II04
Phacoemulsification
Microlaringoscopy
Cholangiograph
Other CT Scan
Nuclear Medicine
MRI
Diagnostic and Imaging Procedure of Eye
Kelas
Rawat
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
3
2
1
0
0
0
0
0
0
0
Top Up
1.825.059
1.825.059
1.825.059
2.897.254
2.897.254
2.897.254
9.792.958
9.792.958
9.792.958
1.347.893
1.347.893
1.347.893
2.212.189
2.212.189
2.212.189
3.786.899
3.786.899
3.786.899
2.590.931
2.590.931
2.590.931
3.087.092
3.087.092
3.087.092
1.825.059
1.825.059
1.825.059
1.935.549
458.522
1.667.701
381.188
380.126
905.446
283.179
PERHITUNGAN TARIF
SPECIAL GROUPS UNTUK KASUS SUB-AKUT DAN KRONIS
Kasus Sub-Akut
LOS = 43 s/d 103 Total tarif = Tarif Fase Akut + Top up payment Fase Sub Akut
Kasus Kronis
LOS = 104 s/d 180 Total tarif = Tarif Fase Akut + Top up payment Fase Sub Akut + Top up payment Fase Kronis
Keterangan
Tarif Fase Akut
Top up payment Fase Sub Akut
Top up payment Fase Kronis
Resource Intensity Weight (RIW)
UC (Unit Cost)
LOS (Length Of Stay)
Rumus LOS :
Fase Akut
Fase Subakut
Fase Kronis
: Hari 1 sd 42
: Rumus : LOS (LOS-103)-42
Bila (LOS 103) Hasilnya 0 atau Negatif maka rumus LOS Fase Akut = LOS 42
: Rumus : LOS 103
Bila Hasilnya 0 atau negatif maka LOS Fase Kronis = 0 karena pasien tersebut dirawat 103 hari
(tidak melalui fase kronis)
MENTERI KESEHATAN
REPUBLIK INDONESIA,
ttd
NAFSIAH MBOI