Spécialité
              
          medicaments_ch2_100pc
              150.00
          medicaments_ch1_100pc
              150.00
          medicaments_chp_100pc
              0.00
          medicaments_chs_100pc
              0.00
          implants_ch2_100pc
              1800.00
          implants_ch1_100pc
              1800.00
          implants_chp_100pc
              0.00
          implants_chs_100pc
              0.00
          prest chirur_ch2_100pc
              990.00
          prest chirur_ch1_100pc
              2970.00
          prest chirur_chp_100pc
              0.00
          prest chirur_chs_100pc
              0.00
          prest anesth_ch2_100pc
              445.00
          prest anesth_ch1_100pc
              1335.00
          prest anesth_chp_100pc
              0.00
          prest anesth_chs_100pc
              0.00
          autres prest_ch2_100pc
              90.00
          autres prest_ch1_100pc
              180.00
          autres prest_chp_100pc
              0.00
          autres prest_chs_100pc
              0.00
          medicaments_ch2_tm
              35.00
          medicaments_ch1_tm
              35.00
          medicaments_chp_tm
              0.00
          medicaments_chs_tm
              0.00
          implants_ch2_tm
              670.00
          implants_ch1_tm
              670.00
          implants_chp_tm
              0.00
          implants_chs_tm
              0.00
          prest chirur_ch2_tm
              0.00
          prest chirur_ch1_tm
              1980.00
          prest chirur_chp_tm
              0.00
          prest chirur_chs_tm
              0.00
          prest anesth_ch2_tm
              0.00
          prest anesth_ch1_tm
              890.00
          prest anesth_chp_tm
              0.00
          prest anesth_chs_tm
              0.00
          autres prest_ch2_tm
              10.00
          autres prest_ch1_tm
              100.00
          autres prest_chp_tm
              0.00
          autres prest_chs_tm
              0.00
          Numéro INAMI
              225142
          Valable à partir de
              Nombre de jours
              2
          Ajouter suppl. chambre maternité
              Off
          medicaments_MUT
              115.00
          implants_MUT
              1130.00
          prest chirur_MUT
              990.00
          prest anesth_MUT
              445.00
          autres prest_MUT
              80.00
          
