Spécialité
              
          medicaments_ch2_100pc
              150.00
          medicaments_ch1_100pc
              150.00
          medicaments_chp_100pc
              0.00
          medicaments_chs_100pc
              0.00
          implants_ch2_100pc
              840.00
          implants_ch1_100pc
              840.00
          implants_chp_100pc
              0.00
          implants_chs_100pc
              0.00
          prest chirur_ch2_100pc
              635.00
          prest chirur_ch1_100pc
              1905.00
          prest chirur_chp_100pc
              0.00
          prest chirur_chs_100pc
              0.00
          prest anesth_ch2_100pc
              225.00
          prest anesth_ch1_100pc
              675.00
          prest anesth_chp_100pc
              0.00
          prest anesth_chs_100pc
              0.00
          autres prest_ch2_100pc
              0.00
          autres prest_ch1_100pc
              0.00
          autres prest_chp_100pc
              0.00
          autres prest_chs_100pc
              0.00
          medicaments_ch2_tm
              45.00
          medicaments_ch1_tm
              45.00
          medicaments_chp_tm
              0.00
          medicaments_chs_tm
              0.00
          implants_ch2_tm
              250.00
          implants_ch1_tm
              250.00
          implants_chp_tm
              0.00
          implants_chs_tm
              0.00
          prest chirur_ch2_tm
              0.00
          prest chirur_ch1_tm
              1270.00
          prest chirur_chp_tm
              0.00
          prest chirur_chs_tm
              0.00
          prest anesth_ch2_tm
              0.00
          prest anesth_ch1_tm
              450.00
          prest anesth_chp_tm
              0.00
          prest anesth_chs_tm
              0.00
          autres prest_ch2_tm
              15.00
          autres prest_ch1_tm
              15.00
          autres prest_chp_tm
              0.00
          autres prest_chs_tm
              0.00
          Numéro INAMI
              276080-276102
          Valable à partir de
              Nombre de jours
              2
          Ajouter suppl. chambre maternité
              Off
          medicaments_MUT
              120.00
          implants_MUT
              590.00
          prest chirur_MUT
              635.00
          prest anesth_MUT
              225.00
          autres prest_MUT
              -15.00
          
