Spécialité
              
          medicaments_ch2_100pc
              160.00
          medicaments_ch1_100pc
              160.00
          medicaments_chp_100pc
              0.00
          medicaments_chs_100pc
              0.00
          implants_ch2_100pc
              3300.00
          implants_ch1_100pc
              3300.00
          implants_chp_100pc
              0.00
          implants_chs_100pc
              0.00
          prest chirur_ch2_100pc
              995.00
          prest chirur_ch1_100pc
              2985.00
          prest chirur_chp_100pc
              0.00
          prest chirur_chs_100pc
              0.00
          prest anesth_ch2_100pc
              600.00
          prest anesth_ch1_100pc
              1800.00
          prest anesth_chp_100pc
              0.00
          prest anesth_chs_100pc
              0.00
          autres prest_ch2_100pc
              175.00
          autres prest_ch1_100pc
              350.00
          autres prest_chp_100pc
              0.00
          autres prest_chs_100pc
              0.00
          medicaments_ch2_tm
              70.00
          medicaments_ch1_tm
              70.00
          medicaments_chp_tm
              0.00
          medicaments_chs_tm
              0.00
          implants_ch2_tm
              570.00
          implants_ch1_tm
              570.00
          implants_chp_tm
              0.00
          implants_chs_tm
              0.00
          prest chirur_ch2_tm
              0.00
          prest chirur_ch1_tm
              1990.00
          prest chirur_chp_tm
              0.00
          prest chirur_chs_tm
              0.00
          prest anesth_ch2_tm
              0.00
          prest anesth_ch1_tm
              1200.00
          prest anesth_chp_tm
              0.00
          prest anesth_chs_tm
              0.00
          autres prest_ch2_tm
              10.00
          autres prest_ch1_tm
              185.00
          autres prest_chp_tm
              0.00
          autres prest_chs_tm
              0.00
          Numéro INAMI
              281680
          Valable à partir de
              Nombre de jours
              3
          Ajouter suppl. chambre maternité
              Off
          medicaments_MUT
              90.00
          implants_MUT
              2730.00
          prest chirur_MUT
              995.00
          prest anesth_MUT
              600.00
          autres prest_MUT
              165.00
          