Spécialité
              
          medicaments_ch2_100pc
              50.00
          medicaments_ch1_100pc
              50.00
          medicaments_chp_100pc
              0.00
          medicaments_chs_100pc
              0.00
          implants_ch2_100pc
              165.00
          implants_ch1_100pc
              165.00
          implants_chp_100pc
              0.00
          implants_chs_100pc
              0.00
          prest chirur_ch2_100pc
              310.00
          prest chirur_ch1_100pc
              930.00
          prest chirur_chp_100pc
              0.00
          prest chirur_chs_100pc
              0.00
          prest anesth_ch2_100pc
              170.00
          prest anesth_ch1_100pc
              510.00
          prest anesth_chp_100pc
              0.00
          prest anesth_chs_100pc
              0.00
          autres prest_ch2_100pc
              75.00
          autres prest_ch1_100pc
              150.00
          autres prest_chp_100pc
              0.00
          autres prest_chs_100pc
              0.00
          medicaments_ch2_tm
              25.00
          medicaments_ch1_tm
              25.00
          medicaments_chp_tm
              0.00
          medicaments_chs_tm
              0.00
          implants_ch2_tm
              95.00
          implants_ch1_tm
              95.00
          implants_chp_tm
              0.00
          implants_chs_tm
              0.00
          prest chirur_ch2_tm
              0.00
          prest chirur_ch1_tm
              620.00
          prest chirur_chp_tm
              0.00
          prest chirur_chs_tm
              0.00
          prest anesth_ch2_tm
              0.00
          prest anesth_ch1_tm
              340.00
          prest anesth_chp_tm
              0.00
          prest anesth_chs_tm
              0.00
          autres prest_ch2_tm
              25.00
          autres prest_ch1_tm
              100.00
          autres prest_chp_tm
              0.00
          autres prest_chs_tm
              0.00
          Numéro INAMI
              276640
          Valable à partir de
              Nombre de jours
              2
          Ajouter suppl. chambre maternité
              Off
          medicaments_MUT
              25.00
          implants_MUT
              70.00
          prest chirur_MUT
              310.00
          prest anesth_MUT
              170.00
          autres prest_MUT
              50.00
          
