Spécialité
              
          medicaments_ch2_100pc
              135.00
          medicaments_ch1_100pc
              135.00
          medicaments_chp_100pc
              0.00
          medicaments_chs_100pc
              0.00
          implants_ch2_100pc
              375.00
          implants_ch1_100pc
              375.00
          implants_chp_100pc
              0.00
          implants_chs_100pc
              0.00
          prest chirur_ch2_100pc
              300.00
          prest chirur_ch1_100pc
              900.00
          prest chirur_chp_100pc
              0.00
          prest chirur_chs_100pc
              0.00
          prest anesth_ch2_100pc
              110.00
          prest anesth_ch1_100pc
              330.00
          prest anesth_chp_100pc
              0.00
          prest anesth_chs_100pc
              0.00
          autres prest_ch2_100pc
              100.00
          autres prest_ch1_100pc
              200.00
          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
              55.00
          implants_ch1_tm
              55.00
          implants_chp_tm
              0.00
          implants_chs_tm
              0.00
          prest chirur_ch2_tm
              0.00
          prest chirur_ch1_tm
              600.00
          prest chirur_chp_tm
              0.00
          prest chirur_chs_tm
              0.00
          prest anesth_ch2_tm
              0.00
          prest anesth_ch1_tm
              220.00
          prest anesth_chp_tm
              0.00
          prest anesth_chs_tm
              0.00
          autres prest_ch2_tm
              12.00
          autres prest_ch1_tm
              112.00
          autres prest_chp_tm
              0.00
          autres prest_chs_tm
              0.00
          Numéro INAMI
              290640
          Valable à partir de
              Nombre de jours
              1
          Ajouter suppl. chambre maternité
              Off
          medicaments_MUT
              80.00
          implants_MUT
              320.00
          prest chirur_MUT
              300.00
          prest anesth_MUT
              110.00
          autres prest_MUT
              88.00
          