Spécialité
              
          medicaments_ch2_100pc
              65.00
          medicaments_ch1_100pc
              65.00
          medicaments_chp_100pc
              0.00
          medicaments_chs_100pc
              0.00
          implants_ch2_100pc
              0.00
          implants_ch1_100pc
              0.00
          implants_chp_100pc
              0.00
          implants_chs_100pc
              0.00
          prest chirur_ch2_100pc
              1130.00
          prest chirur_ch1_100pc
              3390.00
          prest chirur_chp_100pc
              0.00
          prest chirur_chs_100pc
              0.00
          prest anesth_ch2_100pc
              640.00
          prest anesth_ch1_100pc
              1920.00
          prest anesth_chp_100pc
              0.00
          prest anesth_chs_100pc
              0.00
          autres prest_ch2_100pc
              30.00
          autres prest_ch1_100pc
              60.00
          autres prest_chp_100pc
              0.00
          autres prest_chs_100pc
              0.00
          medicaments_ch2_tm
              40.00
          medicaments_ch1_tm
              40.00
          medicaments_chp_tm
              0.00
          medicaments_chs_tm
              0.00
          implants_ch2_tm
              0.00
          implants_ch1_tm
              0.00
          implants_chp_tm
              0.00
          implants_chs_tm
              0.00
          prest chirur_ch2_tm
              0.00
          prest chirur_ch1_tm
              2260.00
          prest chirur_chp_tm
              0.00
          prest chirur_chs_tm
              0.00
          prest anesth_ch2_tm
              0.00
          prest anesth_ch1_tm
              1280.00
          prest anesth_chp_tm
              0.00
          prest anesth_chs_tm
              0.00
          autres prest_ch2_tm
              10.00
          autres prest_ch1_tm
              40.00
          autres prest_chp_tm
              0.00
          autres prest_chs_tm
              0.00
          Numéro INAMI
              225422
          Valable à partir de
              Nombre de jours
              3
          Ajouter suppl. chambre maternité
              Off
          medicaments_MUT
              25.00
          implants_MUT
              0.00
          prest chirur_MUT
              1130.00
          prest anesth_MUT
              640.00
          autres prest_MUT
              20.00
          
