Spécialité
              
          medicaments_ch2_100pc
              30.00
          medicaments_ch1_100pc
              30.00
          medicaments_chp_100pc
              0.00
          medicaments_chs_100pc
              0.00
          implants_ch2_100pc
              490.00
          implants_ch1_100pc
              490.00
          implants_chp_100pc
              0.00
          implants_chs_100pc
              0.00
          prest chirur_ch2_100pc
              348.00
          prest chirur_ch1_100pc
              1044.00
          prest chirur_chp_100pc
              0.00
          prest chirur_chs_100pc
              0.00
          prest anesth_ch2_100pc
              173.00
          prest anesth_ch1_100pc
              519.00
          prest anesth_chp_100pc
              0.00
          prest anesth_chs_100pc
              0.00
          autres prest_ch2_100pc
              25.00
          autres prest_ch1_100pc
              50.00
          autres prest_chp_100pc
              0.00
          autres prest_chs_100pc
              0.00
          medicaments_ch2_tm
              5.00
          medicaments_ch1_tm
              5.00
          medicaments_chp_tm
              0.00
          medicaments_chs_tm
              0.00
          implants_ch2_tm
              110.00
          implants_ch1_tm
              110.00
          implants_chp_tm
              0.00
          implants_chs_tm
              0.00
          prest chirur_ch2_tm
              0.00
          prest chirur_ch1_tm
              696.00
          prest chirur_chp_tm
              0.00
          prest chirur_chs_tm
              0.00
          prest anesth_ch2_tm
              0.00
          prest anesth_ch1_tm
              346.00
          prest anesth_chp_tm
              0.00
          prest anesth_chs_tm
              0.00
          autres prest_ch2_tm
              0.00
          autres prest_ch1_tm
              25.00
          autres prest_chp_tm
              0.00
          autres prest_chs_tm
              0.00
          Numéro INAMI
              293963
          Valable à partir de
              Nombre de jours
              2
          Ajouter suppl. chambre maternité
              Off
          medicaments_MUT
              25.00
          implants_MUT
              380.00
          prest chirur_MUT
              348.00
          prest anesth_MUT
              173.00
          autres prest_MUT
              25.00
          
