Spécialité
              
          medicaments_ch2_100pc
              50.00
          medicaments_ch1_100pc
              50.00
          medicaments_chp_100pc
              0.00
          medicaments_chs_100pc
              0.00
          implants_ch2_100pc
              1800.00
          implants_ch1_100pc
              1800.00
          implants_chp_100pc
              0.00
          implants_chs_100pc
              0.00
          prest chirur_ch2_100pc
              655.00
          prest chirur_ch1_100pc
              1965.00
          prest chirur_chp_100pc
              0.00
          prest chirur_chs_100pc
              0.00
          prest anesth_ch2_100pc
              380.00
          prest anesth_ch1_100pc
              1140.00
          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
              240.00
          implants_ch1_tm
              240.00
          implants_chp_tm
              0.00
          implants_chs_tm
              0.00
          prest chirur_ch2_tm
              0.00
          prest chirur_ch1_tm
              1310.00
          prest chirur_chp_tm
              0.00
          prest chirur_chs_tm
              0.00
          prest anesth_ch2_tm
              0.00
          prest anesth_ch1_tm
              760.00
          prest anesth_chp_tm
              0.00
          prest anesth_chs_tm
              0.00
          autres prest_ch2_tm
              10.00
          autres prest_ch1_tm
              110.00
          autres prest_chp_tm
              0.00
          autres prest_chs_tm
              0.00
          Numéro INAMI
              275542 * 2
          Valable à partir de
              Nombre de jours
              3
          Ajouter suppl. chambre maternité
              Off
          medicaments_MUT
              80.00
          implants_MUT
              1560.00
          prest chirur_MUT
              655.00
          prest anesth_MUT
              380.00
          autres prest_MUT
              90.00
          