Spécialité
              
          medicaments_ch2_100pc
              100.00
          medicaments_ch1_100pc
              100.00
          medicaments_chp_100pc
              0.00
          medicaments_chs_100pc
              0.00
          implants_ch2_100pc
              1550.00
          implants_ch1_100pc
              1550.00
          implants_chp_100pc
              0.00
          implants_chs_100pc
              0.00
          prest chirur_ch2_100pc
              1553.00
          prest chirur_ch1_100pc
              4659.00
          prest chirur_chp_100pc
              0.00
          prest chirur_chs_100pc
              0.00
          prest anesth_ch2_100pc
              931.00
          prest anesth_ch1_100pc
              2793.00
          prest anesth_chp_100pc
              0.00
          prest anesth_chs_100pc
              0.00
          autres prest_ch2_100pc
              83.00
          autres prest_ch1_100pc
              166.00
          autres prest_chp_100pc
              0.00
          autres prest_chs_100pc
              0.00
          medicaments_ch2_tm
              85.00
          medicaments_ch1_tm
              85.00
          medicaments_chp_tm
              0.00
          medicaments_chs_tm
              0.00
          implants_ch2_tm
              65.00
          implants_ch1_tm
              65.00
          implants_chp_tm
              0.00
          implants_chs_tm
              0.00
          prest chirur_ch2_tm
              0.00
          prest chirur_ch1_tm
              3106.00
          prest chirur_chp_tm
              0.00
          prest chirur_chs_tm
              0.00
          prest anesth_ch2_tm
              0.00
          prest anesth_ch1_tm
              1862.00
          prest anesth_chp_tm
              0.00
          prest anesth_chs_tm
              0.00
          autres prest_ch2_tm
              10.00
          autres prest_ch1_tm
              93.00
          autres prest_chp_tm
              0.00
          autres prest_chs_tm
              0.00
          Numéro INAMI
              225503
          Valable à partir de
              Nombre de jours
              3
          Ajouter suppl. chambre maternité
              Off
          medicaments_MUT
              15.00
          implants_MUT
              1485.00
          prest chirur_MUT
              1553.00
          prest anesth_MUT
              931.00
          autres prest_MUT
              73.00
          
