Spécialité
              
          Valable à partir de
              Numéro INAMI
              294151-294151/2
          MAXI 761235
              Off
          FORF1 768176
              Off
          FORF2 768191
              Off
          FORF3 768213
              Off
          HONCO
              Off
          HONCOM 599480
              Off
          HONCOT 599480
              Off
          HSHJ
              Off
          HSHJM 597800
              Off
          HSHJT 597800
              Off
          FORFAL1 591076
              On
          FORFAL2 591091
              On
          FORFAP1 590310
              On
          FORFAP2 590332
              On
          BASONCO
              Off
          FORDC1
              Off
          FORDC2
              Off
          FORDC3
              Off
          FORF4 768235
              Off
          FORF5 768250
              Off
          FORF6 768272
              Off
          FORF6bis 767970
              Off
          FORF7 768294
              Off
          FORHJA 768036
              Off
          FORHJ
              On
          FORHJJ 768051
              Off
          MAXCOMBI
              Off
          MAXMONO
              Off
          Ajouter suppl. chambre maternité
              Off
          medicaments_ch2_100pc
              60.00
          implants_ch2_100pc
              0.00
          prest chirur_ch2_100pc
              505.00
          prest anesth_ch2_100pc
              250.00
          autres prest_ch2_100pc
              50.00
          medicaments_ch1_100pc
              60.00
          implants_ch1_100pc
              0.00
          prest chirur_ch1_100pc
              1515.00
          prest anesth_ch1_100pc
              750.00
          autres prest_ch1_100pc
              100.00
          medicaments_MUT
              35.00
          implants_MUT
              0.00
          prest chirur_MUT
              505.00
          prest anesth_MUT
              250.00
          autres prest_MUT
              45.00
          medicaments_ch2_tm
              25.00
          implants_ch2_tm
              0.00
          prest chirur_ch2_tm
              0.00
          prest anesth_ch2_tm
              0.00
          autres prest_ch2_tm
              5.00
          medicaments_ch1_tm
              25.00
          implants_ch1_tm
              0.00
          prest chirur_ch1_tm
              1010.00
          prest anesth_ch1_tm
              500.00
          autres prest_ch1_tm
              55.00
          
