protheses de hanche – heupprothesen (pdf - 335 kb) - COOPAMI

4/50115.001.001.525 Orthogèse THA.lis tige modulaire modifiée col standard THL 1101.xxMxx 177.665,61 0,00 267115.001.001.534 Orthogèse THA.lis tige modulaire modifiée col long THL 1101.xxLxx 49.885,50 0,00 75115.001.001.561 Ortho-Team O.T. BRIGHT HIP 13-0xx 20.027,53 0,00 30115.001.001.577 Medacta Apricot Tige Cimentée INOX lisse 25012.02xx 32.591,86 0,00 49115.001.001.586 Orthogèse THA.lassa THS.1101.x0X00 18.623,92 0,00 28115.001.001.631 DePuy Johnson & Johnson Medical Tige fémorale C-STEM AMT 157004xxx, 157014xxx 135.688,63 0,00 211115.001.001.674 Ortho-Team Tige Cineos C PH 11 10 xx 17.958,78 0,00 27115.001.001.683 Wright Medical Belgium Profemur XM Stern + Modular Neck PHA0600x + PHA012xx 93.396,98 0,00 147115.001.001.717 Medacta Quadra C 01.1x.0xx 4.655,98 0,00 7115.001.001.735 Biomet Belgium BVBA PERTROCH + Femoral Stem P014001x 31.261,58 0,00 47115.001.001.744 S&N Belgium Gaïa Cemented Stem GATACMxx 5.986,26 0,00 9115.001.001.753 Zimmer BVBA/SPRL Versys CT + distal centralizer / proximal centralizer 785401x00 + 00-7859-0xx-00 / 00-7858-0xx-57 1.318,70 0,00 3115.001.001.787 Zimmer BVBA/SPRL Versys CT ext. offset + distal centralizer / proximal centralizer 785401x20 + 00-7859-0xx-00 / 00-7858-0xx-57 1.318,70 0,00 2115.001.001.796 Zimmer BVBA/SPRL Versys Heritage + distal centralizer / proximal centralizer 00785701x00 + 00-7859-0xx-00 / 00-7858-0xx-57 52.531,04 0,00 81115.001.001.805 Zimmer BVBA/SPRL Versys Heritage + distal centralizer / proximal centralizer 00785701x20 + 00-7859-0xx-00 / 00-7858-0xx-57 26.889,38 0,00 40115.001.001.832 Ortho-Team Exel R cimentée lateralisé HET CL40x 15.664,87 0,00 23115.001.001.857 S&N Belgium Polarstem avec ciment 750113xx / 750112xx 28.155,87 0,00 42115.001.001.875 Cormed NV / Biotechny Filler stem cemented FI04xxx 2.068,75 0,00 3115.001.001.893 Wright Medical Belgium Profemur Gladiator cemented stem + modular neck (PRGLCMxx + PHA012xx) 31.926,91 0,00 67115.001.001.902 DePuy - Johnson & Johnson Corail Cemented Stem L964xx 5.321,12 0,00 8115.001.001.911 DePuy - Johnson & Johnson Corail High-Offset Cemented Stem L965xx 1.330,28 0,00 2115.001.001.927 Medacta Cemented AMIStem 01.18.10x 11.972,52 0,00 18115.001.001.972 Shark Medical O.T. BRIGHT HIP 13-0xx 5.321,12 0,00 8115.001.001.981 Etablissements H. Nootens Corail Cemented Stem L964xx 6.651,40 0,00 10115.001.002.006 Cormed Fortress stem cemented TF31xx / TF41xx 21.949,62 0,00 33115.001.002.015 Smith & Nephew Gaïa Cementless Stem 13-06x 1.330,28 0,00 2115.001.002.024 Stöpler Profemur XM Stem + Modular Neck PHA0600x + PRXMDC01 + PHA012xx / PHAC12xx 278,37 0,00 1115.001.002.033 Stöpler Profemur Gladiator cemented stem + modular neck PRGLCMxx + PRGLDCxx + PHA012xx / PHAC12xx 665,14 0,00 1115.002 Tige standard pour placement sans cimentStandaard steel bedoeld om te plaatsen zonder cement688542Code d'identification Fournisseur Nom du produit Modèle Dépenses AMI Supplément patient Nombre de casIdentificatiecode Leverancier Produktnaam Model Uitgaven ZIV Supplement patiënt Aantal gevallen115.002.000.023 Mathys Orthopaedics Belux N.V.-S.A. Cbc Ti M4.30.xxx 25.934,29 0,00 31115.002.000.041 Mathys Orthopaedics Belux N.V.-S.A. Orig. Rm Cbh M56.20.0xxx 7.166,34 0,00 9115.002.000.075 S&N Belgium Fenestrated Moore 765703xx 7.851,14 0,00 11115.002.000.136 Centerpulse BeLux Alloclassic Zweymüller 28xx / 01.00121.xxx 61.907,66 0,00 74115.002.000.145 Centerpulse BeLux CLS Spotorno 290009-xxx 2.509,77 0,00 3115.002.000.154 Centerpulse BeLux CLS varus 290039-xxx 151.608,69 83,65 181115.002.000.163 Centerpulse BeLux Metabloc uncemented 210049-xx 229.225,66 15.835,84 274115.002.000.172 Centerpulse BeLux Prothèse conique non cimentée 340009-xxx 836,59 0,00 1115.002.000.206 Cormed NV / Biotechny / Belgafix Filler stem cementless FI010xx-3, FI040xx 165.644,82 29.144,22 198115.002.000.285 Zimmer N.V. / S.A. CLS Spotorno Stem 125° 01.00295.0xx 72.783,33 0,00 87115.002.000.312 Zimmer BVBA/SPRL Wagner Cone Prosthesis 125° 01.00561.2xx 9.202,49 0,00 11115.002.000.346 Mathys Orthopaedics Belux N.V.-S.A. Cone Prothese 56.20.3xxx, 56.20.4xxx (size 13 -> 19) 174.010,72 10.683,05 208