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

6/50115.003.000.892 DePuy Johnson & Johnson Medical - Nootens Tige fémorale CORAIL High Offset Sans appui sans ciment L20309 -> L20316 252.650,18 1.749,30 302115.003.000.935 Stryker Howmedica Thelios Femoral Stem 11-12-12 -> 11-12-21 / 11-13-12 -> 11-13-21 69.529,92 0,00 83115.003.000.987 Ortho-Team Tige Cineos H PH 1x 00 xx 383.380,28 27.886,64 459115.003.000.996 S&N Belgium Anthology Standard Offset Porous 713560xx 26.770,88 0,00 32115.003.001.005 S&N Belgium Anthology High Offset Porous 713561xx 11.712,26 0,00 14115.003.001.014 S&N Belgium Anthology Standard Offset Porous Plus HA 713570xx 90.258,77 6.709,99 108115.003.001.023 S&N Belgium Anthology High Offset Porous Plus HA 713571xx 117.029,65 25.332,58 140115.003.001.032 Stryker Howmedica Thelios femoral stem met collar 11-2x-xx 33.649,50 0,00 40115.003.001.057 Biomet Belgium BVBA Taperloc Microplasty Stem 14-1032xx 27.607,47 0,00 33115.003.001.066 Biomet Belgium BVBA Taperloc Microplasty Stem Lateralized 15-1032xx 58.561,30 82,30 70115.003.001.075 S&N Belgium Gaïa Cementless Stem with Collar GATSCMxx 111.266,47 0,00 133115.003.001.084 S&N Belgium Gaïa Cementless Stem Medial without Collar GATSCCxx 172.337,54 20.328,95 206115.003.001.093 S&N Belgium Gaïa Cementless Stem Lateral without Collar GATSCLxx 70.337,97 0,00 84115.003.001.102 Wright Medical Belgium Profemur TL Stem PRTL00xx + PHA012xx 158.301,41 0,00 189115.003.001.111 Ortho-Team Exel R HAP Standard HET HS40x 266.035,62 0,00 318115.003.001.127 Ortho-Team Exel R HAP lateralisé HET HL40x 148.913,02 0,00 178115.003.001.136 S&N Belgium SL-PLUS 750026xx / 750027xx / 750101xx 29.280,65 49.926,32 35115.003.001.145 S&N Belgium Polarstem sans ciment 75008663 / 750112xx / 75012206 589.061,37 6.709,99 705115.003.001.154 Cormed O.T. BOND HIP 30-xxx 57.631,76 18.451,36 69115.003.001.163 Biomet Belgium BVBA Taperloc BM/PC Standard T1 1032xxBM 196.598,65 185,90 236115.003.001.172 Biomet Belgium BVBA Taperloc BM/PC Lateralized T1 11-1032xxBM 257.669,72 10.417,27 308115.003.001.215 Zimmer BVBA/SPRL Fitmore Hip Stem A Offset 01.00551.1xx 23.424,52 13.354,58 28115.003.001.224 Zimmer BVBA/SPRL Fitmore Hip Stem B Offset 01.00551.2xx 37.646,55 25.442,90 45115.003.001.233 Zimmer BVBA/SPRL Fitmore Hip Stem B Extended Offset 01.00551.3xx 55.214,94 10.324,32 66115.003.001.242 Zimmer BVBA/SPRL Fitmore Hip Stem C Offset 01.00551.4xx 10.799,62 0,00 13115.003.001.251 Wright Medical Belgium Profemur Gladiator HA stem with collar + modular neck PRGLHAxx + PHA012xx 76.129,69 0,00 91115.003.001.267 Wright Medical Belgium Profemur Gladiator HA stem without collar + modular neck PRGLHAxx + PHA012xx 156.996,97 0,00 189115.003.001.276 Wright Medical Belgium Profemur Gladiator plasma coated + modular neck PRGL00xx + PHA012xx 12.548,86 0,00 16115.003.001.285 Medacta Cementless AMIStem 01.18.1xx 664.252,46 10.683,05 794115.003.001.303 Belgafix Tige Parva + col amouvible 01082xx + 0400xx0 / 0409xx0 / 0410xx0 / 0419xx0 / 0420xxx 7.529,31 0,00 9/ 0429xxx / 043xxx0 / 044xxxx / 045xxxx115.003.001.346 Wright Medical Belgium Profemur L + Col amovible PHA 055 xx + PHA 012 xx 232.280,80 29.437,87 283115.003.001.391 Etablissements H. Nootens Corail avec Appui 3L92xxx 612.383,88 1.143,37 732115.003.001.407 Etablissements H. Nootens Corail sans Appui 3L925xx 392.360,71 15.734,21 469115.003.001.425 Etablissements H. Nootens Corail latéralisée 3L937xx 238.428,15 15.800,60 285115.003.001.434 Etablissements H. Nootens Tige fémorale CORAIL High Offset Sans appui sans ciment L20309 -> L20320 87.005,36 24.219,35 104115.003.001.443 Shark Medical O.T. BOND HIP 30-xxx 55.214,94 19.976,93 66115.003.001.452 Smith & Nephew Gaïa Cementless Stem with Collar 30-0xxC 10.875,67 0,00 13115.003.001.461 Smith & Nephew Gaïa Cementless Stem Medial without Collar 30-0xx 166.481,41 0,00 199115.003.001.477 Smith & Nephew Gaïa Cementless Stem Lateral without Collar 30-1xx 35.973,37 0,00 43115.003.001.504 Stöpler Profemur Gladiator HA stem with collar + modular neck PRGLHAxx + PHA012xx / PHAC12xx 3.346,36 0,00 4115.003.001.547 Biomet Taperloc Complete Primary Femoral 51-10xxxx, 51-12xxxx, 51-14xxxx, 51-16xxxx 52.705,17 0,00 63115.003.001.583 Johnson & Johnson Medical - Depuy Tri-lock Bone Preservation system, STD / HO, size 0 tot 12 1012-x4-xxx 25.097,70 0,00 30