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325 32505 325050001852 1 Medtronic Avalus Ultra Bioprosthesis 400Uxx 2755.17 2755.17 0.00 148.74 2024-10-01 A 2024-09-30 2024-09-30 340 34001 340010004026 1 ICB K-Mono Femur 3CUT RES Cemented / Anallergic 12070410x(A) / 12070412x(A) / 12070414x(A) 1154.11 961.76 192.35 115.41 2024-10-01 A 2024-09-30 2024-09-30 340 34002 340020001360 1 ICB K-Mono femur 3Cut uncemented 12070415x / 12070416x 1427.77 1189.81 237.96 142.77 2024-10-01 A 2024-09-30 2024-09-30 340 34003 340030013740 1 ICB K-MOD Fémur cimenté 1207011xx / 1207012xx / 1207013xx / 1207014xx 1297.19 1269.13 28.06 129.71 2024-10-01 A 2024-09-30 2024-09-30 340 34004 340040002463 1 ICB K-MOD Fémur cimenté ALLERGY 1207011xxA / 1207012xxA / 1207013xxA / 1207014xxA 1297.19 1269.13 28.06 129.71 2024-10-01 A 2024-09-30 2024-09-30 340 34005 340050008905 1 ICB K-MOD Fémur UNCEMENTED/Skinny 1207001xx / 1207002xx / 1207003xx / 1207004xx 1429.39 1388.11 41.28 142.93 2024-10-01 A 2024-09-30 2024-09-30 340 34018 340180004345 1 ICB K-Mono Tibia MetalBack Cimentée 3 CUT 12070430x(T) / 12070432x(T) 773.37 644.48 128.89 77.33 2024-10-01 A 2024-09-30 2024-09-30 340 34019 340190001580 1 ICB K-Mono Tibia MetalBack UNCEMENTEd 3 CUT 12070431xT / 12070433xT 773.37 694.05 79.32 77.33 2024-10-01 A 2024-09-30 2024-09-30 340 34020 340200003468 1 ICB K-Mono Insert X-link+ Vitamine E 3 CUT 1207042xxE 356.94 297.45 59.49 35.69 2024-10-01 A 2024-09-30 2024-09-30 340 34026 340260012123 1 ICB K-MOD Tibia cimenté 12070150x / 12070160x 951.84 793.20 158.64 95.18 2024-10-01 A 2024-09-30 2024-09-30 340 34027 340270001638 1 ICB K-MOD Tibia cimenté Allergy 12070150xA / 12070160xA 951.84 793.20 158.64 95.18 2024-10-01 A 2024-09-30 2024-09-30 340 34028 340280007088 1 ICB K-MOD Tibia sans ciment 12070050x / 12070060x 951.84 941.93 9.91 95.18 2024-10-01 A 2024-09-30 2024-09-30 340 34029 340290000464 1 ICB K-MOD Tibia sans ciment ALLERGY 12070050xA / 12070060xA 951.84 941.93 9.91 95.18 2024-10-01 A 2024-09-30 2024-09-30 340 34053 340530011029 1 ICB K-MOD Rotule 12070170x 226.05 188.38 37.67 22.60 2024-10-01 A 2024-09-30 2024-09-30 340 34060 340600003160 1 ICB K-Mod QUILLE TIBIALE 1207017xx 242.06 242.06 0.00 24.20 2024-10-01 A 2024-09-30 2024-09-30 340 34064 340640002891 1 ICB K-Mod REV DIAPHYSEAL 1207027xx 242.06 242.06 0.00 24.20 2024-10-01 A 2024-09-30 2024-09-30 340 34071 340710019372 1 ICB K-MOD Insert / fixe 12070052x / 12070053x / 12070054x / 12070055x / 1207007xx / 1207009xx / 1207019xx / 12070132x / 12070133x / 12070134x / 12070135x / 1207018xx / 12070066x / 12070067x / 12070068x / 12070069x / 1207008xx / 12070062x / 12070063x / 12070064x / 12070065x 356.94 356.94 0.00 35.69 2024-10-01 A 2024-09-30 2024-09-30 369 36903 369030005354 1 Lépine Benelux DUAL MOBILITY LINER HQNDM8xx / HQNDP2xx / HINDA250 2024-10-01 A 2024-09-30 2024-09-30 369 36904 369040009222 1 Lépine Benelux Quattro cemented cup HQCCC0xx 2024-10-01 A 2024-09-30 2024-09-30 369 36904 369040009321 1 Lépine Benelux Quattro Press Fit HA Cup HQCPF0xx 2024-10-01 A 2024-09-30 2024-09-30