148
2023-10-25
2023-11-29
301
30101
301010002991
3
Ophtalmo Service
T-Flex Aspheric Toric (≥ 2 cyl)
623T (≥ 2 cyl)
277.62
198.30
79.32
27.76
2020-08-01
2023-11-30
NP
RW
2023-11-28
2020-07-24
301
30101
301010002991
4
Ophtalmo Surgical
T-Flex Aspheric Toric (≥ 2 cyl)
623T (≥ 2 cyl)
277.62
198.30
79.32
27.76
2023-12-01
NF
2023-11-28
2023-11-28
301
30101
301010003288
3
Ophtalmo Service
Artis T PL E (≥ 2 cyl)
0370063738xxxx (≥ 2 cyl) / 0370063737xxxx (≥ 2 cyl)
277.62
198.30
79.32
27.76
2020-08-01
2023-11-30
NP
2023-11-28
2020-07-24
301
30101
301010003288
4
Ophtalmo Surgical
Artis T PL E (≥ 2 cyl)
0370063738xxxx (≥ 2 cyl) / 0370063737xxxx (≥ 2 cyl)
277.62
198.30
79.32
27.76
2023-12-01
NF
2023-11-28
2023-11-28
301
30101
301010004872
1
Ophtalmo Service
RAYONE TORIC RAO610T (≥ 2 cyl)
610T(≥ 2 cyl)
277.62
198.30
79.32
27.76
2023-10-01
2023-11-30
A
2023-11-28
2023-09-21
301
30101
301010004872
2
Ophtalmo Surgical
RAYONE TORIC RAO610T (≥ 2 cyl)
610T(≥ 2 cyl)
277.62
198.30
79.32
27.76
2023-12-01
NF
2023-11-28
2023-11-28
310
31005
310050003115
1
B Braun
GAV 2.0
FX1xxT / FX2xxT
1096.10
996.46
99.64
109.61
2019-05-01
2023-11-30
A
2023-11-28
2019-04-29
310
31005
310050003115
2
B Braun
GAV 2.0
FX1xxT / FX2xxT / FX152A -> FX157A
1096.10
996.46
99.64
109.61
2023-12-01
NR
2023-11-28
2023-11-28
310
31011
310110003355
1
B Braun
ProGAV 2.0
FX5xxT / FX6xxT
1757.05
1597.32
159.73
148.74
2019-05-01
2023-11-30
A
2023-11-28
2019-04-29
310
31011
310110003355
2
B Braun
ProGAV 2.0
FX5xxT / FX6xxT / FX574A -> FX586A / FX607 -> FX612A
1757.05
1597.32
159.73
148.74
2023-12-01
NR
2023-11-28
2023-11-28
310
31011
310110004246
1
B Braun
M.BLUE SYS W/PED.CONTROL RESERVOIR
FX815T -> FX818T
1757.05
1597.32
159.73
148.74
2020-12-01
2023-11-30
A
2023-11-28
2020-11-24
310
31011
310110004246
2
B Braun
M.BLUE SYS W/PED.CONTROL RESERVOIR
FX815T -> FX818T / FX815A -> FX818A
1757.05
1597.32
159.73
148.74
2023-12-01
NR
2023-11-28
2023-11-28
310
31011
310110004642
1
B Braun
M.BLUE SYS W/PED.SPRUNG RESERVOIR
FX825T -> FX828T / FX835T-> FX838T
1757.05
1597.32
159.73
148.74
2020-12-01
2023-11-30
A
2023-11-28
2020-11-24
310
31011
310110004642
2
B Braun
M.BLUE SYS W/PED.SPRUNG RESERVOIR
FX825T -> FX828T / FX835T-> FX838T / FX835A -> FX838A
1757.05
1597.32
159.73
148.74
2023-12-01
NR
2023-11-28
2023-11-28
310
31011
310110004840
1
B Braun
M.BLUE SYS W/SPRUNG RESERVOIR
FX830T -> FX833T / FX840T->FX843T
1757.05
1597.32
159.73
148.74
2020-12-01
2023-11-30
A
2023-11-28
2020-11-24
310
31011
310110004840
2
B Braun
M.BLUE SYS W/SPRUNG RESERVOIR
FX830T -> FX833T / FX840T -> FX843T / FX840A -> FX843A
1757.05
1597.32
159.73
148.74
2023-12-01
NR
2023-11-28
2023-11-28
310
31017
310170003397
1
B Braun
ProGAV 2.0
FX5xxT / FX6xxT
1756.94
878.47
878.47
148.74
2019-05-01
2023-11-30
A
2023-11-28
2019-04-29
310
31017
310170003397
2
B Braun
ProGAV 2.0
FX5xxT / FX6xxT / FX574A -> FX586A / FX607 -> FX612A
1756.94
878.47
878.47
148.74
2023-12-01
NR
2023-11-28
2023-11-28
310
31017
310170004288
1
B Braun
M.BLUE SYS W/PED.CONTROL RESERVOIR
FX815T -> FX818T
1756.94
878.47
878.47
148.74
2020-12-01
2023-11-30
A
2023-11-28
2020-11-24
310
31017
310170004288
2
B Braun
M.BLUE SYS W/PED.CONTROL RESERVOIR
FX815T -> FX818T / FX815A -> FX818A
1756.94
878.47
878.47
148.74
2023-12-01
NR
2023-11-28
2023-11-28
310
31017
310170004684
1
B Braun
M.BLUE SYS W/PED.SPRUNG RESERVOIR
FX825T -> FX828T / FX835T-> FX838T
1756.94
878.47
878.47
148.74
2020-12-01
2023-11-30
A
2023-11-28
2020-11-24
310
31017
310170004684
2
B Braun
M.BLUE SYS W/PED.SPRUNG RESERVOIR
FX825T -> FX828T / FX835T-> FX838T / FX835A -> FX838A
1756.94
878.47
878.47
148.74
2023-12-01
NR
2023-11-28
2023-11-28
310
31017
310170004882
1
B Braun
M.BLUE SYS W/SPRUNG RESERVOIR
FX830T -> FX833T / FX840T->FX843T
1756.94
878.47
878.47
148.74
2020-12-01
2023-11-30
A
2023-11-28
2020-11-24
310
31017
310170004882
2
B Braun
M.BLUE SYS W/SPRUNG RESERVOIR
FX830T -> FX833T / FX840T -> FX843T / FX840A --> FX843A
1756.94
878.47
878.47
148.74
2023-12-01
NR
2023-11-28
2023-11-28
317
31701
317010000266
133001000036
3
Hospithera
A.M.I Soft Anal Band System
.
5424.52
5424.52
0.00
148.74
2019-12-01
2023-06-30
NF
2023-11-28
2019-11-21
317
31701
317010000266
133001000036
4
Duomed Belgium
A.M.I Soft Anal Band System
.
5424.52
5424.52
0.00
148.74
2023-07-01
NF
2023-11-28
2023-11-28
336
33615
336150000179
148017000555
1
Arthrex
Eclipse Humeral Head
AR-933x-xx / AR-934x-xx / AR-935x-xx
319.10
319.10
0.00
31.91
2014-07-01
2023-11-30
A
2023-11-28
2014-01-01
336
33615
336150000179
148017000555
2
Arthrex
Eclipse Humeral Head
AR-933x-xx / AR-934x-xx / AR-935x-xx
438.49
378.76
59.73
43.84
2023-12-01
PW
2023-11-28
2023-11-28
340
34003
340030013245
1
Adler Ortho Belgium
GENUS KNEE MINUS-EXTRA MINUS FEMORAL COMPONENT
118102x / 118103x / 118106x / 118109x / 118126x / 118127x
1522.95
1269.13
253.82
148.74
2023-12-01
A
2023-11-28
2023-11-28
343
34325
343250003073
3
Arthrex
Posterolateral Distal Fibula Plate
AR-8963APLX-0x(S) / AR-8963PLL-0x(S) / AR-8963APLX-1x(S) / AR- 8963PLL-1x(S)
400.66
396.61
4.05
40.06
2023-09-01
2023-11-30
NR
2023-11-28
2023-08-17
343
34325
343250003073
4
Arthrex
Posterolateral Distal Fibula Plate
AR-8963APLX-0x(S) / AR-8963PLL-0x(S) / AR-8963APLX-1x(S) / AR- 8963PLL-1x(S)
475.93
396.61
79.32
47.59
2023-12-01
PW
2023-11-28
2023-11-28
343
34334
343340003336
2
Arthrex
Calcaneal Fracture Perimeter Plate (Sterile)
AR-8954PL-X(X)(S) / AR-8954PR-X(X)(S)
292.33
292.33
0.00
29.23
2019-10-01
2023-11-30
NP
NR
2023-11-28
2019-09-24
343
34334
343340003336
3
Arthrex
Calcaneal Fracture Perimeter Plate (Sterile)
AR-8954PL-X(X)(S) / AR-8954PR-X(X)(S)
368.83
307.36
61.47
36.88
2023-12-01
PW
2023-11-28
2023-11-28
343
34334
343340003435
2
Arthrex
Calcaneal Fracture Percutaneous Plate (Sterile)
AR-8954YL-X(S) / AR-8954YR-X(S) / AR-8954ML-X(S) / AR-8954MR-X(S)
292.32
292.32
0.00
29.23
2019-10-01
2023-11-30
NP
NR
2023-11-28
2019-09-24
343
34334
343340003435
3
Arthrex
Calcaneal Fracture Percutaneous Plate (Sterile)
AR-8954YL-X(S) / AR-8954YR-X(S) / AR-8954ML-X(S) / AR-8954MR-X(S)
368.83
307.36
61.47
36.88
2023-12-01
PW
2023-11-28
2023-11-28
343
34334
343340003534
2
Arthrex
Calcaneal Fracture Percutaneous Plate (Sterile)
AR-8954MT(S)
292.32
292.32
0.00
29.23
2019-10-01
2023-11-30
NP
NR
2023-11-28
2019-09-24
343
34334
343340003534
3
Arthrex
Calcaneal Fracture Percutaneous Plate (Sterile)
AR-8954MT(S)
368.83
307.36
61.47
36.88
2023-12-01
PW
2023-11-28
2023-11-28
349
34904
349040000379
1
Abbott Medical Belgium
Aveir VR Leadless Pacemaker
LSP112V
2023-12-01
A
2023-11-28
2023-11-28
351
35101
351010001489
2
Hospithera
EndoGYNious mesh for laparoscopic use
PFR 5641
2020-03-01
2023-06-30
NF
2023-11-28
2020-02-24
351
35101
351010001489
3
Duomed Belgium
EndoGYNious mesh for laparoscopic use
PFR 5641
2023-07-01
NF
2023-11-28
2023-11-28
351
35101
351010001588
2
Hospithera
PelviGYNious
PFR 5651
2020-03-01
2023-06-30
NF
2023-11-28
2020-02-24
351
35101
351010001588
3
Duomed Belgium
PelviGYNious
PFR 5651
2023-07-01
NF
2023-11-28
2023-11-28
376
37601
376010001333
1
Acandis
Acclino flex plus stent
01-0011xx
2019-10-01
2023-11-30
A
2023-11-28
2019-09-25
376
37601
376010001333
2
Nomax
Acclino flex plus stent
01-0011xx
2023-12-01
NF
2023-11-28
2023-11-28
376
37601
376010001531
1
Acandis
ACCERO stent
01-0008xx
2021-01-01
2023-11-30
A
2023-11-28
2020-12-21
376
37601
376010001531
2
Nomax
ACCERO stent
01-0008xx
2023-12-01
NF
2023-11-28
2023-11-28
376
37603
376030001743
1
Acandis
DERIVO Embolisation Device
01-00033x / 01-00034x / 01-00036x / 01-00038x / 01-000408 / 01-000409 / 01-00041x
2021-01-01
2023-11-30
A
2023-11-28
2020-12-21
376
37603
376030001743
2
Nomax
DERIVO Embolisation Device
01-00033x / 01-00034x / 01-00036x / 01-00038x / 01-000408 / 01-000409 / 01-00041x
2023-12-01
NF
2023-11-28
2023-11-28
376
37603
376030002337
1
Acandis
DERIVO 2 Embolisation Device
01-1070xx
2023-12-01
A
2023-11-28
2023-11-28