A = Prix (TVAc) - Prijs (incl. BTW) B = Remboursement Bén. ordin./Prestataire conventionné - Remboursement V.I.P.O. / Prestataire avec ou sans convention Terugbetaling Gew. recht. / Verstr. met overeenkomst - Terugbetaling W.I.G.W. / Verstr. met of zonder overeenkomst C = Supplément patient Bén. ordin. / Prestataire conventionné - Supplément patient V.I.P.O. / Prestataire avec ou sans convention Supplement patiënt Gew. recht. / Verstr. met overeenkomst - Supplement patiënt W.I.G.W. / Verstr. met of zonder overeenkomst D = Remboursement Bén. ordin. / Prestataire non conventionné Terugbetaling Gew. recht. / Verstr. zonder overeenkomst E = Supplément patient Bén. ordin. / Prestataire non conventionné Supplement patiënt / Verstr. zonder overeenkomst F = Marge de délivrance Afleveringsmarge

735895-735906 Ancre, seule ou dans un kit, non résorbable Anker, alleen of in een kit, niet-resorbeerbaar

Valeur de U - U waarde : U 175 Remboursement - Terugbetaling : Code d'identification Identificatiecode

Marge de sécurité - Veiligheidsgrens : 180,74 €

20%

Les montants de la marge de délivrance sont donnés à titre indicatif : le plafond de 148,74 € est d'application sur l'ensemble des éléments des implants de la colonne vertébrale - De bedragen voor de afleveringsmarge worden slechts ter informatie vermeld : het grensbedrag van 148,74 € is van toepassing op het geheel van de wervelkolomimplantaten.

Prix plafond - Plafondprijs : 216,89 €

Distributeur Verdeler

Nom du produit Productnaam

Numéros de référence Referentienummers

A

B

C

D

E

F

A partir de Jusqu'au Vanaf Tot

164001000012

Arthrex bvba

Corkscrew 3.5mm / 6,5mm w/two#2 FiberWire

AR-1915SF/AR-1925SF

193,05 180,74

12,31

135,56

57,49

19,30

01-04-2012

164001000021

Arthrex bvba

Corkscrew FT II Suture Anchor, 5.5 mm x 14 mm w/ three #2 FiberWire

AR-1928SF-3

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001000037

Arthrex bvba

Corkscrew FT II Suture Anchor, 5.5 mm x 14 mm w/two #2 FiberWire

AR-1928SF-2

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001000046

Arthrex bvba

Corkscrew FT II w/needles w/2 #2FW

AR-1928SNF-2

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001000055

Arthrex bvba

Corkscrew FT III Suture Anchor, 6.5 mm

AR-1929SF-3

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001000064

Arthrex bvba

Corkscrew FT Suture Anchor, 4.5 mm w/one #2 FiberWire and one #2 TigerWire

AR-1928SF-45

211,75 180,74

31,01

135,56

76,19

21,17

01-04-2012

164001000073

Arthrex bvba

Corkscrew Suture Anchor w/needles, 5 mm x 15.5 mm w/handled inserter and two #2 FiberWire

AR-1920SNF

210,59 180,74

29,85

135,56

75,03

21,05

01-04-2012

164001000082

Arthrex bvba

CorkScrew Suture Anchor, 3.5 mm x 12 mm, w/handled inserter and #0 FiberWire, w/Needles

AR-1915SNF

210,59 180,74

29,85

135,56

75,03

21,05

01-04-2012

164001000091

Arthrex bvba

Fastak II 2.8mm w/ #2 FiberWire

AR-1324SF

138,03 138,03

0,00

135,56

2,47

13,80

01-04-2012

164001000107

Arthrex bvba

FASTak II 2.8mm w/Handle w/ #2 FiberWire

AR-1324HF

146,28 146,28

0,00

135,56

10,72

14,62

01-04-2012

164001000116

Arthrex bvba

Hip Pushlock PEEK

AR-1926PHS

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001000125

Arthrex bvba

i Balance HTO Anchor, cancellous 20 mm - 32 mm

AR-13401-20/AR-13401-32

159,00 159,00

0,00

135,56

23,44

15,90

01-04-2012

Mise à jour 01-05-2012 - Bijwerking 01-05-2012

Page 1

(735895-735906)

164001000134

Arthrex bvba

i Balance HTO Anchor, cortical 24 mm - 52 mm

AR-13402-24/AR-13402-52

159,00 159,00

0,00

135,56

23,44

15,90

01-04-2012

164001000143

Arthrex bvba

Micro Corkscrew FT

AR-1318FT

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001000152

Arthrex bvba

Mini Corkscrew FT w/two Needles and one #2-0 FiberWire

AR-1319FT

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001000161

Arthrex bvba

Mini Pushlock PEEK 2,5 mm x 5,0 mm

AR-8825P

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001000177

Arthrex bvba

PEEK Corkscrew FT / w/ 3 sutures

AR-1927PSF-3

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001000186

Arthrex bvba

PEEK Corkscrew FT Suture Anchor, 4.5 mm w/ 2 FiberWire / 6,5 mm

AR-1927PSF-45 /AR-1927PSF65

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001000195

Arthrex bvba

PEEK Corkscrew FT Suture Anchor, 4.5 mm w/ 2 FiberWire w/ Needles

AR-1927PNF-45

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001000204

Arthrex bvba

PEEK Corkscrew FT Suture Anchor, 5.5 mm w/ 2 FiberWire w/ Needles

AR-1927PNF

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001000213

Arthrex bvba

PEEK Corkscrew FT Suture Anchor, 5.5 mm w/two #2 FiberWire

AR-1927PSF

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001000222

Arthrex bvba

PEEK SutureTak w/#2 FW

AR-1934PS

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001000231

Arthrex bvba

PEEK SutureTak, 2.4 mm x 12 mm

AR-1934PF-24

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001000247

Arthrex bvba

PEEK SutureTak, Suture Anchor, 3 mm x 12 mm / W/ 2 FiberWire

AR-1934-PS-2

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001000256

Arthrex bvba

PushLock PEEK 3.5mmx14mm

AR-1926PS

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001000265

Arthrex bvba

PushLock PEEK 4.5mmx18.5mm / SP

AR-1922PS(M)

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001000274

Arthrex bvba

Pushlock PEEK 2,9 mm x 15,5 mm

AR-1923PHS

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001000283

Arthrex bvba

PushLock PEEK 2,9 mm x 15,5 mm

AR-1923PS

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001000292

Arthrex bvba

Small Bone FASTak 2.4mm w/Fiberwire

AR-1322-752SF

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001000301

Arthrex bvba

Swivelock PEEK Suture Anchor 4,75x15 closed eyelet / Self Punching, vented

AR-2324PSLC / AR-2324PSLM

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001000317

Arthrex bvba

Swivelock PEEK 3,5mm x 14,8mm

AR-2325PSLC

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001000326

Arthrex bvba

Swivelock PEEK Suture Anchor 5,5x15 Closed Eyelet / Self Punching

AR-2323PSL / AR-2323PSLC / AR-2323PSLM

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001000335

Arthrex bvba

Tit. Swivelock SP, 4,75 mm X 24,5 mm Self Punching, vented

AR-2324SLM

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001000344

B&Co

Aim-TEC® AVRE SP titanium set

AVRE xxxx1 SP

212,00 180,74

31,26

135,56

76,44

21,20

01-04-2012

164001000353

B&Co

Aim-TEC® AVRE SF Titanium set

AVRE xxxxx SF

212,00 180,74

31,26

135,56

76,44

21,20

01-04-2012

164001000362

B&Co

Aim-TEC® AVRP SE PEEK set

AVRP xx6xx SF

212,00 180,74

31,26

135,56

76,44

21,20

01-04-2012

164001000371

BelgaFix

Ancre vissé de suture - 5,5mm x 90cm

120505B

209,88 180,74

29,14

135,56

74,32

20,98

01-04-2012

164001000387

Bio Recherches Innovations

TITANIUM SCREWED ANCHOR

MNx

89,04

89,04

0,00

89,04

0,00

8,90

01-04-2012

164001000396

Biomet Belgium BVBA

Allthread knotless

90484xP

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

Mise à jour 01-05-2012 - Bijwerking 01-05-2012

Page 2

(735895-735906)

164001000405

Biomet Belgium BVBA

Allthread PEEK

905940P-> 905945P

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001000414

Biomet Belgium BVBA

Allthread Titanium

902581->902613

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001000423

Biomet Belgium BVBA

Allthread tripple PEEK

904921P

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001000432

Biomet Belgium BVBA

COLLARLESS HARPOON

9029xx

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001000441

Biomet Belgium BVBA

Hitch anchor

905947P/905948P

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001000457

Biomet Belgium BVBA

Juggerknot

9120xx

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001000466

Biomet Belgium BVBA

TI SCREW ANCHOR

902482/902569->902587

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001000475

Johnson & Johnson Medical Depuy

4.5 Healix Peek Anchor w/ Orthocord

222205

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001000484

Johnson & Johnson Medical Depuy

4.5mm HEALIX Ti 3-Suture Anchor w/ORTHOCORD

222271

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001000493

Johnson & Johnson Medical Depuy

4.5mm HEALIX Ti Anchor w/ORTHOCORD®

222253

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001000502

Johnson & Johnson Medical Depuy

5.5 Healix Peek Anchor w/ Orthocord

222209

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001000511

Johnson & Johnson Medical Depuy

5.5 Healix Peek Anchor w/ Orthocord and Needles

222210

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001000527

Johnson & Johnson Medical Depuy

5.5 Healix Peek3 Anchor w/ Orthocord

222207

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001000536

Johnson & Johnson Medical Depuy

5.5mm HEALIX Ti 3-Suture Anchor w/ORTHOCORD

222243

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001000545

Johnson & Johnson Medical Depuy

5.5mm HEALIX Ti Anchor w/ORTHOCORD

222245

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001000554

Johnson & Johnson Medical Depuy

5.5mm HEALIX Ti Anchor w/ORTHOCORD and Needles

222242

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001000563

Johnson & Johnson Medical Depuy

6.5 Healix Peek Anchor w/ Orthocord

222221

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001000572

Johnson & Johnson Medical Depuy

6.5 Healix Peek Anchor w/ Orthocord and Needles

222215

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001000581

Johnson & Johnson Medical Depuy

6.5 Healix Peek3 Anchor w/ Orthocord

222219

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001000597

Johnson & Johnson Medical Depuy

6.5mm HEALIX Ti 3-Suture Anchor w/ORTHOCORD

222241

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001000606

Johnson & Johnson Medical Depuy

6.5mm HEALIX Ti Anchor w/ORTHOCORD

222249

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001000615

Johnson & Johnson Medical Depuy

6.5mm HEALIX Ti Anchor w/ORTHOCORD and Needles

222248

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001000624

Johnson & Johnson Medical Depuy

Arthro GII Easy Anchor

212450

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001000633

Johnson & Johnson Medical Depuy

FASTIN RC 5,0 w / Orthocord without Needles

222993

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001000642

Johnson & Johnson Medical Depuy

FASTIN RC 5.0 w/Ethibond without Needles

222723

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001000651

Johnson & Johnson Medical Depuy

FASTIN RC 5.0 w/Orthocord w/Needles

222991

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001000667

Johnson & Johnson Medical Depuy

FASTIN RC 5.0 w/PANACRYL without Needles

222743

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

Mise à jour 01-05-2012 - Bijwerking 01-05-2012

Page 3

(735895-735906)

164001000676

Johnson & Johnson Medical Depuy

FASTIN RC 5.0mm ETHIBOND w/needles

222722

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001000685

Johnson & Johnson Medical Depuy

FASTIN RC 5.0mm PANACRYL w/needles

222742

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001000694

Johnson & Johnson Medical Depuy

FASTIN RC 6.5 w/Orthocord without Needles

222764

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001000703

Johnson & Johnson Medical Depuy

FASTIN RC 6.5 w/Panacryl without Needles

222765

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001000712

Johnson & Johnson Medical Depuy

FASTIN RC 6.5mm ETHIBOND w/needles

222762

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001000721

Johnson & Johnson Medical Depuy

FASTIN RC 6.5mm PANACRYL w/needles

222763

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001000737

Johnson & Johnson Medical Depuy

FASTIN RC 6.5mm w/ Orthocord without Needles

222994

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001000746

Johnson & Johnson Medical Depuy

FASTIN RC 6.5w/Orthocord w/Needles

222992

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001000755

Johnson & Johnson Medical Depuy

FASTIN RC ANCHOR

222989

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001000764

Johnson & Johnson Medical Depuy

FASTIN RC Anchor PANACRYL

222740

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001000773

Johnson & Johnson Medical Depuy

FASTIN Threaded Anchor

222130

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001000782

Johnson & Johnson Medical Depuy

FASTIN Threaded Anchor

222140

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001000791

Johnson & Johnson Medical Depuy

FASTIN Threaded Anchor

222152

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001000807

Johnson & Johnson Medical Depuy

G II Quick Anchor Plus B/V Orthocord

222983

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001000816

Johnson & Johnson Medical Depuy

G II Quick Anchor Plus Ethibond

212034

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001000825

Johnson & Johnson Medical Depuy

GII QuickAnchor Plus PANACRYL

212134

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001000834

Johnson & Johnson Medical Depuy

Knotless Anchor

212029

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001000843

Johnson & Johnson Medical Depuy

Micro Quick Anchor 3/0 ethibond V4

212865

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001000852

Johnson & Johnson Medical Depuy

MICRO QUICK ANCHOR 4/0 ETH P3 W/BIT

212811

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001000861

Johnson & Johnson Medical Depuy

Micro Quick Anchor 4/0 ethibond C 1

212866

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001000877

Johnson & Johnson Medical Depuy

Micro Quick Anchor 4/0 ethibond P 3

212867

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001000886

Johnson & Johnson Medical Depuy

Micro Quickanchor Plus w/ #3-0 ORTHOCORD (V-4) w/Bit

212843

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001000895

Johnson & Johnson Medical Depuy

Micro Quickanchor Plus w/ #4-0 ORTHOCORD (C-1) w/Bit

212041

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001000904

Johnson & Johnson Medical Depuy

Micro Quickanchor Plus w/ #4-0 ORTHOCORD (P-3) w/Bit

212042

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001000913

Johnson & Johnson Medical Depuy

Mini QuickAnchor + 2/0 ORTHOCORD

212038

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001000922

Johnson & Johnson Medical Depuy

Mini QuickAnchor Plus 0 ETHIBOND

212133

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001000931

Johnson & Johnson Medical Depuy

Mini QuickAnchor Plus 2/0 Ethibond

212033

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

Mise à jour 01-05-2012 - Bijwerking 01-05-2012

Page 4

(735895-735906)

164001000947

Johnson & Johnson Medical Depuy

Mini QuickAnchor Plus W/2/0 Orthocord (V-5)w/Bit

212035

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001000956

Johnson & Johnson Medical Depuy

Omnispan 0 degree

228140

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001000965

Johnson & Johnson Medical Depuy

Omnispan 12 degree

228141

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001000974

Johnson & Johnson Medical Depuy

Omnispan 27 degree

228142

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001000983

Johnson & Johnson Medical Depuy

RC Easy Anchor

212310

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001000992

Johnson & Johnson Medical Depuy

RC Quick Anchor Plus Ethibond

212031

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001001001

Johnson & Johnson Medical Depuy

RC QuickAnchor Plus OrthocordB/V

222979

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001001017

Johnson & Johnson Medical Depuy

RC QuickAnchor Plus PANACRYL

212131

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001001026

Johnson & Johnson Medical Depuy

Super Quick Anchor Plus Ethibond

212032

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001001035

Johnson & Johnson Medical Depuy

Super QuickAnchor Plus OrthocordB/V

222984

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001001044

Johnson & Johnson Medical Depuy

Super QuickAnchor Plus PANACRYL

212135

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001001053

Johnson & Johnson Medical Depuy

Tacit QuickAnchor 2/0 V-5 Cranio

212236

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001001062

Johnson & Johnson Medical Depuy

Tacit QuickAnchor 2/0 V-5 Hand

212036

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001001071

Johnson & Johnson Medical Depuy

VERSALOK Anchor w OC

210808

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001001087

Johnson & Johnson Medical Depuy

VERSALOK Naked Anchor

210800

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001001096

Johnson & Johnson Medical Depuy

VERSALOK PEEK with ORTHOCORD

210818

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001001105

Johnson & Johnson Medical Depuy

VERSALOK PEEK without ORTHOCORD

210819

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001001114

Linvatec Belgium NV

2.8MM POPLOK, WITH 1 # 2 HIFI SUTURE

GKP-2801

208,04 180,74

27,30

135,56

72,48

20,80

01-04-2012

164001001123

Linvatec Belgium NV

2.8MM POPLOK, WITH 2 # 0 HIFI SUTURES

GKP-2802

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001001132

Linvatec Belgium NV

3.3MM POPLOK, WITH 1 # 2 HIFI SUTURES

GKP-3301

208,04 180,74

27,30

135,56

72,48

20,80

01-04-2012

164001001141

Linvatec Belgium NV

3.3MM POPLOK, WITH 2 # 0 HIFI SUTURES

GKP-3302

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001001157

Linvatec Belgium NV

3.5MM PK KNOTLESS W/1 #2 HI-FI

CKP-3501

208,04 180,74

27,30

135,56

72,48

20,80

01-04-2012

164001001166

Linvatec Belgium NV

3.5MM PK KNTLESS W/DISP DRIVER

CKP-3500

208,04 180,74

27,30

135,56

72,48

20,80

01-04-2012

164001001175

Linvatec Belgium NV

4.5MM FT-ANCHOR, W/DISP, DBL

CFP-4502

208,04 180,74

27,30

135,56

72,48

20,80

01-04-2012

164001001184

Linvatec Belgium NV

4.5MM FT-ANCHOR, W/DISP, TRIP

CFP-4503

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001001193

Linvatec Belgium NV

4.5MM PK KNOTLESS W/2 #2 HI-FI

CKP-4502

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001001202

Linvatec Belgium NV

4.5MM PK KNTLESS W/DISP DRIVER

CKP-4500

208,04 180,74

27,30

135,56

72,48

20,80

01-04-2012

Mise à jour 01-05-2012 - Bijwerking 01-05-2012

Page 5

(735895-735906)

164001001211

Linvatec Belgium NV

5.5MM FT-ANCHOR, W/DISP, DBL

CFP-5502

208,04 180,74

27,30

135,56

72,48

20,80

01-04-2012

164001001227

Linvatec Belgium NV

5.5MM FT-ANCHOR, W/DISP, TRIP

CFP-5503

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001001236

Linvatec Belgium NV

6.5MM FT-ANCHOR, W/DISP, DBL

CFP-6502

208,04 180,74

27,30

135,56

72,48

20,80

01-04-2012

164001001245

Linvatec Belgium NV

6.5MM FT-ANCHOR, W/DISP, TRIP

CFP-6503

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001001254

Linvatec Belgium NV

PRELOADED/EXTENDED EYELET MINI REVO

C6109A

129,05 129,05

0,00

129,05

0,00

12,90

01-04-2012

164001001263

Linvatec Belgium NV

PRELOADED/EXTENDED EYELET REVO ANCHOR

C6101A

117,71 117,71

0,00

117,71

0,00

11,77

01-04-2012

164001001272

Linvatec Belgium NV

PRETHREADED MINIREVO WITH HIFI 2.7MM

C6109H

196,80 180,74

16,06

135,56

61,24

19,68

01-04-2012

164001001281

Linvatec Belgium NV

PRETHREADED REVO W/2 HIFI

C6102H

208,04 180,74

27,30

135,56

72,48

20,80

01-04-2012

164001001297

Linvatec Belgium NV

PRETHREADED REVO W/SINGLE HIFI 4MM

C6101H

196,80 180,74

16,06

135,56

61,24

19,68

01-04-2012

164001001306

Linvatec Belgium NV

PRETHREADED SUPER REVO WITH HIFI 5MM

C6141H

208,04 180,74

27,30

135,56

72,48

20,80

01-04-2012

164001001315

Linvatec Belgium NV

PRETHREADED THREVO WITH HIFI

C6161H

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001001324

Linvatec Belgium NV

SUPER REVO 5,0MM FTM W/DRIVER

CF6140H

208,04 180,74

27,30

135,56

72,48

20,80

01-04-2012

164001001333

Linvatec Belgium NV

SUPER REVO IMPLANT ONLY PRELOADED SUTURE

C6141

131,70 131,70

0,00

131,70

0,00

13,17

01-04-2012

164001001342

Linvatec Belgium NV

SUPER REVO KIT 5MM WITH #2 HI-FI

C6140H

208,04 180,74

27,30

135,56

72,48

20,80

01-04-2012

164001001351

Linvatec Belgium NV

SUPER REVO SUTURE ANCHOR 5MM KIT

C6140

192,97 180,74

12,23

135,56

57,41

19,29

01-04-2012

164001001367

Linvatec Belgium NV

THREVO ANCHOR 5.0MM FTM W/DRIVER

CF6160H

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001001376

Linvatec Belgium NV

THREVO ANCHOR 5MM THREE SUTURES POLY

C6160

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001001385

Linvatec Belgium NV

THREVO ANCHOR, 5MM, DISP DIRIVER, #2HIFI

C6160H

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001001394

Mediann

INSITE Ancre de suture non résorbable

SMT00xx01

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001001403

Mediann

PITON Ancre de suture

SMK000101/SMK000201

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001001412

SHARK MEDICAL

Allthread Knotless

90484xP

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001001421

SHARK MEDICAL

Allthread Peek-Optima Polymer Suture Anchors

905940P -> 905945P

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001001437

SHARK MEDICAL

Allthread Titanium Suture Anchors

902581->902615

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001001446

SHARK MEDICAL

Allthread Tripple Peek

9049xxP

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001001455

SHARK MEDICAL

Ancre Anchor sur tournevis jetable avec 2 sutures attachées

T35 0xx

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001001464

SHARK MEDICAL

Collarless Harpoon

9029xx

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001001473

SHARK MEDICAL

Hitch anchor

905947P / 905948P

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

Mise à jour 01-05-2012 - Bijwerking 01-05-2012

4MM

5MM

Page 6

(735895-735906)

164001001482

SHARK MEDICAL

Juggerknot

9120xx

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001001491

SHARK MEDICAL

Screw-type P (LDLA) Anchor with Polyethylene Super-Fiber and disposable screwdriver

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001001507

SHARK MEDICAL

Screw-type Peek Anchor with Super-Fiber suture thread and disposable screwdriver

AVRR 52682 SF/ AVRR 52690 SF/AVRR 62682 SF/AVRR 62690 SF AVRP 30661 SP/AVRP 52681 SF

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001001516

SHARK MEDICAL

Screw-type Titanium Anchor with Polyethylene Super-Fiber suture thread and disposable screwdriver

AVRE x2681 SF/AVRE x2690 SF/AVRE x0x61 SF

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001001525

SHARK MEDICAL

Ti Screw Anchor

902482 / 902569 -> 902587

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001001534

Smith & Nephew

ANCHOR,FASTENATR

7207276

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001001543

Smith & Nephew

Bioraptor Hip Curved 2.3 PK Suture Anchor

72203258/72203259

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001001552

Smith & Nephew

BIORAPTOR Hip Knotless Anchor

72202397

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001001561

Smith & Nephew

Bioraptor Shoulder Curved 2.3 PK Suture Anchor

72203280/72203281

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001001577

Smith & Nephew

BIORAPTOR Shoulder Knotless Anchor

72202403

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001001586

Smith & Nephew

BIORAPTR 2.3 PK SUTR ANCR

72201702=>72201704

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001001595

Smith & Nephew

BIORPTR 2.3 PK SUTURE ANCHOR W/ ULTRAB

722015xx

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001001604

Smith & Nephew

DYNOMITE/SPYROMITE/RAPTORMITE

72201806/72201881/72201882

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001001613

Smith & Nephew

FOOTPRINT PK SUTURE ANCHOR-AWL

72201825/72201826

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001001622

Smith & Nephew

FOOTPRINT Ultra Tap In 5.5 mm Suture Anchor

72202901/72202902

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001001631

Smith & Nephew

FP PK SUTURE ANCHOR

72201697/72201698

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001001647

Smith & Nephew

KINSA ANCHOR SELFLOCK

72200239

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001001656

Smith & Nephew

KINSA RC

72200895

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001001665

Smith & Nephew

Minitac 2,0 mm Ti, Utrabraid with needles

72202019

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001001674

Smith & Nephew

MINITAC II 2,0 + NDLS

7210303

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001001683

Smith & Nephew

TWINFIX 2,8

72200750

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001001692

Smith & Nephew

TWINFIX ANCHOR

7209xxx

194,69 180,74

13,95

135,56

59,13

19,46

01-04-2012

164001001701

Smith & Nephew

TWINFIX ANCHOR 3,5 mm+NDLS

7210707

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001001717

Smith & Nephew

TWINFIX ANCHOR NO SUTURES

720910x

153,62 153,62

0,00

135,56

18,06

15,36

01-04-2012

164001001726

Smith & Nephew

TWINFIX ANCHOR+NDLS

7210708/7210709

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001001735

Smith & Nephew

TWINFIX ANCHOR+SUTURES

7220075x

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001001744

Smith & Nephew

TWINFIX PK FT ANCH

72201576/72201577/72201681/ 72201682

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

Mise à jour 01-05-2012 - Bijwerking 01-05-2012

Page 7

(735895-735906)

164001001753

Smith & Nephew

TWINFIX QUICK-T

72200767

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001001762

Smith & Nephew

TWINFIX TI 2,8mmHS + NDLS

7210301-72200796

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001001771

Smith & Nephew

Twinfix Ultra PK

72202595=>72202606/7220262 216,89 180,74 3/72202625/72202630

36,15

135,56

81,33

21,68

01-04-2012

164001001787

Smith & Nephew

Twinfix Ultra Ti

72202893=>72202900

216,89 180,74

36,15

135,56

81,33

21,68

01-04-2012

164001001796

Stöpler

Ancre de suture, titane, munie de 2 fils MegaFibre™ USP prémontés, avec applicateur, stérile, à usage unique.

2870xxxTI

215,00 180,74

34,26

135,56

79,44

21,50

01-04-2012

164001001805

Stryker

3.5 MM DOUBLE STRAND TWIN LOOP PEEK

3910-400-235

174,04 174,04

0,00

135,56

38,48

17,40

01-04-2012

164001001814

Stryker

3.5 MM SINGLE STRAND TWIN LOOP PEEK

3910-400-035

170,49 170,49

0,00

135,56

34,93

17,04

01-04-2012

164001001823

Stryker

3.5mm PEEK TWINLOOP FLEX ONE STRAND 2 FORCE FIBER

3910-405-638

204,50 180,74

23,76

135,56

68,94

20,45

01-04-2012

164001001832

Stryker

5MM Wedge ANCHOR, 2 STRAND #2 FORCE FIBER, 2 CHANNELS

3910-100-035

192,06 180,74

11,32

135,56

56,50

19,20

01-04-2012

164001001841

Stryker

6.5MM wedge ANCHOR, 2 STRAND #2 FORCE FIBER, 2 CHANNELS

3910-100-045

202,43 180,74

21,69

135,56

66,87

20,24

01-04-2012

164001001857

Stryker

Arim Anchor

ANC 1211

210,00 180,74

29,26

135,56

74,44

21,00

01-04-2012

164001001866

Stryker

Maxi-Arim Anchor

ANC 2411

210,00 180,74

29,26

135,56

74,44

21,00

01-04-2012

164001001875

Stryker

Micro-Arim Anchor

ANC 0211

210,00 180,74

29,26

135,56

74,44

21,00

01-04-2012

164001001884

Stryker

PEEK INTRALINE ANCHOR, 5,5 mm with #2 Force Fiber

3910-400-010

172,41 172,41

0,00

135,56

36,85

17,24

01-04-2012

164001001893

Stryker

PEEK INTRALINE ANCHOR, 5.5MM WITH NEEDLES

3910-400-015

184,38 180,74

3,64

135,56

48,82

18,43

01-04-2012

164001001902

Stryker

PEEK INTRALINE ANCHOR, 6.5MM with #2 Force Fiber

3910-400-020

170,49 170,49

0,00

135,56

34,93

17,04

01-04-2012

164001001911

Stryker

PEEK INTRALINE ANCHOR, 6.5MM WITH NEEDLES

3910-400-025

174,63 174,63

0,00

135,56

39,07

17,46

01-04-2012

164001001927

Stryker

PEEK ZIP SUTURE ANCHOR, 5.5MM

3910-200-035

176,52 176,52

0,00

135,56

40,96

17,65

01-04-2012

164001001936

Stryker

PEEK ZIP SUTURE ANCHOR, 5.5MM WITH NEEDLES

3910-200-030

194,75 180,74

14,01

135,56

59,19

19,47

01-04-2012

164001001945

Stryker

PEEK ZIP SUTURE ANCHOR, 6.5MM

3910-200-075

177,10 177,10

0,00

135,56

41,54

17,71

01-04-2012

164001001954

Stryker

PEEK ZIP SUTURE ANCHOR, 6.5MM WITH NEEDLES

3910-200-070

195,45 180,74

14,71

135,56

59,89

19,54

01-04-2012

164001001963

Stryker

SINGLE STRAND TWIN LOOP PEEK

3910-400-135

170,49 170,49

0,00

135,56

34,93

17,04

01-04-2012

164001001972

Stryker

STRYKER REELX STT

3910-600-060

204,60 180,74

23,86

135,56

69,04

20,46

01-04-2012

Mise à jour 01-05-2012 - Bijwerking 01-05-2012

Page 8

(735895-735906)

A = Prix (TVAc) - Prijs (incl. BTW) B = Remboursement Bén. ordin./Prestataire conventionné - Remboursement V.I.P.O. / Prestataire avec ou sans convention Terugbetaling Gew. recht. / Verstr. met overeenkomst - Terugbetaling W.I.G.W. / Verstr. met of zonder overeenkomst C = Supplément patient Bén. ordin. / Prestataire conventionné - Supplément patient V.I.P.O. / Prestataire avec ou sans convention Supplement patiënt Gew. recht. / Verstr. met overeenkomst - Supplement patiënt W.I.G.W. / Verstr. met of zonder overeenkomst D = Remboursement Bén. ordin. / Prestataire non conventionné Terugbetaling Gew. recht. / Verstr. zonder overeenkomst E = Supplément patient Bén. ordin. / Prestataire non conventionné Supplement patiënt / Verstr. zonder overeenkomst F = Marge de délivrance Afleveringsmarge

735910-735921 Ancre, seule ou dans un kit, résorbable Anker, alleen of in een kit, resorbeerbaar

Valeur de U - U waarde : U 205 Remboursement - Terugbetaling : Code d'identification Identificatiecode

Marge de sécurité - Veiligheidsgrens : 211,73 €

Distributeur Verdeler

20%

Les montants de la marge de délivrance sont donnés à titre indicatif : le plafond de 148,74 € est d'application sur l'ensemble des éléments des implants de la colonne vertébrale - De bedragen voor de afleveringsmarge worden slechts ter informatie vermeld : het grensbedrag van 148,74 € is van toepassing op het geheel van de wervelkolomimplantaten.

Prix plafond - Plafondprijs : 254,08 € Nom du produit Productnaam

Numéros de référence Referentienummers

A

B

C

D

E

F

A partir de Jusqu'au Vanaf Tot

164002000014

Arthrex bvba

BioComposite Corkscrew FT / w/ 3 sutures

AR-1927BCF-3

254,08 211,73

42,35

158,80

95,28

25,40

01-04-2012

164002000023

Arthrex bvba

BioComposite Corkscrew FT 4,5 mm / 6,5 mm

AR-1927BCF-45 / AR1927BCF-65

254,08 211,73

42,35

158,80

95,28

25,40

01-04-2012

164002000032

Arthrex bvba

BioComposite Corkscrew FT Suture Anchor, 5.5mm, w/2 #2FiberWire

AR-1927BCF

254,08 211,73

42,35

158,80

95,28

25,40

01-04-2012

164002000041

Arthrex bvba

BioComposite Corkscrew FT Suture Anchor, 5.5mm, w/2 #2FiberWire / w / Needles

AR-1927BCNF

254,08 211,73

42,35

158,80

95,28

25,40

01-04-2012

164002000057

Arthrex bvba

Biocomposite Suture TAK 3 mm x 14 mm w/# 2 Tiger TAIL

AR-1934BCFT

254,08 211,73

42,35

158,80

95,28

25,40

01-04-2012

164002000066

Arthrex bvba

Biocomposite Suture TAK 3 mm x 14 mm w/Two# 2 Fiber wire

AR-1934BCF-2

254,08 211,73

42,35

158,80

95,28

25,40

01-04-2012

164002000075

Arthrex bvba

Biocomposite Suture TAK 3 mm x 14 mm w/Two# 2 Tiger TAIL

AR-1934BCFT-2

254,08 211,73

42,35

158,80

95,28

25,40

01-04-2012

164002000084

Arthrex bvba

BioComposite SutureTak Suture Anchor w/#2 FiberWire, #2 #2 TigerWire 3 mm x 14.5 mm

AR-1934BCF-2

254,08 211,73

42,35

158,80

95,28

25,40

01-04-2012

164002000093

Arthrex bvba

BioComposite SutureTak Suture Anchor w/#2 FiberWire, 3 mm x 14.5 mm

AR-1934BCF

187,20 187,20

0,00

158,80

28,40

18,72

01-04-2012

164002000102

Arthrex bvba

BioComposite SutureTak Suture Anchor w/#2 FiberWire,2,4 mm x 14.5 mm

AR-1934BCF-24

254,08 211,73

42,35

158,80

95,28

25,40

01-04-2012

164002000111

Arthrex bvba

Biocomposite Swivelock 3,5 mmx 14,8 mm

AR-2325BCC

254,08 211,73

42,35

158,80

95,28

25,40

01-04-2012

164002000127

Arthrex bvba

BioComposite Swivelock vented w/ FT loop blue

AR-2324BCCT

254,08 211,73

42,35

158,80

95,28

25,40

01-04-2012

Mise à jour 01-05-2012 - Bijwerking 01-05-2012

Page 1

(735910-735921)

164002000136

Arthrex bvba

Bio-Corkscr 3.7mmx17.9mm w/two#2 FiberWire

AR-1920BF-37

222,28 211,73

10,55

158,80

63,48

22,22

01-04-2012

164002000145

Arthrex bvba

Bio-Corkscrew 5 w/FW+Needles

AR-1920BNP

222,28 211,73

10,55

158,80

63,48

22,22

01-04-2012

164002000154

Arthrex bvba

Bio-Corkscrew 5mm / 6,5mm w/two#2 FiberWire

AR-1920BF/AR-1925BF

198,89 198,89

0,00

158,80

40,09

19,88

01-04-2012

164002000163

Arthrex bvba

Bio-Corkscrew 6,5 mm w/ #2 FiberWire w/ needle

AR-1925BNF

216,44 211,73

4,71

158,80

57,64

21,64

01-04-2012

164002000172

Arthrex bvba

Bio-Corkscrew FT 5.5mm w/two#2 FiberWire

AR-1927BF

254,08 211,73

42,35

158,80

95,28

25,40

01-04-2012

164002000181

Arthrex bvba

Bio-Corkscrew FT 5.5mm w/two#2 FiberWire / w/ 3 FiberWire

AR-1927BF-3

228,13 211,73

16,40

158,80

69,33

22,81

01-04-2012

164002000197

Arthrex bvba

Bio-Corkscrew FT Suture Anchor, 4.5 mm w/ 2 FiberWire

AR-1927BF-45

254,08 211,73

42,35

158,80

95,28

25,40

01-04-2012

164002000206

Arthrex bvba

Bio-Corkscrew FT Suture Anchor, 4.5 mm w/ 2 FiberWire / w / Needles

AR-1927BNF-45

251,11 211,73

39,38

158,80

92,31

25,11

01-04-2012

164002000215

Arthrex bvba

Bio-Corkscrew FT Suture Anchor, 6.5 mm w/ 2 FiberWire

AR-1927BF-65

254,08 211,73

42,35

158,80

95,28

25,40

01-04-2012

164002000224

Arthrex bvba

Bio-Corkscrew FT, two #1 w/needles, 5.5 mm x 15 mm

AR-8927BNF

254,08 211,73

42,35

158,80

95,28

25,40

01-04-2012

164002000233

Arthrex bvba

Bio-Corkscrew FT+Needles 5.5

AR-1927BNF

254,08 211,73

42,35

158,80

95,28

25,40

01-04-2012

164002000242

Arthrex bvba

Bio-Corkscrew Suture Anchor w/needles, 3.7 mm

AR-1923BNF

254,08 211,73

42,35

158,80

95,28

25,40

01-04-2012

164002000251

Arthrex bvba

Bio-FASTak 3mm w/FW w/2 FiberWire

AR-1324BF /AR-1324BF-2

210,59 210,59

0,00

158,80

51,79

21,05

01-04-2012

164002000267

Arthrex bvba

Bio-SutureTak 3.7mm x14mm with #2 FiberWire

AR-1934BLF

216,44 211,73

4,71

158,80

57,64

21,64

01-04-2012

164002000276

Arthrex bvba

Bio-SutureTak 3mmx14mm w/#2 FiberWire

AR-1934BF

187,20 187,20

0,00

158,80

28,40

18,72

01-04-2012

164002000285

Arthrex bvba

Bio-SutureTak 3mmx14mm w/#2 FiberWire W/ 2 FiberWIre / w/ Needles

AR-1934BNF

254,08 211,73

42,35

158,80

95,28

25,40

01-04-2012

164002000294

Arthrex bvba

Bio-SutureTak 3mmx14mm w/2 #2 FiberWire

AR-1934BF-2

254,08 211,73

42,35

158,80

95,28

25,40

01-04-2012

164002000303

Arthrex bvba

Bio-SutureTak, 2.4 mm x 12 mm

AR-1934BF-24

254,08 211,73

42,35

158,80

95,28

25,40

01-04-2012

164002000312

Arthrex bvba

Bio-Swivelock Suture Anchor 4,75x15 Closed Eyelet /Self Punching

AR-2324BSL / AR-2324BSLC / AR-2324BSLM

254,08 211,73

42,35

158,80

95,28

25,40

01-04-2012

164002000321

Arthrex bvba

Bio-Swivelock Suture Anchor 4,75x15Closed Eyelet / Vented / Fibertape

AR-2324BSLT

254,08 211,73

42,35

158,80

95,28

25,40

01-04-2012

164002000337

Arthrex bvba

Bio-Swivelock Suture Anchor 5,5x15 Closed Eyelet / Self Punching

AR-2323BSL / AR-2323BSLC / AR-2323BSLM

254,08 211,73

42,35

158,80

95,28

25,40

01-04-2012

164002000346

Arthrex bvba

Hip BioComposite Pushlock 2,9 mm x 15,5 mm

AR-1923BCH

254,08 211,73

42,35

158,80

95,28

25,40

01-04-2012

164002000355

Arthrex bvba

Hip Pushlock Bio

AR-1926BH

228,13 211,73

16,40

158,80

69,33

22,81

01-04-2012

164002000364

Arthrex bvba

Hip Pushlock Bio 2,9 mm x 15,5 mm

AR-1923BH

228,13 211,73

16,40

158,80

69,33

22,81

01-04-2012

164002000373

Arthrex bvba

Micro Bio-SutureTak 2.4mm w/FW &2 needles

AR-1320BNF

228,13 211,73

16,40

158,80

69,33

22,81

01-04-2012

164002000382

Arthrex bvba

Mini BioPushlock 2,5 mm x 5,0 mm

AR-8825B

228,13 211,73

16,40

158,80

69,33

22,81

01-04-2012

164002000391

Arthrex bvba

Mini Bio-SutureTak 2.4mm w/FW & 2 needles

AR-1322BNF

228,13 211,73

16,40

158,80

69,33

22,81

01-04-2012

Mise à jour 01-05-2012 - Bijwerking 01-05-2012

Page 2

(735910-735921)

164002000407

Arthrex bvba

PushLock BioComposite / Bio 4.5mmx18.5mm / SP

AR-1922BC / AR-1922BCM / AR-1922B / AR-1922BM

254,08 211,73

42,35

158,80

95,28

25,40

01-04-2012

164002000416

Arthrex bvba

PushLock BioComposite / Bio 2,9 mm x 15,5 mm

AR-1923BC / AR-1923B

228,13 211,73

16,40

158,80

69,33

22,81

01-04-2012

164002000425

Arthrex bvba

PushLock BioComposite / Bio 3.5mmx14mm

AR-1926BC / AR-1926B

254,08 211,73

42,35

158,80

95,28

25,40

01-04-2012

164002000434

Arthrex bvba

Small Joint Bio-SutureTak w/ 2needles+FW

AR-8934BNF

228,13 211,73

16,40

158,80

69,33

22,81

01-04-2012

164002000443

Arthrex bvba

Swivelock BIO-Composite SP 4,75 mm x 155 mm

AR-2324BCC

254,08 211,73

42,35

158,80

95,28

25,40

01-04-2012

164002000452

Arthrex bvba

Swivelock BIO-Composite SP 4,75 mm x 155 mm, vented

AR-2324BCM

254,08 211,73

42,35

158,80

95,28

25,40

01-04-2012

164002000461

Arthrex bvba

Swivelock BIO-Composite SP 5,5 mm x 24,5 mm

AR-2323BCC

254,08 211,73

42,35

158,80

95,28

25,40

01-04-2012

164002000477

Arthrex bvba

Swivelock BIO-Composite SP 5,5 mm x 24,5 mm, vented

AR-2323BCM

254,08 211,73

42,35

158,80

95,28

25,40

01-04-2012

164002000486

B&Co

Aim-TEC® AVRR SP PLDPLA set

AVRR xxxxx SF

254,08 211,73

42,35

158,80

95,28

25,40

01-04-2012

164002000495

Biomet Belgium BVBA

Allthread Lactosorb

905940 -> 905945

254,08 211,73

42,35

158,80

95,28

25,40

01-04-2012

164002000504

Biomet Belgium BVBA

LACTOSCREW LS

905570 -> 905572

254,08 211,73

42,35

158,80

95,28

25,40

01-04-2012

164002000513

Biomet Belgium BVBA

Micromax

905453 / 905456 / 905473

254,08 211,73

42,35

158,80

95,28

25,40

01-04-2012

164002000522

Johnson & Johnson Medical Depuy

4.5 Healix BR Anchor w/Orthocord

222229

254,08 211,73

42,35

158,80

95,28

25,40

01-04-2012

164002000531

Johnson & Johnson Medical Depuy

5.5 Healix BR Anchor w/Orthocord and needles

222232

254,08 211,73

42,35

158,80

95,28

25,40

01-04-2012

164002000547

Johnson & Johnson Medical Depuy

5.5 Healix BR Anchor w/Orthocord

222233

254,08 211,73

42,35

158,80

95,28

25,40

01-04-2012

164002000556

Johnson & Johnson Medical Depuy

6.5 Healix BR Anchor w/Orhocord and needles

222239

254,08 211,73

42,35

158,80

95,28

25,40

01-04-2012

164002000565

Johnson & Johnson Medical Depuy

6.5 Healix BR Anchor w/Orthocord

222238

254,08 211,73

42,35

158,80

95,28

25,40

01-04-2012

164002000574

Johnson & Johnson Medical Depuy

Arthroscopic Panalok Loop

210704

254,08 211,73

42,35

158,80

95,28

25,40

01-04-2012

164002000583

Johnson & Johnson Medical Depuy

Bioknotless Anchor

212729

254,08 211,73

42,35

158,80

95,28

25,40

01-04-2012

164002000592

Johnson & Johnson Medical Depuy

Bioknotless BR Anchor w/Orthocord

212722

254,08 211,73

42,35

158,80

95,28

25,40

01-04-2012

164002000601

Johnson & Johnson Medical Depuy

Bioknotless BR Anchor w/Panacryl

212723

254,08 211,73

42,35

158,80

95,28

25,40

01-04-2012

164002000617

Johnson & Johnson Medical Depuy

Bioknotless Plus w/Orthocord

212726

254,08 211,73

42,35

158,80

95,28

25,40

01-04-2012

164002000626

Johnson & Johnson Medical Depuy

Bioknotless Plus w/Panacryl

212725

254,08 211,73

42,35

158,80

95,28

25,40

01-04-2012

164002000635

Johnson & Johnson Medical Depuy

Bioknotless RC w/ Ethibond

212738

254,08 211,73

42,35

158,80

95,28

25,40

01-04-2012

164002000644

Johnson & Johnson Medical Depuy

Bioknotless RC w/ Panacryl

212739

254,08 211,73

42,35

158,80

95,28

25,40

01-04-2012

164002000653

Johnson & Johnson Medical Depuy

Gryphon BR anchor “ P “ double strand of Orthocord

210813

254,08 211,73

42,35

158,80

95,28

25,40

01-04-2012

164002000662

Johnson & Johnson Medical Depuy

Gryphon BR anchor “ T “ double strand of Orthocord

210811

254,08 211,73

42,35

158,80

95,28

25,40

01-04-2012

Mise à jour 01-05-2012 - Bijwerking 01-05-2012

Page 3

(735910-735921)

164002000671

Johnson & Johnson Medical Depuy

Gryphon BR anchor “ T “ single strand of Orthocord

210812

254,08 211,73

42,35

158,80

95,28

25,40

01-04-2012

164002000687

Johnson & Johnson Medical Depuy

LUPINE BR Anchor w/ DS Orthocord

210712

254,08 211,73

42,35

158,80

95,28

25,40

01-04-2012

164002000696

Johnson & Johnson Medical Depuy

LUPINE BR Anchor w/ Orthocord

210711

254,08 211,73

42,35

158,80

95,28

25,40

01-04-2012

164002000705

Johnson & Johnson Medical Depuy

Lupine Loop Plus Anchor w/Orthocord DS

210709

254,08 211,73

42,35

158,80

95,28

25,40

01-04-2012

164002000714

Johnson & Johnson Medical Depuy

Microfix Anchor 3/0 V4

212855

254,08 211,73

42,35

158,80

95,28

25,40

01-04-2012

164002000723

Johnson & Johnson Medical Depuy

Microfix Anchor 4/0 C1

212856

254,08 211,73

42,35

158,80

95,28

25,40

01-04-2012

164002000732

Johnson & Johnson Medical Depuy

Microfix Anchor 4/0 P3

212857

254,08 211,73

42,35

158,80

95,28

25,40

01-04-2012

164002000741

Johnson & Johnson Medical Depuy

Microfix Quickanchor Plus w/3-0 Orthocord V-4 w/Bit

212859

254,08 211,73

42,35

158,80

95,28

25,40

01-04-2012

164002000757

Johnson & Johnson Medical Depuy

Microfix Quickanchor Plus w/4-0 Orthocord C-1 w/Bit

212045

254,08 211,73

42,35

158,80

95,28

25,40

01-04-2012

164002000766

Johnson & Johnson Medical Depuy

Microfix Quickanchor Plus w/4-0 Orthocord P-3 w/Bit

212044

254,08 211,73

42,35

158,80

95,28

25,40

01-04-2012

164002000775

Johnson & Johnson Medical Depuy

MINILOK QA+#0 OCORD OS-2 W/B

212849

254,08 211,73

42,35

158,80

95,28

25,40

01-04-2012

164002000784

Johnson & Johnson Medical Depuy

Minilok QuickAnchor Plus 0 ETHIBOND

212850

254,08 211,73

42,35

158,80

95,28

25,40

01-04-2012

164002000793

Johnson & Johnson Medical Depuy

Minilok QuickAnchor Plus 2/0 white PANACRYL

212852

254,08 211,73

42,35

158,80

95,28

25,40

01-04-2012

164002000802

Johnson & Johnson Medical Depuy

Minilok QuickAnchor Plus 2/0 white ETHIBOND

212851

254,08 211,73

42,35

158,80

95,28

25,40

01-04-2012

164002000811

Johnson & Johnson Medical Depuy

Minilok QuickAnchor Plus W/2/0 Orthocord (V-5)w/Bit

212853

254,08 211,73

42,35

158,80

95,28

25,40

01-04-2012

164002000827

Johnson & Johnson Medical Depuy

Minilok QuickAnchor Plus W/2/0 Orthocord (V-5)w/Bit

212854

254,08 211,73

42,35

158,80

95,28

25,40

01-04-2012

164002000836

Johnson & Johnson Medical Depuy

Panalok ETHIBOND Excel green

210025

254,08 211,73

42,35

158,80

95,28

25,40

01-04-2012

164002000845

Johnson & Johnson Medical Depuy

Panalok ETHIBOND Excel white

210026

254,08 211,73

42,35

158,80

95,28

25,40

01-04-2012

164002000854

Johnson & Johnson Medical Depuy

Panalok PANACRYL Anchors

210725

254,08 211,73

42,35

158,80

95,28

25,40

01-04-2012

164002000863

Johnson & Johnson Medical Depuy

Panalok RC Loop with Ethibond

210702

254,08 211,73

42,35

158,80

95,28

25,40

01-04-2012

164002000872

Johnson & Johnson Medical Depuy

Panalok RC Quick Anchor

212730

254,08 211,73

42,35

158,80

95,28

25,40

01-04-2012

164002000881

Johnson & Johnson Medical Depuy

Panalok RC Quick Anchor

212730

254,08 211,73

42,35

158,80

95,28

25,40

01-04-2012

164002000897

Johnson & Johnson Medical Depuy

Panalok RC w/ dual ETHIBOND

212132

254,08 211,73

42,35

158,80

95,28

25,40

01-04-2012

164002000906

Johnson & Johnson Medical Depuy

Panalok with Orthocord CP-2 Needle

210024

254,08 211,73

42,35

158,80

95,28

25,40

01-04-2012

164002000915

Johnson & Johnson Medical Depuy

Rapidloc 12°

228321

254,08 211,73

42,35

158,80

95,28

25,40

01-04-2012

164002000924

Johnson & Johnson Medical Depuy

Rapidloc 27°

228322

254,08 211,73

42,35

158,80

95,28

25,40

01-04-2012

164002000933

Johnson & Johnson Medical Depuy

Rapidloc PDS 12°

228311

254,08 211,73

42,35

158,80

95,28

25,40

01-04-2012

Mise à jour 01-05-2012 - Bijwerking 01-05-2012

Page 4

(735910-735921)

164002000942

Johnson & Johnson Medical Depuy

Rapidloc PDS 27°

228312

254,08 211,73

42,35

158,80

95,28

25,40

01-04-2012

164002000951

Johnson & Johnson Medical Depuy

Spiralok 5.0 mm w/o Needles Orthocord Blue/Violet

222986

254,08 211,73

42,35

158,80

95,28

25,40

01-04-2012

164002000967

Johnson & Johnson Medical Depuy

Spiralok 5.0 mm with Needles Orthocord Blue/Violet

222985

254,08 211,73

42,35

158,80

95,28

25,40

01-04-2012

164002000976

Johnson & Johnson Medical Depuy

Spiralok 6.5 mm w/o Needles Orthocord Blue/Violet

222988

254,08 211,73

42,35

158,80

95,28

25,40

01-04-2012

164002000985

Johnson & Johnson Medical Depuy

Spiralok 6.5 mm with Needles Orthocord Blue/Violet

222987

254,08 211,73

42,35

158,80

95,28

25,40

01-04-2012

164002000994

Linvatec Belgium NV

28 MM BIOCUFF C 6.0MM X 28MM

236028

201,28 201,28

0,00

158,80

42,48

20,12

01-04-2012

164002001003

Linvatec Belgium NV

36 MM BIOCUFF C 6.0MM X 36MM

236036

201,28 201,28

0,00

158,80

42,48

20,12

01-04-2012

164002001012

Linvatec Belgium NV

BIO MINI REVO W/#2 HI FI

C6170H

238,59 211,73

26,86

158,80

79,79

23,85

01-04-2012

164002001021

Linvatec Belgium NV

BIO MINIREVO W#2 HIFI HIP INDICATED

C6170HP

238,59 211,73

26,86

158,80

79,79

23,85

01-04-2012

164002001037

Linvatec Belgium NV

BIO PRESTO DOUBLE LOADED W/HIFI

C6272H

206,88 206,88

0,00

158,80

48,08

20,68

01-04-2012

164002001046

Linvatec Belgium NV

BIO PRESTO SINGLE LOADED W/HIFI 2.9MM

C6271H

196,27 196,27

0,00

158,80

37,47

19,62

01-04-2012

164002001055

Linvatec Belgium NV

BIOANCHOR W/#2 HI-FI ON DISP DRIVER

C6121H

228,06 211,73

16,33

158,80

69,26

22,80

01-04-2012

164002001064

Linvatec Belgium NV

BIOTWIST SUTURELESS ANCHOR KIT 6X20MM

C6130

238,35 211,73

26,62

158,80

79,55

23,83

01-04-2012

164002001073

Linvatec Belgium NV

DUET SUTURE ANCHOR

BXS4216

218,70 211,73

6,97

158,80

59,90

21,87

01-04-2012

164002001082

Linvatec Belgium NV

DUET SUTURE ANCHOR WITH #2 HI-FI

BXS4216H

228,06 211,73

16,33

158,80

69,26

22,80

01-04-2012

164002001091

Linvatec Belgium NV

PALADIN 5MM DOUBLE LOADED

C5070H

254,08 211,73

42,35

158,80

95,28

25,40

01-04-2012

164002001107

Linvatec Belgium NV

PALADIN 6.5MM DOUBLE LOADED

C6570H

254,08 211,73

42,35

158,80

95,28

25,40

01-04-2012

164002001116

Linvatec Belgium NV

PRE-LOADED BIO-ANCHOR

C6120A

218,70 211,73

6,97

158,80

59,90

21,87

01-04-2012

164002001125

Mediann

INSITE Ancre de suture résorbable

SMT000801/SMT000501

243,80 211,73

32,07

158,80

85,00

24,38

01-04-2012

164002001134

SHARK MEDICAL

Allthread Lactosorb

905940 -> 905945

254,08 211,73

42,35

158,80

95,28

25,40

01-04-2012

164002001143

SHARK MEDICAL

Lactoscrew LS

9055xx

254,08 211,73

42,35

158,80

95,28

25,40

01-04-2012

164002001152

SHARK MEDICAL

Micromax

905453/905456/905473

254,08 211,73

42,35

158,80

95,28

25,40

01-04-2012

164002001161

Smith & Nephew

BIORAPTOR 2,9 HIP

72200801

236,63 211,73

24,90

158,80

77,83

23,66

01-04-2012

164002001177

Smith & Nephew

BIORAPTOR 2,9ANCHOR+SUT

72200774

240,63 211,73

28,90

158,80

81,83

24,06

01-04-2012

164002001186

Smith & Nephew

BIORAPTR 2.9 AB SUTR ANCR with needles

72201702

240,63 211,73

28,90

158,80

81,83

24,06

01-04-2012

164002001195

Smith & Nephew

OSTEORAPTOR ANCHOR

7220199x/72202165

240,63 211,73

28,90

158,80

81,83

24,06

01-04-2012

164002001204

Smith & Nephew

Osteoraptor Hip Curved 2.3 PLLA/HA Suture Anchor

72203287/72203289

252,69 211,73

40,96

158,80

93,89

25,26

01-04-2012

Mise à jour 01-05-2012 - Bijwerking 01-05-2012

2.9MM

Page 5

(735910-735921)

164002001213

Smith & Nephew

Osteoraptor Shoulder Curved 2.3 PLLA/HA Suture Anchor

72203290/72203291

245,86 211,73

34,13

158,80

87,06

24,58

01-04-2012

164002001222

Smith & Nephew

RAPTORMITE 3,7 mm PLLA

72201805

240,63 211,73

28,90

158,80

81,83

24,06

01-04-2012

164002001231

Smith & Nephew

SURETAC II

014567

175,09 175,09

0,00

158,80

16,29

17,50

01-04-2012

164002001247

Smith & Nephew

SURETAC III

7209900/7209901

193,56 193,56

0,00

158,80

34,76

19,35

01-04-2012

164002001256

Smith & Nephew

TAG ABS ANCHOR

013160/013161

114,33 114,33

0,00

114,33

0,00

11,43

01-04-2012

164002001265

Smith & Nephew

TWINFIX ANCHOR AB

72200774=>72200780

254,08 211,73

42,35

158,80

95,28

25,40

01-04-2012

164002001274

Smith & Nephew

TWINFIX ANCHOR AB

7220077x/72200780

229,50 211,73

17,77

158,80

70,70

22,95

01-04-2012

164002001283

Smith & Nephew

Twinfix Ultra HA

72202597=>72202610/7220262 244,69 211,73 4/72202626/72202631

32,96

158,80

85,89

24,46

01-04-2012

164002001292

Stöpler

BIO PLUG

2870310BP

249,00 211,73

37,27

158,80

90,20

24,90

01-04-2012

164002001301

Stöpler

BIO PLUG

2870411BP

168,00 168,00

0,00

158,80

9,20

16,80

01-04-2012

164002001317

Stöpler

BIO PLUG

2870514BP

193,00 193,00

0,00

158,80

34,20

19,30

01-04-2012

164002001326

Stryker

5.0MM BIOZIP HSS

3910-200-025

239,67 211,73

27,94

158,80

80,87

23,96

01-04-2012

164002001335

Stryker

6.5MM BIOZIP HSS

3910-200-065

239,67 211,73

27,94

158,80

80,87

23,96

01-04-2012

Mise à jour 01-05-2012 - Bijwerking 01-05-2012

Page 6

(735910-735921)

A = Prix (TVAc) - Prijs (incl. BTW) B = Remboursement Bén. ordin./Prestataire conventionné - Remboursement V.I.P.O. / Prestataire avec ou sans convention Terugbetaling Gew. recht. / Verstr. met overeenkomst - Terugbetaling W.I.G.W. / Verstr. met of zonder overeenkomst C = Supplément patient Bén. ordin. / Prestataire conventionné - Supplément patient V.I.P.O. / Prestataire avec ou sans convention Supplement patiënt Gew. recht. / Verstr. met overeenkomst - Supplement patiënt W.I.G.W. / Verstr. met of zonder overeenkomst D = Remboursement Bén. ordin. / Prestataire non conventionné Terugbetaling Gew. recht. / Verstr. zonder overeenkomst E = Supplément patient Bén. ordin. / Prestataire non conventionné Supplement patiënt / Verstr. zonder overeenkomst F = Marge de délivrance Afleveringsmarge

735932-735943 Vis d'interférence, non-résorbable Interferentieschroef, niet-resorbeerbaar

Valeur de U - U waarde : U 90 Remboursement - Terugbetaling : Code d'identification Identificatiecode

Marge de sécurité - Veiligheidsgrens : 120% 92,95 €

Distributeur Verdeler

Les montants de la marge de délivrance sont donnés à titre indicatif : le plafond de 148,74 € est d'application sur l'ensemble des éléments des implants de la colonne vertébrale - De bedragen voor de afleveringsmarge worden slechts ter informatie vermeld : het grensbedrag van 148,74 € is van toepassing op het geheel van de wervelkolomimplantaten.

Prix plafond - Plafondprijs : 204,49 € Nom du produit Productnaam

Numéros de référence Referentienummers

A

B

C

D

E

F

A partir de Jusqu'au Vanaf Tot

164003000016

Arthrex bvba

Cann.Interf.Screw (7.0mm tot 10.0mm)

AR-1370 -> AR-1402

198,28

92,95

105,33

69,72

128,56

19,82

01-04-2012

164003000025

Arthrex bvba

Cann.Interf.Screw,full thread 7 / 8 / 9 / 10 mm x 20 / 25 / 30 mm

AR-1370T-> AR-1402T

198,28

92,95

105,33

69,72

128,56

19,82

01-04-2012

164003000034

Arthrex bvba

Femoral RetroScrew (7mmx20mm tot 10mmx20mm)

AR-1586FR-07-> AR-1586FR10

166,15

92,95

73,20

69,72

96,43

16,61

01-04-2012

164003000043

Arthrex bvba

PEEK Interference screw 6 / 7 / 8 / 9 / 10 x 23 mm

AR-13x0P/AR1400P

204,49

92,95

111,54

69,72

134,77

20,44

01-04-2012

164003000052

Arthrex bvba

Peek-Tenodesis 3,8 x 8 mm / 4 x 10 mm / 4,75 x 15 mm

AR-1530PS/ AR-1540PS / AR1547PS

204,49

92,95

111,54

69,72

134,77

20,44

01-04-2012

164003000061

Arthrex bvba

Peek-Tenodesis 5,5 / 6,25 x 15 mm

AR-1555PS / AR-1562PS

204,49

92,95

111,54

69,72

134,77

20,44

01-04-2012

164003000077

Arthrex bvba

Peek-Tenodesis 5,5 mm x 8 / 10 / 12 mm

AR-1655PS / AR-1655PS-10 / AR-1655PS-12

204,49

92,95

111,54

69,72

134,77

20,44

01-04-2012

164003000086

Arthrex bvba

Peek-Tenodesis 7 / 8 / 9 x 23 mm

AR-1570PS / AR-1580PS / AR1590PS

204,49

92,95

111,54

69,72

134,77

20,44

01-04-2012

164003000095

Arthrex bvba

Peek-Tenodesis 7 x 10 mm / 8 x 12 mm

AR-1670PS / AR-1680PS

204,49

92,95

111,54

69,72

134,77

20,44

01-04-2012

164003000104

Arthrex bvba

Sheated Cann. I.F. screw 6 / 7/ 8 / 9 mm x 15 / 20 / 25 / 30 mm

AR-1360E/AR-1370E->AR1391E

134,53

92,95

41,58

69,72

64,81

13,45

01-04-2012

164003000113

Arthrex bvba

Soft Screw (7mmx25mm tot 10mmx35mm)

AR-1370H-25->AR-1400H-35

198,28

92,95

105,33

69,72

128,56

19,82

01-04-2012

164003000122

Arthrex bvba

Tenodese Screw Tit. 5,5 mm x 15 mm

AR-1350-55

204,49

92,95

111,54

69,72

134,77

20,44

01-04-2012

Mise à jour 01-05-2012 - Bijwerking 01-05-2012

Page 1

(735932-735943)

164003000131

Arthrex bvba

Tenodese Screw Tit.4,75 mm x 15 mm

AR-1350-475

204,49

92,95

111,54

69,72

134,77

20,44

01-04-2012

164003000147

Arthrex bvba

Tibial RetroScrew (8mmx20mm tot 10mmx20mm)

AR-1586R-08->AR-1586R-10

166,15

92,95

73,20

69,72

96,43

16,61

01-04-2012

164003000156

Bio Recherches Innovations

TITANIUM INTERFERENCE SCREW

V.TINxLxx

31,50

31,50

0,00

31,50

0,00

3,15

01-04-2012

164003000165

Biomet Belgium BVBA

Blunt nose screw Fem

90689x

204,49

92,95

111,54

69,72

134,77

20,44

01-04-2012

164003000174

Biomet Belgium BVBA

Tunneloc Interference screw

9096xx

204,49

92,95

111,54

69,72

134,77

20,44

01-04-2012

164003000183

Biomet Belgium BVBA

TunneLoc Tibial Fixation Device

90651x

204,49

92,95

111,54

69,72

134,77

20,44

01-04-2012

164003000192

CM Orthopaedic bvba

Ligamentaire schroef gecanulleerd titanium

F11xxxx/F31xxxx

93,00

92,95

0,05

69,72

23,28

9,30

01-04-2012

164003000201

Johnson & Johnson Medical Depuy

Absolute IntScr

25450x

204,49

92,95

111,54

69,72

134,77

20,44

01-04-2012

164003000217

Johnson & Johnson Medical Depuy

Profile IntScr

2303xx/2304xx/2305xx

204,49

92,95

111,54

69,72

134,77

20,44

01-04-2012

164003000226

Linvatec Belgium NV

GUARDSMAN FEMORAL INTERFER. SCREW

C83xx/C84xx/C85xx

100,88

92,95

7,93

69,72

31,16

10,08

01-04-2012

164003000235

Linvatec Belgium NV

GUARDSMAN TAPER FEMORAL INTERFERENCE SCREW

C892x

94,16

92,95

1,21

69,72

24,44

9,41

01-04-2012

164003000244

Linvatec Belgium NV

PROPEL INTERFERENCE SCREW

C86xx/C87xx/C88xx

94,16

92,95

1,21

69,72

24,44

9,41

01-04-2012

164003000253

Linvatec Belgium NV

PROPEL TAPER TIP INTERFERENCE SCREW

C894x

94,16

92,95

1,21

69,72

24,44

9,41

01-04-2012

164003000262

Linvatec Belgium NV

SPIRAL TIP CANNULATED INTERFERENCE SCREW

896xS/897xS/C895x

117,71

92,95

24,76

69,72

47,99

11,77

01-04-2012

164003000271

Ortholength

Interference Screw, Head Ø7 x 20, Cannulated, Inside Ø2,1, Ti

3.472.20

163,28

92,95

70,33

69,72

93,56

16,32

01-04-2012

164003000287

Ortholength

Interference Screw, Head Ø7 x 25, Cannulated, Inside Ø2,1, Ti

3.472.25

164,93

92,95

71,98

69,72

95,21

16,49

01-04-2012

164003000296

Ortholength

Interference Screw, Head Ø7 x 30, Cannulated, Inside Ø2,1, Ti

3.472.30

166,57

92,95

73,62

69,72

96,85

16,65

01-04-2012

164003000305

Ortholength

Interference Screw, Head Ø8 x 20, Cannulated, Inside Ø2,1, Ti

3.474.20

168,23

92,95

75,28

69,72

98,51

16,82

01-04-2012

164003000314

Ortholength

Interference Screw, Head Ø8 x 25, Cannulated, Inside Ø2,1, Ti

3.474.25

169,92

92,95

76,97

69,72

100,20

16,99

01-04-2012

164003000323

Ortholength

Interference Screw, Head Ø8 x 30, Cannulated, Inside Ø2,1, Ti

3.474.30

171,62

92,95

78,67

69,72

101,90

17,16

01-04-2012

164003000332

Ortholength

Interference Screw, Head Ø9 x 20, Cannulated, Inside Ø2,1, Ti

3.476.20

173,33

92,95

80,38

69,72

103,61

17,33

01-04-2012

164003000341

Ortholength

Interference Screw, Head Ø9 x 25, Cannulated, Inside Ø2,1, Ti

3.476.25

175,07

92,95

82,12

69,72

105,35

17,50

01-04-2012

164003000357

Ortholength

Interference Screw, Head Ø9 x 30, Cannulated, Inside Ø2,1, Ti

3.476.30

178,19

92,95

85,24

69,72

108,47

17,81

01-04-2012

164003000366

SHARK MEDICAL

Blunt nose screw Fem

90689x

204,49

92,95

111,54

69,72

134,77

20,44

01-04-2012

164003000375

SHARK MEDICAL

Tunneloc Interference screw

9096xx

204,49

92,95

111,54

69,72

134,77

20,44

01-04-2012

164003000384

SHARK MEDICAL

TunneLoc Tibial Fixation Device

90651x

204,49

92,95

111,54

69,72

134,77

20,44

01-04-2012

164003000393

Smith & Nephew

BICEPTOR BIOSURE PK SCREW

72202xxx

204,49

92,95

111,54

69,72

134,77

20,44

01-04-2012

Mise à jour 01-05-2012 - Bijwerking 01-05-2012

Page 2

(735932-735943)

164003000402

Smith & Nephew

BIOSURE PEEK

722022xx

204,49

92,95

111,54

69,72

134,77

20,44

01-04-2012

164003000411

Smith & Nephew

CANNUFLEX

01420x/01421x

168,07

92,95

75,12

69,72

98,35

16,80

01-04-2012

164003000427

Smith & Nephew

RCI REVERSED SCREW

7208323

172,24

92,95

79,29

69,72

102,52

17,22

01-04-2012

164003000436

Smith & Nephew

RCI SCREW

7207xxx/72090xx

186,29

92,95

93,34

69,72

116,57

18,62

01-04-2012

164003000445

Smith & Nephew

SOFT RCI

3134257/3134255

204,49

92,95

111,54

69,72

134,77

20,44

01-04-2012

164003000454

Smith & Nephew

SOFTSILK

720700x

204,49

92,95

111,54

69,72

134,77

20,44

01-04-2012

164003000463

Stöpler

Vis en titane d'interférence MegaFix ®, stérile

287xxxxT

199,00

92,95

106,05

69,72

129,28

19,90

01-04-2012

164003000472

Arthrex bvba

PEEK Delta Tapered Interference screw

AR-5028P-xx / AR-5035P-xx

204,49

92,95

111,54

69,72

134,77

20,44

01-05-2012

Mise à jour 01-05-2012 - Bijwerking 01-05-2012

Page 3

(735932-735943)

A = Prix (TVAc) - Prijs (incl. BTW) B = Remboursement Bén. ordin./Prestataire conventionné - Remboursement V.I.P.O. / Prestataire avec ou sans convention Terugbetaling Gew. recht. / Verstr. met overeenkomst - Terugbetaling W.I.G.W. / Verstr. met of zonder overeenkomst C = Supplément patient Bén. ordin. / Prestataire conventionné - Supplément patient V.I.P.O. / Prestataire avec ou sans convention Supplement patiënt Gew. recht. / Verstr. met overeenkomst - Supplement patiënt W.I.G.W. / Verstr. met of zonder overeenkomst D = Remboursement Bén. ordin. / Prestataire non conventionné Terugbetaling Gew. recht. / Verstr. zonder overeenkomst E = Supplément patient Bén. ordin. / Prestataire non conventionné Supplement patiënt / Verstr. zonder overeenkomst F = Marge de délivrance Afleveringsmarge

735954-735965 Vis d'interférence, résorbable Interferentieschroef, resorbeerbaar

Valeur de U - U waarde : U 120 Remboursement - Terugbetaling : Code d'identification Identificatiecode

Marge de sécurité - Veiligheidsgrens : 120% 123,94 €

Distributeur Verdeler

Les montants de la marge de délivrance sont donnés à titre indicatif : le plafond de 148,74 € est d'application sur l'ensemble des éléments des implants de la colonne vertébrale - De bedragen voor de afleveringsmarge worden slechts ter informatie vermeld : het grensbedrag van 148,74 € is van toepassing op het geheel van de wervelkolomimplantaten.

Prix plafond - Plafondprijs : 272,67 € Nom du produit Productnaam

Numéros de référence Referentienummers

A

B

C

D

E

F

A partir de Jusqu'au Vanaf Tot

164004000011

Arthrex bvba

BioComp. IF Screw Delta ( 9mm x 35mm tot 12 mmx35 mm )

AR-5035TC-09 ->AR- 5035TC12

206,02 123,94

82,08

92,96

113,06

20,60

01-04-2012

164004000027

Arthrex bvba

Bio-Comp. IF Screw Delta (8 mm x 28 mm tot 11 mm x 28mm)

AR-5028C-08 ->AR- 5028C-11

206,02 123,94

82,08

92,96

113,06

20,60

01-04-2012

164004000036

Arthrex bvba

Bio-Composite I.F. Screw (8 mm x 28 mm tot 12 mmx 28mm)

AR-13x0TC/AR-140xTC

206,02 123,94

82,08

92,96

113,06

20,60

01-04-2012

164004000045

Arthrex bvba

Bio-Composite I.F. Screw w/sheath (6 mm x 23 mm tot 10 mm x 23mm)

AR-13x0C/AR-1400C

206,02 123,94

82,08

92,96

113,06

20,60

01-04-2012

164004000054

Arthrex bvba

Bio-Composite Retroscrew, 7 / 8 / 9 / 10 mm

AR-1586RC-06 ->AR-1586RC10

206,02 123,94

82,08

92,96

113,06

20,60

01-04-2012

164004000063

Arthrex bvba

Bio-CompositeTenodesescrew 3 mm x 8 mm w/ inserter

AR-1530BC

272,67 123,94

148,73

92,96

179,71

27,26

01-04-2012

164004000072

Arthrex bvba

Bio-CompositeTenodesescrew 4 mm x 10 mm

AR-1540BC

272,67 123,94

148,73

92,96

179,71

27,26

01-04-2012

164004000081

Arthrex bvba

Bio-CompositeTenodesescrew 4,75 mm x 15 mm

AR-1547BC

272,67 123,94

148,73

92,96

179,71

27,26

01-04-2012

164004000097

Arthrex bvba

Bio-CompositeTenodesescrew 5,5 mm x 15 mm

AR-1555BC

272,67 123,94

148,73

92,96

179,71

27,26

01-04-2012

164004000106

Arthrex bvba

Bio-CompositeTenodesescrew 6,25 mm x 23 mm

AR-1562BC

272,67 123,94

148,73

92,96

179,71

27,26

01-04-2012

164004000115

Arthrex bvba

Bio-CompositeTenodesescrew 7 mm x 10 mm

AR-1670BC

272,67 123,94

148,73

92,96

179,71

27,26

01-04-2012

164004000124

Arthrex bvba

Bio-CompositeTenodesescrew 7 mm x 23 mm

AR-1570BC

272,67 123,94

148,73

92,96

179,71

27,26

01-04-2012

Mise à jour 01-05-2012 - Bijwerking 01-05-2012

Page 1

(735954-735965)

164004000133

Arthrex bvba

Bio-CompositeTenodesescrew 8 mm x 23 mm

AR-1580BC

272,67 123,94

148,73

92,96

179,71

27,26

01-04-2012

164004000142

Arthrex bvba

Bio-CompositeTenodesescrew 8 mm x 12 mm

AR-1680BC

272,67 123,94

148,73

92,96

179,71

27,26

01-04-2012

164004000151

Arthrex bvba

Bio-CompositeTenodesescrew 9 mm x 23 mm

AR-1590BC

272,67 123,94

148,73

92,96

179,71

27,26

01-04-2012

164004000167

Arthrex bvba

Bio-Interference screw Full Thread (7mmx28mm tot 12mmx28mm)

AR-13x0TB/AR-140xTB

162,65 123,94

38,71

92,96

69,69

16,26

01-04-2012

164004000176

Arthrex bvba

Bio-Tenodesis Screw 3x8 mm /4x10mm

AR-1530B/ AR-1540B

272,67 123,94

148,73

92,96

179,71

27,26

01-04-2012

164004000185

Arthrex bvba

Bio-Tenodesis Screw 4,75 / 5,5 / 6,25 mm x 15 mm

AR-1547B / AR-1555B / AR1562B

272,67 123,94

148,73

92,96

179,71

27,26

01-04-2012

164004000194

Arthrex bvba

Bio-Tenodesis Screw 7 / 8 / 9 mm x 23 mm

AR-1570B / AR-1580B / 1590B

272,67 123,94

148,73

92,96

179,71

27,26

01-04-2012

164004000203

Arthrex bvba

Bio-Tenodesis Screw 7x10mm/8x12mm

AR-1670B / AR-1680B

272,67 123,94

148,73

92,96

179,71

27,26

01-04-2012

164004000212

Arthrex bvba

Delta Tapered Bioscrew (7.5mmx9mm tot 10.5mmx12mm)

AR-5035TB-09->AR-5035TB-12 187,20 123,94

63,26

92,96

94,24

18,72

01-04-2012

164004000221

Arthrex bvba

Femoral Bio-RetroScrew (7mmx20mm tot 10mmx20mm)

AR-1586FRB-07 -> AR1586FRB-10

166,15 123,94

42,21

92,96

73,19

16,61

01-04-2012

164004000237

Arthrex bvba

Round Delta Bioscrew (8mmx28mm tot 11mmx28mm)

AR-5028B-08 -> AR-5028B-11

187,20 123,94

63,26

92,96

94,24

18,72

01-04-2012

164004000246

Arthrex bvba

Sheated Bio-Interference screw (6mmx23mm tot 10mmx23mm)

AR-13x0B/AR-1400B

162,65 123,94

38,71

92,96

69,69

16,26

01-04-2012

164004000255

Arthrex bvba

Tibial Bio-RetroScrew (8mmx20mm tot 10mmx20mm)

AR-1586RB-07-> AR-1586RB10

166,15 123,94

42,21

92,96

73,19

16,61

01-04-2012

164004000264

Bio Recherches Innovations

RESORBABLE INTERFERENCE SCREW

83,56

0,00

83,56

0,00

8,35

01-04-2012

164004000273

Biomet Belgium BVBA

Biocore / Gentle Threads Interference Screw

BIOVISVIR(x)xL23 / BIOVISVIR(x)xL28 / BIOVISVIR(x)xL33 905600->905646

272,67 123,94

148,73

92,96

179,71

27,26

01-04-2012

164004000282

Biomet Belgium BVBA

Composi TCP

9052xx

272,67 123,94

148,73

92,96

179,71

27,26

01-04-2012

164004000291

Biomet Belgium BVBA

Rattler screw

94806x/94807x

272,67 123,94

148,73

92,96

179,71

27,26

01-04-2012

164004000307

BJR

Vis composite Ligafix

COMx0xx0xx

272,67 123,94

148,73

92,96

179,71

27,26

01-04-2012

164004000316

Haromed bvba

Tutofix Interference Screw IT

6848x

243,82 123,94

119,88

92,96

150,86

24,38

01-04-2012

164004000325

Haromed bvba

Tutofix Interference Screw OT

6847x

243,82 123,94

119,88

92,96

150,86

24,38

01-04-2012

164004000334

Johnson & Johnson Medical Depuy

Biocryl IntScr

2317xx

272,67 123,94

148,73

92,96

179,71

27,26

01-04-2012

164004000343

Johnson & Johnson Medical Depuy

Milagro

2318xx

272,67 123,94

148,73

92,96

179,71

27,26

01-04-2012

164004000352

Linvatec Belgium NV

BIOABSORBABLE FEMORAL INTERFERENCE SCREW

C8025->C8039

124,44 123,94

0,50

92,96

31,48

12,44

01-04-2012

164004000361

Linvatec Belgium NV

BioScrew BIOABSORBABLE INTERFERENCE SCREW

C8010->C8015

124,44 123,94

0,50

92,96

31,48

12,44

01-04-2012

164004000377

Linvatec Belgium NV

BioScrew INTERFERENCE SCREW

C8017->C8024

120,81 120,81

0,00

92,96

27,85

12,08

01-04-2012

164004000386

Linvatec Belgium NV

BIOSCREW XTRALOK 10X35MM

C8028

154,45 123,94

30,51

92,96

61,49

15,44

01-04-2012

164004000395

Linvatec Belgium NV

BIOSCREW XTRALOK 11X35MM

C8029

154,45 123,94

30,51

92,96

61,49

15,44

01-04-2012

Mise à jour 01-05-2012 - Bijwerking 01-05-2012

83,56

Page 2

(735954-735965)

164004000404

Linvatec Belgium NV

BIOSCREW XTRALOK 9X35MM

C8027

154,45 123,94

30,51

92,96

61,49

15,44

01-04-2012

164004000413

Linvatec Belgium NV

BIOSCREW XTRALOK INTERFERENCE SCREW

C8040->C8044

155,08 123,94

31,14

92,96

62,12

15,50

01-04-2012

164004000422

Linvatec Belgium NV

GENESYS Matryx Interference Screw

104,30

92,96

135,28

22,82

01-04-2012

164004000431

Linvatec Belgium NV

WEDGE

2310xxM5/2311xxM5/2350xxM5 228,24 123,94 /2355xxM5/2360xxM5/2365xxM 5/2370xxM5/2380xxM5/2390xx M5 430x2x 157,61 123,94

33,67

92,96

64,65

15,76

01-04-2012

164004000447

SHARK MEDICAL

Biocore / Gentle Threads Interference Screw

905600->905648

272,67 123,94

148,73

92,96

179,71

27,26

01-04-2012

164004000456

SHARK MEDICAL

Composi TCP

9052xx

272,67 123,94

148,73

92,96

179,71

27,26

01-04-2012

164004000465

SHARK MEDICAL

Rattler screw

94806x/94807x

272,67 123,94

148,73

92,96

179,71

27,26

01-04-2012

164004000474

SHARK MEDICAL

Vis d'interference Résorbable

G25L xxxx(x)

272,67 123,94

148,73

92,96

179,71

27,26

01-04-2012

164004000483

SHARK MEDICAL

Vis d'interference Résorbable

PLDLxxxxxST / PLDLxxxxxTC

272,67 123,94

148,73

92,96

179,71

27,26

01-04-2012

164004000492

Smith & Nephew

BIORCI SCREW

72075xx/72076xx/72079xx

262,28 123,94

138,34

92,96

169,32

26,22

01-04-2012

164004000501

Smith & Nephew

BIORCI-HA SCREW

72076xx/72090xx

272,67 123,94

148,73

92,96

179,71

27,26

01-04-2012

164004000517

Smith & Nephew

BIOSURE HA

722017xx

272,67 123,94

148,73

92,96

179,71

27,26

01-04-2012

164004000526

Smith & Nephew

GTS Tapered Screw

7210039/7210040

225,59 123,94

101,65

92,96

132,63

22,55

01-04-2012

164004000535

SproFit bvba

Vis composite ligafix 30

COM300x0xx/COM301x030

247,00 123,94

123,06

92,96

154,04

24,70

01-04-2012

164004000544

SproFit bvba

Vis composite ligafix 60

COM600x0xx/COM601x030

247,00 123,94

123,06

92,96

154,04

24,70

01-04-2012

164004000553

Stöpler

Vis d'interférence biorésorbable en composite, stérile

2870xxxC

238,00 123,94

114,06

92,96

145,04

23,80

01-04-2012

164004000562

Stöpler

Vis d'interférence biorésorbable, perforée, stérile

287xxxxP

238,00 123,94

114,06

92,96

145,04

23,80

01-04-2012

164004000571

Stöpler

Vis d'interférence biorésorbable, stérile

2870xxxB

238,00 123,94

114,06

92,96

145,04

23,80

01-04-2012

164004000587

Stöpler

Vis, perforée, d'interférence biorésorbable en composite, stérile

287xxxxCP

238,00 123,94

114,06

92,96

145,04

23,80

01-04-2012

Mise à jour 01-05-2012 - Bijwerking 01-05-2012

Page 3

(735954-735965)

A = Prix (TVAc) - Prijs (incl. BTW) B = Remboursement Bén. ordin./Prestataire conventionné - Remboursement V.I.P.O. / Prestataire avec ou sans convention Terugbetaling Gew. recht. / Verstr. met overeenkomst - Terugbetaling W.I.G.W. / Verstr. met of zonder overeenkomst C = Supplément patient Bén. ordin. / Prestataire conventionné - Supplément patient V.I.P.O. / Prestataire avec ou sans convention Supplement patiënt Gew. recht. / Verstr. met overeenkomst - Supplement patiënt W.I.G.W. / Verstr. met of zonder overeenkomst D = Remboursement Bén. ordin. / Prestataire non conventionné Terugbetaling Gew. recht. / Verstr. zonder overeenkomst E = Supplément patient Bén. ordin. / Prestataire non conventionné Supplement patiënt / Verstr. zonder overeenkomst F = Marge de délivrance Afleveringsmarge

735976-735980 Implant d'ancrage pour réparation des ligaments et tendons (à l'exception des vis d'interférence et agrafes), nonrésorbable Verankeringsimplantaat voor herstel van de ligamenten en pezen (uitgezonderd interferentieschroeven en krammen), niet-resorbeerbaar

Valeur de U - U waarde : U 185 Remboursement - Terugbetaling : Code d'identification Identificatiecode

Marge de sécurité - Veiligheidsgrens : 191,07 €

Distributeur Verdeler

80%

Les montants de la marge de délivrance sont donnés à titre indicatif : le plafond de 148,74 € est d'application sur l'ensemble des éléments des implants de la colonne vertébrale - De bedragen voor de afleveringsmarge worden slechts ter informatie vermeld : het grensbedrag van 148,74 € is van toepassing op het geheel van de wervelkolomimplantaten.

Prix plafond - Plafondprijs : 343,93 € Nom du produit Productnaam

Numéros de référence Referentienummers

A

B

C

D

E

F

A partir de Jusqu'au Vanaf Tot

164005000013

Arthrex bvba

AC GraftRope

AR-2258

343,93 191,07

152,86

143,31

200,62

34,39

01-04-2012

164005000022

Arthrex bvba

AC TightRope™ , Titanium

AR-2257

306,70 191,07

115,63

143,31

163,39

30,67

01-04-2012

164005000031

Arthrex bvba

ACL TightRope

AR-1588T

283,87 191,07

92,80

143,31

140,56

28,38

01-04-2012

164005000047

Arthrex bvba

ACL TightRope RT

AR-1588RT

283,87 191,07

92,80

143,31

140,56

28,38

01-04-2012

164005000056

Arthrex bvba

Biceps Button 2,6 mm x 12 mm Tit.

AR-2261

170,38 170,38

0,00

143,31

27,07

17,03

01-04-2012

164005000065

Arthrex bvba

Biceps Button Repair Implant system

AR-2260

343,93 191,07

152,86

143,31

200,62

34,39

01-04-2012

164005000074

Arthrex bvba

Bi-Cortical Post 4,5 mm x 25 mm tot 60 mm

AR-1365-xx(5)

191,07 191,07

0,00

143,31

47,76

19,10

01-04-2012

164005000083

Arthrex bvba

Bi-Cortical Post 6,5 mm x 30 mm tot 52 mm

AR-1366-30->AR-1366-52

191,07 191,07

0,00

143,31

47,76

19,10

01-04-2012

164005000092

Arthrex bvba

GraftBold w/ screw 7 mm /8 mm / 9 mm / 10 mm

AR-5100-07->AR-5100-10

262,03 191,07

70,96

143,31

118,72

26,20

01-04-2012

164005000101

Arthrex bvba

Mini TightRope Fixation System

AR-8911DS

298,35 191,07

107,28

143,31

155,04

29,83

01-04-2012

164005000117

Arthrex bvba

Mini TightRope FT

AR-8912DS

343,93 191,07

152,86

143,31

200,62

34,39

01-04-2012

164005000126

Arthrex bvba

Oblong Button 3,5 mm

AR-8921

103,88 103,88

0,00

103,88

0,00

10,38

01-04-2012

Mise à jour 01-05-2012 - Bijwerking 01-05-2012

Page 1

(735976-735980)

164005000135

Arthrex bvba

RetroButton for BTB 12 mm with 15 mm Loop→60mm Loop

AR-1588-20BT-> AR-158850BT

216,44 191,07

25,37

143,31

73,13

21,64

01-04-2012

164005000144

Arthrex bvba

RetroButton for BTB 15 mm with 15 mm Loop→60mm Loop

AR-1589-25BT-> AR-158950BT

216,44 191,07

25,37

143,31

73,13

21,64

01-04-2012

164005000153

Arthrex bvba

RetroButton™, 12 mm with 15 mm Loop→60mm Loop

AR-1588-15-> AR-1588-60

216,44 191,07

25,37

143,31

73,13

21,64

01-04-2012

164005000162

Arthrex bvba

RetroButton™, Long, 15 mm with 15 mm Loop→60mm Loop

AR-1589-15-> AR-1589-60

216,44 191,07

25,37

143,31

73,13

21,64

01-04-2012

164005000171

Arthrex bvba

Round Button, 5,5 mm

AR-8911R

103,88 103,88

0,00

103,88

0,00

10,38

01-04-2012

164005000187

Arthrex bvba

Spiked Washer 14 mm - 18 mm

AR-1349 - AR-1349L

191,07 191,07

0,00

143,31

47,76

19,10

01-04-2012

164005000196

Arthrex bvba

Suture Button 12 mm

AR-8922

103,88 103,88

0,00

103,88

0,00

10,38

01-04-2012

164005000205

Arthrex bvba

Suture Button 3,5 mm

AR-8920

103,88 103,88

0,00

103,88

0,00

10,38

01-04-2012

164005000214

Arthrex bvba

Tightrope ABS Button + Tightrope ABS implant

AR-1588TB + AR-1588TN

294,95 191,07

103,88

143,31

151,64

29,49

01-04-2012

164005000223

Arthrex bvba

TightRope Syndesmosis repair kit, Stainless Steel

AR-8921CDS

242,16 191,07

51,09

143,31

98,85

24,21

01-04-2012

164005000232

Arthrex bvba

TightRope Syndesmosis repair kit, Titanium

AR-8920CDS

322,08 191,07

131,01

143,31

178,77

32,20

01-04-2012

164005000241

Arthrex bvba

TransFix Implant, 3.0 mm x 40.0 mm

AR-1351

250,54 191,07

59,47

143,31

107,23

25,05

01-04-2012

164005000257

Arthrex bvba

TransFix Implant, 3.0 mm x 50.0 mm

AR-1351L

250,54 191,07

59,47

143,31

107,23

25,05

01-04-2012

164005000266

Arthrex bvba

Transfix Screw 3 mm x 40 mm

AR-1363

250,54 191,07

59,47

143,31

107,23

25,05

01-04-2012

164005000275

Arthrex bvba

Transfix Screw 3 mm x 50 mm

AR-1363L

250,54 191,07

59,47

143,31

107,23

25,05

01-04-2012

164005000284

Arthrex bvba

Twin Tail AC TightRope

AR-2264

343,93 191,07

152,86

143,31

200,62

34,39

01-04-2012

164005000293

Belgafix

Ancrage Cortico Femoral

ACFxx

265,00 191,07

73,93

143,31

121,69

26,50

01-04-2012

164005000302

Biomet Belgium BVBA

Bone-mulch screw Fem

907320 -> 907340

343,93 191,07

152,86

143,31

200,62

34,39

01-04-2012

164005000311

Biomet Belgium BVBA

EZ-lock Fem

904780 -> 904789

343,93 191,07

152,86

143,31

200,62

34,39

01-04-2012

164005000327

Biomet Belgium BVBA

No-Profile screw + Washer

343,93 191,07

152,86

143,31

200,62

34,39

01-04-2012

164005000336

Biomet Belgium BVBA

Toggleloc Elbow implant system

904430 -> 904460 / 904530 -> 904570/ 904630 -> 904660 + 904414 -> 904428 909874

343,93 191,07

152,86

143,31

200,62

34,39

01-04-2012

164005000345

Biomet Belgium BVBA

Toggleloc Fem

90472x

343,93 191,07

152,86

143,31

200,62

34,39

01-04-2012

164005000354

Biomet Belgium BVBA

Toggleloc Fem with Ziploop

90475x

343,93 191,07

152,86

143,31

200,62

34,39

01-04-2012

164005000363

Biomet Belgium BVBA

Washerloc screw + washer

9086xx / 9088xx + 90843x/90846x

343,93 191,07

152,86

143,31

200,62

34,39

01-04-2012

164005000372

Biomet Belgium BVBA

Ziptight AC joint acute Implant system

904837

343,93 191,07

152,86

143,31

200,62

34,39

01-04-2012

164005000381

Biomet Belgium BVBA

Ziptight AC joint Implant - No Teeth

904834

343,93 191,07

152,86

143,31

200,62

34,39

01-04-2012

164005000397

Biomet Belgium BVBA

Ziptight AC joint Implant - with Teeth

904835

343,93 191,07

152,86

143,31

200,62

34,39

01-04-2012

Mise à jour 01-05-2012 - Bijwerking 01-05-2012

Page 2

(735976-735980)

164005000406

Biomet Belgium BVBA

Ziptight Implant-single SS

90985x

343,93 191,07

152,86

143,31

200,62

34,39

01-04-2012

164005000415

Biomet Belgium BVBA

Ziptight Implant-single TI

904759

343,93 191,07

152,86

143,31

200,62

34,39

01-04-2012

164005000424

FH Orthopedics

Bandelette d'ancrage tendineux TLS (x2) + Vis TLS/Vis TLS PEEK (x2)

152,85

143,31

200,61

34,39

01-04-2012

164005000433

FH Orthopedics

TENOLIG lot de 2 kits

256193 + 343,92 191,07 264274/253569/248853/263653 /263654 232942 343,93 191,07

152,86

143,31

200,62

34,39

01-04-2012

164005000442

Johnson & Johnson Medical Depuy

30mm Intrafix Sheath + Intrafix Screw

254601 + 254602/254603/254609

343,93 191,07

152,86

143,31

200,62

34,39

01-04-2012

164005000451

Johnson & Johnson Medical Depuy

Femoral Intrafix System 7-7.5 mm Hard + Femoral Intrafix System 7-7.5 mm

254680 + 254681

343,93 191,07

152,86

143,31

200,62

34,39

01-04-2012

164005000467

Johnson & Johnson Medical Depuy

Femoral Intrafix System 8-8.5 mm Hard + Femoral Intrafix System 8-8.5 mm

254682 + 254683

343,93 191,07

152,86

143,31

200,62

34,39

01-04-2012

164005000476

Johnson & Johnson Medical Depuy

Femoral Intrafix System 9-9.5 mm Hard + Femoral Intrafix Sytem 9-9.5 mm

254684 + 254685

343,93 191,07

152,86

143,31

200,62

34,39

01-04-2012

164005000485

Linvatec Belgium NV

XO BUTTON WITH CONTINUOUS LOOP

T50xx

235,20 191,07

44,13

143,31

91,89

23,52

01-04-2012

164005000494

Orthogèse

Tenolig

232942

343,93 191,07

152,86

143,31

200,62

34,39

01-04-2012

164005000503

SHARK MEDICAL

Bone-mulch screw Fem

907320-> 907335

343,93 191,07

152,86

143,31

200,62

34,39

01-04-2012

164005000512

SHARK MEDICAL

Bouton fémoral

G25 B10xx

343,93 191,07

152,86

143,31

200,62

34,39

01-04-2012

164005000521

SHARK MEDICAL

EZ-lock Fem

904777 -> 904799

343,93 191,07

152,86

143,31

200,62

34,39

01-04-2012

164005000537

SHARK MEDICAL

No-Profile screw + Washer

343,93 191,07

152,86

143,31

200,62

34,39

01-04-2012

164005000546

SHARK MEDICAL

Système de fixation pour DIDT + fils

904430 -> 904460 / 904530 -> 904570/ 904630 -> 904660 + 904414 -> 904428 AFIX xx0TI

343,93 191,07

152,86

143,31

200,62

34,39

01-04-2012

164005000555

SHARK MEDICAL

Toggleloc Elbow implant system

909874

343,93 191,07

152,86

143,31

200,62

34,39

01-04-2012

164005000564

SHARK MEDICAL

Toggleloc Fem

90472x

343,93 191,07

152,86

143,31

200,62

34,39

01-04-2012

164005000573

SHARK MEDICAL

Toggleloc Fem with Ziploop

90475x

343,93 191,07

152,86

143,31

200,62

34,39

01-04-2012

164005000582

SHARK MEDICAL

Washerloc screw + washer

9086xx / 9088xx + 90843x/90846x

343,93 191,07

152,86

143,31

200,62

34,39

01-04-2012

164005000591

SHARK MEDICAL

Ziptight AC joint acute implant system

904837

343,93 191,07

152,86

143,31

200,62

34,39

01-04-2012

164005000607

SHARK MEDICAL

Ziptight AC joint Implant - No Teeth

904834

343,93 191,07

152,86

143,31

200,62

34,39

01-04-2012

164005000616

SHARK MEDICAL

Ziptight AC joint Implant - with Teeth

904835

343,93 191,07

152,86

143,31

200,62

34,39

01-04-2012

164005000625

SHARK MEDICAL

Ziptight Implant-single SS

90985x

343,93 191,07

152,86

143,31

200,62

34,39

01-04-2012

164005000634

SHARK MEDICAL

Ziptight Implant-single TI

904759

343,93 191,07

152,86

143,31

200,62

34,39

01-04-2012

164005000643

Smith & Nephew

ENDOBUTTON

013186

196,43 191,07

5,36

143,31

53,12

19,64

01-04-2012

164005000652

Smith & Nephew

ENDOBUTTON CL

720732x

317,34 191,07

126,27

143,31

174,03

31,73

01-04-2012

Mise à jour 01-05-2012 - Bijwerking 01-05-2012

Page 3

(735976-735980)

164005000661

Smith & Nephew

ENDOBUTTON CL

7209352/7209353/7209354

317,34 191,07

126,27

143,31

174,03

31,73

01-04-2012

164005000677

Smith & Nephew

ENDOBUTTON CL BTB

721008x

343,93 191,07

152,86

143,31

200,62

34,39

01-04-2012

164005000686

Smith & Nephew

ENDOBUTTON CL BTB 15 mm

72203330

343,93 191,07

152,86

143,31

200,62

34,39

01-04-2012

164005000695

Smith & Nephew

ENDOBUTTON CL ULTRA

7220015x/7220014x

343,93 191,07

152,86

143,31

200,62

34,39

01-04-2012

164005000704

Smith & Nephew

ENDOBUTTON DIRECT

722012xx

317,34 191,07

126,27

143,31

174,03

31,73

01-04-2012

164005000713

Smith & Nephew

ENDOBUTTON DIRECT with suture assy

72202980-> 72202985

317,34 191,07

126,27

143,31

174,03

31,73

01-04-2012

164005000722

Stöpler

FliPPtack™ bouton de fixation fémoral, sterile

28729FT

81,16

81,16

0,00

81,16

0,00

8,11

01-04-2012

164005000731

Stöpler

Plaque de fixation tibiale ENDOTACK™

28729XT

198,00 191,07

6,93

143,31

54,69

19,80

01-04-2012

164005000747

Synthes

Button Plate

482.823(S)

175,00 175,00

0,00

143,31

31,69

17,50

01-04-2012

Mise à jour 01-05-2012 - Bijwerking 01-05-2012

Page 4

(735976-735980)

A = Prix (TVAc) - Prijs (incl. BTW) B = Remboursement Bén. ordin./Prestataire conventionné - Remboursement V.I.P.O. / Prestataire avec ou sans convention Terugbetaling Gew. recht. / Verstr. met overeenkomst - Terugbetaling W.I.G.W. / Verstr. met of zonder overeenkomst C = Supplément patient Bén. ordin. / Prestataire conventionné - Supplément patient V.I.P.O. / Prestataire avec ou sans convention Supplement patiënt Gew. recht. / Verstr. met overeenkomst - Supplement patiënt W.I.G.W. / Verstr. met of zonder overeenkomst D = Remboursement Bén. ordin. / Prestataire non conventionné Terugbetaling Gew. recht. / Verstr. zonder overeenkomst E = Supplément patient Bén. ordin. / Prestataire non conventionné Supplement patiënt / Verstr. zonder overeenkomst F = Marge de délivrance Afleveringsmarge

735991-736002 Implant d'ancrage pour réparation des ligaments et tendons (à l'exception des vis d'interférence et agrafes), résorbable Verankeringsimplantaat voor herstel van de ligamenten en pezen (uitgezonderd interferentieschroeven en krammen), resorbeerbaar

Valeur de U - U waarde : U 205 Remboursement - Terugbetaling : Code d'identification Identificatiecode

Marge de sécurité - Veiligheidsgrens : 211,73 €

Distributeur Verdeler

80%

Les montants de la marge de délivrance sont donnés à titre indicatif : le plafond de 148,74 € est d'application sur l'ensemble des éléments des implants de la colonne vertébrale - De bedragen voor de afleveringsmarge worden slechts ter informatie vermeld : het grensbedrag van 148,74 € is van toepassing op het geheel van de wervelkolomimplantaten.

Prix plafond - Plafondprijs : 381,11 € Nom du produit Productnaam

Numéros de référence Referentienummers

A

B

C

D

E

F

A partir de Jusqu'au Vanaf Tot

164006000015

Arthrex bvba

Bio-Swivelock Bicepstenodese 6,25 mm x 20 mm

AR-1662B

294,53 211,73

82,80

158,80

135,73

29,45

01-04-2012

164006000024

Arthrex bvba

Bio-TransFix Implant, 5.0 mm x 50.0 mm

AR-1351LB

300,00 211,73

88,27

158,80

141,20

30,00

01-04-2012

164006000033

Arthrex bvba

Bio-TransFix Implant, 5.0 mm x40.0 mm

AR-1351B

300,00 211,73

88,27

158,80

141,20

30,00

01-04-2012

164006000042

Arthrex bvba

Bone Tendon Bio-Transfix, 3 mm x 40 mm

AR-1351BT

248,07 211,73

36,34

158,80

89,27

24,80

01-04-2012

164006000051

Arthrex bvba

Bone Tendon Bio-Transfix, 3 mm x 50 mm

AR-1351LBT

248,07 211,73

36,34

158,80

89,27

24,80

01-04-2012

164006000067

Arthrex bvba

MPFL Repair Implant set

2324BSLC-CP

381,11 211,73

169,38

158,80

222,31

38,11

01-04-2012

164006000076

Biomet Belgium BVBA

L15 AXL crosspin

905874->905876

381,11 211,73

169,38

158,80

222,31

38,11

01-04-2012

164006000085

Biomet Belgium BVBA

Titanium AXL crosspin Fem

907874->907876

381,11 211,73

169,38

158,80

222,31

38,11

01-04-2012

164006000094

Johnson & Johnson Medical Depuy

Flexisheath + Bio-Intrafix screw/tapered screw

254628/254629 + 381,11 211,73 254622/254624/254625/254660

169,38

158,80

222,31

38,11

01-04-2012

164006000103

Johnson & Johnson Medical Depuy

RIGIDFIX BIOCRYL 2.7MM BTB CROSS PIN KIT

210815

381,11 211,73

169,38

158,80

222,31

38,11

01-04-2012

164006000112

Johnson & Johnson Medical Depuy

RIGIDFIX BIOCRYL 3.3MM FEMORAL ST CROSS PIN KIT

210816

381,11 211,73

169,38

158,80

222,31

38,11

01-04-2012

164006000121

Johnson & Johnson Medical Depuy

RIGIDFIX BIOCRYL 3.3MM TIBIAL ST CROSS PIN KIT

210817

381,11 211,73

169,38

158,80

222,31

38,11

01-04-2012

Mise à jour 01-05-2012 - Bijwerking 01-05-2012

Page 1

(735991-736002)

164006000137

Johnson & Johnson Medical Depuy

Rigidfix Cross Pin BTB

210127

381,11 211,73

169,38

158,80

222,31

38,11

01-04-2012

164006000146

Johnson & Johnson Medical Depuy

Rigidfix Cross Pin ST

210133

381,11 211,73

169,38

158,80

222,31

38,11

01-04-2012

164006000155

Johnson & Johnson Medical Depuy

Rigidfix ST Tibial 3,3 Cross Pin

210333

381,11 211,73

169,38

158,80

222,31

38,11

01-04-2012

164006000164

Linvatec Belgium NV

ENDOPEARL

C805x

84,07

0,00

84,07

0,00

8,40

01-04-2012

164006000173

SHARK MEDICAL

L15 AXL crosspin Fem

905874->905876

381,11 211,73

169,38

158,80

222,31

38,11

01-04-2012

164006000182

SHARK MEDICAL

Titanium -AXL crosspin Fem

907874->907876

381,11 211,73

169,38

158,80

222,31

38,11

01-04-2012

Mise à jour 01-05-2012 - Bijwerking 01-05-2012

84,07

Page 2

(735991-736002)