| Code | Description | Chapitre | Art. | Type | Clé | Tarif | Max. |
|---|---|---|---|---|---|---|---|
| 749221 | F-18-PSMA-1007 |
P | P3 | Gehospitaliseerd | - | - | |
| 749232 | AXUMIN 1600 MBq/mL 16000 MBq 10mL |
P | P3 | Ambulant | - | - | |
| 749243 | AXUMIN 1600 MBq/mL 16000 MBq 10mL |
P | P3 | Gehospitaliseerd | - | - | |
| 749254 | Axumin 1600 MB q/mL 16000 MBq |
P | P3 | Ambulant | - | - | |
| 749265 | Axumin 1600 MB q/mL 16000 MBq |
P | P3 | Gehospitaliseerd | - | - | |
| 749276 | Ga-68-PSMA-HBED-CC |
P | P3 | Ambulant | - | - | |
| 749280 | Ga-68-PSMA-HBED-CC |
P | P3 | Gehospitaliseerd | - | - | |
| 749291 | F-18-PSMA-11 |
P | P3 | Ambulant | - | - | |
| 749302 | F-18-PSMA-11 |
P | P3 | Gehospitaliseerd | - | - | |
| 749313 | F-18-PSMA-11 |
P | P3 | Ambulant | - | - | |
| 749324 | F-18-PSMA-11 |
P | P3 | Gehospitaliseerd | - | - | |
| 749335 | F-18-PSMA-11 |
P | P3 | Ambulant | - | - | |
| 749346 | F-18-PSMA-11 |
P | P3 | Gehospitaliseerd | - | - | |
| 749350 | Lu-177-PSMA |
P | P3 | Ambulant | - | - | |
| 749361 | Lu-177-PSMA |
P | P3 | Gehospitaliseerd | - | - | |
| 749372 | Lu-177-PSMA |
P | P3 | Ambulant | - | - | |
| 749383 | Lu-177-PSMA |
P | P3 | Gehospitaliseerd | - | - | |
| 749394 | PULMOTEC |
P | P3 | Ambulant | - | - | |
| 749405 | PULMOTEC |
P | P3 | Gehospitaliseerd | - | - | |
| 749431 | F-18-NAV-4694 |
P | P3 | Ambulant | - | - | |
| 749442 | F-18-NAV-4694 |
P | P3 | Gehospitaliseerd | - | - | |
| 749453 | F-18-NAV-4694 |
P | P3 | Ambulant | - | - | |
| 749464 | F-18-NAV-4694 |
P | P3 | Gehospitaliseerd | - | - | |
| 749475 | F-18-PE2I |
P | P3 | Ambulant | - | - | |
| 749486 | F-18-PE2I |
P | P3 | Gehospitaliseerd | - | - |