| Code | Description | Type | Clé | Tarif | Max. |
|---|---|---|---|---|---|
| 749350 | Lu-177-PSMA | Ambulant | - | - | |
| 749361 | Lu-177-PSMA | Hospitalisé | - | - | |
| 749372 | Lu-177-PSMA | Ambulant | - | - | |
| 749383 | Lu-177-PSMA | Hospitalisé | - | - | |
| 749490 | 177-Lu-PSMA I&T | Ambulant | - | - | |
| 749501 | 177-Lu-PSMA I&T | Hospitalisé | - | - | |
| 749593 | 177-LU-PSMA I&T (UZ BRUSSEL) | Ambulant | - | - | |
| 749604 | 177-LU-PSMA I&T (UZ BRUSSEL) | Hospitalisé | - | - | |
| 749615 | Lu-177-PSMA I&T (UZ LEUVEN) | Ambulant | - | - | |
| 749626 | Lu-177-PSMA I&T (UZ LEUVEN) | Hospitalisé | - | - |