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COLONNE VERTEBRALE WERVELKOLOM

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Page 1: colonne vertebrale - wervelkolom (pdf - 854 kb)

COLONNE VERTEBRALE

WERVELKOLOM

Page 2: colonne vertebrale - wervelkolom (pdf - 854 kb)

COLONNE VERTEBRALE / WERVELKOLOM

0

700022

Code d'identification Fournisseur Nom du produit Modèle Dépenses AMI Supplément patient Nombre de cas

Identificatiecode Leverancier Produktnaam Model Uitgaven ZIV Supplement patiënt Aantal gevallen

0 475,10 0,00 4

700103

Code d'identification Fournisseur Nom du produit Modèle Dépenses AMI Supplément patient Nombre de cas

Identificatiecode Leverancier Produktnaam Model Uitgaven ZIV Supplement patiënt Aantal gevallen

0 599,04 0,00 2

700125

Code d'identification Fournisseur Nom du produit Modèle Dépenses AMI Supplément patient Nombre de cas

Identificatiecode Leverancier Produktnaam Model Uitgaven ZIV Supplement patiënt Aantal gevallen

0 2.003,68 0,00 4

700604

Code d'identification Fournisseur Nom du produit Modèle Dépenses AMI Supplément patient Nombre de cas

Identificatiecode Leverancier Produktnaam Model Uitgaven ZIV Supplement patiënt Aantal gevallen

0 1.332,36 0,00 3

700781

Code d'identification Fournisseur Nom du produit Modèle Dépenses AMI Supplément patient Nombre de cas

Identificatiecode Leverancier Produktnaam Model Uitgaven ZIV Supplement patiënt Aantal gevallen

0 2.014,01 0,00 1

700792

Code d'identification Fournisseur Nom du produit Modèle Dépenses AMI Supplément patient Nombre de cas

Identificatiecode Leverancier Produktnaam Model Uitgaven ZIV Supplement patiënt Aantal gevallen

0 1.239,39 0,00 1

700803

Code d'identification Fournisseur Nom du produit Modèle Dépenses AMI Supplément patient Nombre de cas

Identificatiecode Leverancier Produktnaam Model Uitgaven ZIV Supplement patiënt Aantal gevallen

0 99.130,59 0,00 85

700825

Code d'identification Fournisseur Nom du produit Modèle Dépenses AMI Supplément patient Nombre de cas

Identificatiecode Leverancier Produktnaam Model Uitgaven ZIV Supplement patiënt Aantal gevallen

0 32.379,04 0,00 20

Page 3: colonne vertebrale - wervelkolom (pdf - 854 kb)

157.001

700011

Code d'identification Fournisseur Nom du produit Modèle Dépenses AMI Supplément patient Nombre de cas

Identificatiecode Leverancier Produktnaam Model Uitgaven ZIV Supplement patiënt Aantal gevallen

157.001.000.186 Cormed Solas SRxxxx 475,10 0,00 2

157.001.000.511 InSpine Belgium Pioneer Rod Prebend XX(X) 10-55-PR-xx(x) 475,10 0,00 2

157.001.001.245 Medtronic Tenor Staaf D=5,5mm L-X 806TS55LxxxT 475,10 0,00 2

157.001.001.333 Ortho Team WSI - Rod 22409-40 / 22630-40 237,55 237,55 1

700022

Code d'identification Fournisseur Nom du produit Modèle Dépenses AMI Supplément patient Nombre de cas

Identificatiecode Leverancier Produktnaam Model Uitgaven ZIV Supplement patiënt Aantal gevallen

157.001.000.021 B Braun Medical S4 Spinal system rod SW65xT / SW66xT / SW67xT / SW68xT 9.977,10 0,00 42

157.001.000.046 B Braun Medical S4C Rod SW19xT 2.375,50 0,00 10

157.001.000.064 Biomet Altius Rod 1200-00xx 1.187,75 0,00 5

157.001.000.091 Biomet Ballista Rod 14-5004xx 475,10 0,00 2

157.001.000.107 Biomet Omega Rod 12xx-xx / 1272-xxx 475,10 0,00 2

157.001.000.116 Biomet Polaris Rod 2000-51xx / 2000-5405 / 642x / 60xx 8.314,25 0,00 35

157.001.000.125 Cormed DCR Dynamic composite rod DCR 00.xxx / DCR 09.xxx / DCR 18.xxx 36.820,25 59,38 155

157.001.000.134 Cormed Evos 62.xxx 96.682,85 0,00 407

157.001.000.143 Cormed Odalys Rod ODPBR6xxx / ODRR6xxx 2.375,50 0,00 10

157.001.000.152 Cormed PASS LP Rod B0217xxxx / B0212xxxx 344.447,50 475,04 1.450

157.001.000.177 Cormed Slick's Spinal Rod S11/TX.6xx 48.697,75 0,00 205

157.001.000.186 Cormed Solas SRxxxx 36.345,15 0,00 153

157.001.000.195 Cormed Solas RS Deg Bent Rod SR16xxBx0 / SR16xx.5Bx0 18.053,80 41,30 76

157.001.000.213 Globus Medical Belgium 5.5mm Curved Rod, 35mm-150mm 124.6xx 164.384,60 653,18 692

157.001.000.256 Globus Medical Belgium 5.5mm Straight Rod, 30mm-150mm 124.5xx 26.843,15 59,38 113

157.001.000.301 Globus Medical Belgium Ellipse 3,5mm Rod 80mm - 240mm 182.80x 7.126,50 0,00 30

157.001.000.317 Globus Medical Belgium Ellipse Tapered Rod 3,5 to 6,5mm, 350mm - 500mm 182.98x 950,20 0,00 4

157.001.000.326 Globus Medical Belgium Revolve 5,5mm Curved Rod, Cone Tip, 40mm - 95mm 132.1xx 3.800,80 0,00 16

157.001.000.335 Globus Medical Belgium Revolve 5,5mm Rod, 100mm - 190mm 185.3xx 712,65 0,00 3

157.001.000.362 Globus Medical Belgium Revolve 5,5mm Rod, 80mm - 90mm 185.2xx 475,10 0,00 2

157.001.000.387 Hospithera Alphatec CP TI STRAIGHT ROD x.x DIA x XCM FEMALE HEX 620xx-xx(x) 6.413,85 0,00 27

157.001.000.396 Hospithera Alphatec PRE-CONTOURED / C.P. TI ROD x.xMM X xCM 736xx-xxx 216.170,50 0,00 910

157.001.000.405 Hospithera Alphatec TI 3.3MM - 5.5MM TRANSITIONAL ROD - 500MM 63002-500 950,20 0,00 4

157.001.000.414 Hospithera Alphatec TI CERVICAL ROD - 3.3MM 63001-xxx 3.088,15 0,00 13

157.001.000.423 Hospithera Alphatec ZODIAC TI ALLOY STRAIGHT ROD x.x X 50CM 62001-50 9.026,90 0,00 38

157.001.000.432 Hospithera Romeo PRE BEND TIGE NON-STERILE Ø 5.4 - (30MM à 90 MM) ELL-RD00xx-N 8.314,25 0,00 35

157.001.000.457 Hospithera Romeo TIGE NON STERILE Ø 5.4 - (100MM à 350MM) ELL-RD0xxx-N 712,65 0,00 3

157.001.000.511 InSpine Belgium Pioneer Rod Prebend XX(X) 10-55-PR-xx(x) 100.246,10 0,00 422

157.001.000.527 InSpine Belgium Pioneer Rod Straight XX(X) 10-55-RR-xx(x) 6.413,85 0,00 27

157.001.000.545 ISKRA Tige Lisse 3K T.40 3KTL16xx(x) 19.004,00 0,00 80

157.001.000.581 Johnson & Johnson Medical-Depuy Expedium 5.5 SS 1881 63 xxx 3.325,70 0,00 14

157.001.000.597 Johnson & Johnson Medical-Depuy Expedium Anterior Rod 1877 03 xxx 6.176,30 0,00 26

157.001.000.606 Johnson & Johnson Medical-Depuy Expedium Cr Co rod 1861 78 xxx / 1861 62 551 / 1967 89 xxx / 1797 78 xxx 9.026,90 0,00 38

157.001.000.615 Johnson & Johnson Medical-Depuy Expedium LIS rod 1867 xx xxx 98.583,25 0,00 415

157.001.000.685 Johnson & Johnson Medical-Depuy Expedium Peek rod 1867 82 xxx 7.839,15 0,00 33

157.001.000.694 Johnson & Johnson Medical-Depuy Expedium Rod 5.5 1797 62 xxx 40.858,60 0,00 172

157.001.000.703 Johnson & Johnson Medical-Depuy Expedium Rod Prebent 5,5 1797 72 0xx 295.037,10 0,00 1.242

157.001.000.721 Johnson & Johnson Medical-Depuy Monarch Rod 6.35 1770 70 xxx 21.617,05 0,00 91

157.001.000.737 Johnson & Johnson Medical-Depuy Monarch Rod Prebent 6,35 1770 10 0xx 27.793,35 85,02 117

157.001.000.746 Johnson & Johnson Medical-Depuy Mountaineer Rod 1883 16 xxx / 1883 10 xxx 17.341,15 0,00 73

157.001.000.764 Johnson & Johnson Medical-Depuy Mountaineer Rod Dual 1883 11 0xx / 1883 10 0xx 475,10 0,00 2

157.001.000.791 Johnson & Johnson Medical-Depuy Summit Rod Dual 1746 63 xxx 475,10 0,00 2

157.001.000.807 Johnson & Johnson Medical-Depuy 'VSP / Isola Stainless Steel Rod 50001xxx/5000xx 475,10 0,00 2

157.001.000.825 MEDIANN ORIA CLARIS Tige 7T40-Hxxx 3.088,15 0,00 13

157.001.000.834 MEDIANN SCS Tige 2T46-Txxx 4.751,00 0,00 20

157.001.000.843 MEDIANN TLS Tige CT40-Cxxx 9.739,55 0,00 41

157.001.000.861 MEDIANN TWINFLEX II Tige Elf en U 1T40-xxxX 2.375,50 142,53 10

157.001.000.922 Medtronic CD Horizon Ti. Staaf 5,5 mm 855-011 33.969,65 0,00 143

157.001.000.947 Medtronic CDH 5.5Xxxxmm STRAIGHT ROD,TI CP 8690xxx 323.068,00 183,80 1.360

157.001.000.956 Medtronic CDH 6.35 X xxxmm PREBENT ROD, TI CP 969xxxx 4.751,00 0,00 20

157.001.000.965 Medtronic CDH Longitude staaf Ti L-X 7571xxx 33.969,65 0,00 143

157.001.000.974 Medtronic Colorado2 Inox staaf D5mm L-X 86135xx 9.739,55 0,00 41

157.001.001.017 Medtronic Legacy Anterior Rod 5.5mm lined 500mm 869-xxx 6.413,85 0,00 27

157.001.001.026 Medtronic Legacy Anterior Rod xxxmm 8699xxx 5.938,75 0,00 25

157.001.001.035 Medtronic Legacy Peek Rod 7893xxx 11.402,40 0,00 48

Page 4: colonne vertebrale - wervelkolom (pdf - 854 kb)

157.001.001.062 Medtronic Legacy Rod Ti 3.5mm 7340xxx 712,65 0,00 3

157.001.001.071 Medtronic Legacy Rod Ti 4.5mm Hex End 848-011 712,65 0,00 3

157.001.001.087 Medtronic Legacy Ti Mini Rod xxxmm 734xxxxINT 475,10 0,00 2

157.001.001.096 Medtronic Legacy Ti. Prebent Rod 5.5 L-X 8690xxx / G8690xxx 43.234,10 0,00 182

157.001.001.105 Medtronic Legacy Ti. Rod 5,5x500mm 869-011 13.540,35 0,00 57

157.001.001.141 Medtronic ROD LEG 5.5 DIA HEX END SS 868-011 5.938,75 0,00 25

157.001.001.157 Medtronic ROD LEG 5.5 DIA HEX END TI 869-012 4.751,00 0,00 20

157.001.001.175 Medtronic Rod Percutaneous Peek 757xxxx 950,20 0,00 4

157.001.001.193 Medtronic Sextant Staaf Ti. L-X 8672xxx 73.640,50 0,00 310

157.001.001.202 Medtronic SOLERA ROD 4.75 CCM NS CURV xxMM 147500xxxx/1476000500 / 1475501xxx 109.273,00 118,76 460

157.001.001.245 Medtronic Tenor Staaf D=5,5mm L-X 806TS55LxxxT 297.887,70 0,00 1.254

157.001.001.254 Medtronic TSRH-3D Ti. 25cm staaf, diam. 5,5mm 837-125 4.275,90 0,00 18

157.001.001.263 Medtronic TSRH-3D Ti. 5.5mm Staaf L-X 8370xxx 78.866,60 0,00 332

157.001.001.272 Medtronic Vertex 3.2mm Titanium Rod, L-X 6900xxx 20.666,85 0,00 87

157.001.001.281 Medtronic Vertex Ti Rod xxmm x xxmm 695xxxx 4.275,90 0,00 18

157.001.001.306 NEW2DM Tige Lisse 3K T.40 3KTL16xx(x) 34.444,75 0,00 145

157.001.001.333 Ortho Team WSI - Rod 22409-40 / 22630-40 50.360,60 0,00 212

157.001.001.342 Orthogèse BJR Tige ceintrée Ø 5,5 ATR4600.xxXxx 7.126,50 0,00 30

157.001.001.351 Orthogèse BJR Tige Ø 5,5 et Ø 7 MUN410x.xxXxx / ATR410x.xxXxx 54.874,05 190,04 231

157.001.001.367 Orthogèse Scient'x Rod 5,5 12TGxx.xxx 475,10 0,00 2

157.001.001.394 SDI Belgium Tige avec hexagone 6.0 mm x xx0 mm Ti Uni-Thread™ L2-R6xxHT 10.689,75 0,00 45

157.001.001.412 SDI Belgium Tige avec hexagone 6.0 mm x xx0 mm PLUS™ Titane U1 - R6xxHT 5.226,10 0,00 22

157.001.001.455 SDI Belgium Tige pré-cintrée 6.0 mm x xx0 mm Ti Uni-Thread™ L2-R6xxCHT 8.076,66 0,00 34

157.001.001.507 SHARK MEDICAL Tige Lisse 3K T.40 3KTL16xx(x) 10.927,30 0,00 46

157.001.001.543 STRYKER 3.5 x XXXmm ROD 48552xxx / 48551xxx 475,10 0,00 2

157.001.001.561 STRYKER ATLROD6x XXXmm 03802xxx 23.517,45 0,00 99

157.001.001.604 STRYKER Ø 4,5 x XXXmm TA6V ROD 48133xxx 5.701,20 0,00 24

157.001.001.622 STRYKER ROD 1XXmm 6651xx 475,10 0,00 2

157.001.001.683 STRYKER ROD XXmm 6650xx 475,10 0,00 2

157.001.001.701 STRYKER VITALLIUM ROD 4.5 MM 600 MM 48132601 475,10 0,00 2

157.001.001.726 STRYKER XIA III TIT ROD 6.0 MM 480 MM 48232480 7.601,60 0,00 32

157.001.001.762 STRYKER XIA RAD ROD 6.0 x XXX MM 48286xxx 3.088,15 0,00 13

157.001.001.771 STRYKER XIA ROD 4823xxxx 44.659,40 0,00 188

157.001.001.796 Synthes AXON 498.957(S) 4.513,45 0,00 19

157.001.001.841 Synthes PANGEA gebogen staaf 04.620.1xx / 498.13x / 498.14x 70.647,37 0,00 297

157.001.001.927 Synthes USS fractuur inox 100mm 298.104 499,50 0,00 10

157.001.001.972 Synthes USS fractuur inox 75mm 298.103 190,96 0,00 4

157.001.001.981 Synthes USS fractuur titanium 498.102 -> 498.119 56.299,35 0,00 237

157.001.001.997 Synthes USS harde staaf 498.10x 6.413,85 0,00 27

157.001.002.006 Synthes USS paediatric 498.2xx 3.563,25 0,00 15

157.001.002.015 Synthes USS paediatric 498.49x 712,65 0,00 3

157.001.002.024 Synthes USS zachte staaf 498.15x / 498.MAB.51895 25.180,30 0,00 106

157.001.002.033 Synthes Verbindingsstaaf 498.93x 6.651,40 0,00 28

157.001.002.042 Synthes Verbindingsstaaf SYNAPSE 04.614.5xx (S) 475,10 0,00 2

157.001.002.207 MSH neon rod, Ø 4.5 mm, (length 20 mm to 30mm) CS 1408-20T -> CS 1408-30T 49,66 0,00 2

157.001.002.261 MSH neon rod, Ø 4.5 mm, length 160 mm CS 1408-160T 265,30 0,00 2

157.001.002.304 MSH tangoRS rod, blue, Ø 6.0 mm (length 30 mm to 95 mm) CS 3008-0xx 1.853,40 0,00 12

157.001.002.313 MSH 'tangoRS rod, blue, Ø 6.0 mm (length 100 mm to 192 mm / length 204 mm) CS 3008-1xx / CS 3008-2xx 1.372,88 0,00 8

157.001.002.347 Zimmer Java Ductile Rod SN2023-0-xx055 285,06 0,00 1

157.001.002.374 Zimmer Nexlink Titanium Rod 4.0 mm 724-xx0 1.900,40 0,00 8

157.001.002.383 Zimmer Optima Curved Rod SG19xx 2.850,60 0,00 12

157.001.002.392 Zimmer Otpima Straight Rod 6,0 mm SG16xx 1.662,85 0,00 7

157.001.002.401 Zimmer Pathfinder Spinal Pre-Bent Rod, Ti, 5.5mm 9205-xxx 950,20 0,00 4

157.001.002.417 Zimmer Pathfinder Sterile Bent Rod Ti 9205-xxx-S 1.900,40 0,00 8

157.001.002.444 Zimmer Sequoia Pre Bent Rod Ti 3313-xxxx 176.024,55 0,00 741

157.001.002.453 Zimmer Sequoia Straight Rod 3311-510 23.042,35 0,00 97

157.001.002.514 Cormed Serengeti rod 1001.E55xx(x) 42.996,55 0,00 181

157.001.002.523 Cormed Flexstaas Rod 48.xxx / 49.xxx / 81.xxx / 46.xxx / 64.xxx / 58.xxx / 59.xxx / 84.xxx 60.575,25 0,00 255

157.001.002.532 Cormed Fixpine rod OSM313x /OSM313X / OSM320x / OSM321x 201.204,85 831,44 847

157.001.002.541 Cormed Ascent Rod 65.2070 / 65.2120 / 65.2200 5.226,10 0,00 22

157.001.002.566 Zimmer Instinct Java Pre-Contoured rod 046W0AN51xxx 475,10 0,00 2

157.001.002.575 Zimmer Instinct Java Straight Rod 046W0AN50xxx 1.900,40 0,00 8

157.001.002.593 Synthes Rod 04.636.xxx(S) / 09.636.xxx(S) / 04.633.xxx(S) 36.820,25 0,00 155

157.001.002.602 Synthes MIS ROD 04.651.xxx(S) 34.919,85 0,00 147

157.001.002.611 Biomet Polaris 5.5 CRCO Rod 510 mm 14-500585 4.275,90 0,00 18

157.001.002.636 SHARK MEDICAL Barre Précintrée Spine Tune ST54xxT-S / ST55xxT-S 2.137,95 0,00 9

157.001.002.645 LDR MEDICAL Barre LDR Easyspine ES 4xx T / ES 5xx T / ES 6xx T 14.965,65 0,00 63

157.001.002.654 LDR MEDICAL Barre Précintrée Spine Tune ST54xxT-S / ST55xxT-S 23.517,45 0,00 99

157.001.002.681 Johnson & Johnson Medical-Depuy Expedium Z-Rod Ti/SS 186198xx0 / 186298xx0 / 179x98xx0 / 188198xx0 / 189698xx0 475,10 0,00 2

157.001.002.706 Synthes SPIRIT - MIS staaf 6 radius 200 genormaliseerd L 04.631.0xx/ 04.631.1xx/ 04.631.2xx/ 04.631.3xx 8.551,80 0,00 36

157.001.002.715 Synthes Synapse Rod Prebent 498.13x(S) 950,20 0,00 4

Page 5: colonne vertebrale - wervelkolom (pdf - 854 kb)

157.001.002.733 Synthes Synapse Rod TAN 498.125(S) 950,20 0,00 4

157.001.002.751 Zimmer Percutaneous Pre-Bent Rod 3510-030 -> 3510-100 25.892,95 0,00 109

157.001.002.767 Zimmer Percutaneous Straight Rod 3512-100 -> 3512-240 2.375,50 0,00 10

157.001.002.776 STRYKER Mantis Hex Rad Rod 484850xx, 484851xx, 484860xx, 484861xx 10.689,75 0,00 45

157.001.002.785 STRYKER Mantis Hex Straight Rod 48487xxx, 48488xxx 712,65 0,00 3

157.001.002.855 Hospithera Percutaneous rod diam 5,4 MIS-RT 10 xx-S / MIS-RT 01 xx-S / MIS-RT 02 00-S 712,65 0,00 3

157.001.002.864 Medtronic Solera Rod Sextant 14750050xx / 14750051xx 950,20 0,00 4

157.001.002.891 InSpine Belgium MIS Rod 51-55-PR-xx(x) 475,10 0,00 2

157.001.002.961 Globus Medical Belgium Transition rod with cord + spacer + spool + bumper + set screw 152.08xS/152.07xS + 452.0xxS + 152.200/152.205 + 452.150S + 152.210 950,20 0,00 4

157.001.002.977 Globus Medical Belgium Transition 1 or 2 level implant lordosed 152.0xxS 1.900,40 0,00 8

157.002

700044

Code d'identification Fournisseur Nom du produit Modèle Dépenses AMI Supplément patient Nombre de cas

Identificatiecode Leverancier Produktnaam Model Uitgaven ZIV Supplement patiënt Aantal gevallen

157.002.000.014 Medtronic Unit Rod 830-5xx 2.354,85 0,00 3

157.002.000.032 Medtronic Unit Rod Staaf L-X 830-0xx 2.354,85 0,00 3

157.003

700066

Code d'identification Fournisseur Nom du produit Modèle Dépenses AMI Supplément patient Nombre de cas

Identificatiecode Leverancier Produktnaam Model Uitgaven ZIV Supplement patiënt Aantal gevallen

157.003.000.052 Globus Medical Belgium Ellipse Occipital plate, Small - Large (1x) + Ellipse Locking Cap (2x) + Ellipse Rod (2x)+ Standard screw self tapping (5x)182.95x + 182.500 + 182.98x / 182.80x / 182.95x + 110.8xx / 110.9xx 1.590,55 0,00 1

157.003.000.095 Johnson & Johnson Medical-Depuy Mountaineer Rod (x2) + Mountaineer OC Plate (x2)+ nut + Mountaineer OC Lateral Washer + Mountaineer OC screws (5 screws)1883 63 xxx / 1883 64 x00 + 1883 62 0xx + 1883 62 025 + 1883 65 000 + 1883 62 xxx3.181,10 0,00 2

157.003.000.104 Johnson & Johnson Medical-Depuy Mountaineer Rod (x2) + Mountaineer OC Plate + nut (x2) + Mountaineer OC screws (3 screws)1883 63 xxx /1883 64 x00 + 1883 62 0xx + 1883 62 025 + 1883 62 xxx 11.906,08 0,00 8

157.003.000.131 Medtronic Vertex Occipital Midline Plate + Vertex Ti Rod (x2)+ Vertex Occipital Bone Screws (4 screws) +set screw69552xx + 695xxxx + 695xxxx + 6950315 22.267,70 0,00 14

157.003.000.147 Medtronic Vertex Pre-Curved Occipital Plate/Rod, Ti (x2) + occipital screws (6 screws) 6900271 / 6900281 + 690xxxx 7.952,75 0,00 5

157.003.000.183 Synthes OC-plaat + Cervicale staaf (x2) + OC-schroeven (4 screws) + Axon innie (2x) 04.161.0xx + 04.161.032 + 04.601.xxx + 406.104 6.362,20 0,00 4

157.003.000.341 Zimmer Nexlink 4.0 mm precontoured occipital rod (2x) + Octa II plate + Octa II Connector (2x) + occipital screw (5x) + 4.0 mm open connector7003-xx0 + 7001 01 + 7002 01 + (7004 xxxx / 7005 xxxx) + 707-01 3.181,10 0,00 2

157.003.000.375 Medtronic ROD Precurved OC Ti (2) + LP OC M Plate + OC BONE Screw (6) 6955270 + 775997x + 77505xx / 77506xx 3.181,10 0,00 2

157.003.000.402 Medtronic Adjustable ROD (2) + LP OC M Plate + OC BONE Screw (6) 775512x + 775997x + 77505xx / 77506xx 1.590,55 0,00 1

Page 6: colonne vertebrale - wervelkolom (pdf - 854 kb)

157.004

700070

Code d'identification Fournisseur Nom du produit Modèle Dépenses AMI Supplément patient Nombre de cas

Identificatiecode Leverancier Produktnaam Model Uitgaven ZIV Supplement patiënt Aantal gevallen

157.004.000.571 Ortho Team WSI - MX - Monoaxial Pedicle Screw + WSI - MX- Grub Screw 226xx-xx/1 + 22650-30-02 537,06 0,00 2

700081

Code d'identification Fournisseur Nom du produit Modèle Dépenses AMI Supplément patient Nombre de cas

Identificatiecode Leverancier Produktnaam Model Uitgaven ZIV Supplement patiënt Aantal gevallen

157.004.000.027 B Braun Medical S4 Spinal system monoaxial screw+set screw SW70xT -> SW74xT + SW790T 10.472,67 0,00 39

157.004.000.072 Biomet Polaris Monoaxial screw + nut 2000-4xxx + 2000-1005 / 67xx + 6451 / 63xx + 6451 13.695,03 0,00 51

157.004.000.142 Globus Medical Belgium Revere™ Monoaxial Pedicle Screw 25mm-55mm + Revere™ locking cap 124.85x + 124.000 / 124.2xx + 124.000 1.611,18 0,00 6

157.004.000.221 Hospithera ZODIAC - TI MONOAXIAL PEDICLE SCREW x.xMMXxMM + hexalobe set screw622xx-xx + 22015 25.241,82 0,00 94

157.004.000.316 Johnson & Johnson Medical-Depuy Expedium 4,5 + single innie 1861 02 xxx +1861 00 001 2.148,24 0,00 8

157.004.000.325 Johnson & Johnson Medical-Depuy Expedium Anterior screw +innie 1877 02 xxx + 1877 01 015 22.287,99 0,00 83

157.004.000.352 MEDIANN SCS Vis pédiculaire + clip 2T10-X(X)xxx + 2T60-CVxx 18.528,57 0,00 69

157.004.000.386 Medtronic CDH Legacy Peek MAS xxmm + set screw 722xxxx + 722xxxx 5.370,60 0,00 20

157.004.000.395 Medtronic CDH Legacy Peek non cannulated screw xxmm + set screw 789xxxx + 722xxxx 1.611,18 0,00 6

157.004.000.422 Medtronic Legacy Anterior Screw xx X xxmm + set screw 654xxxx + 7440020 13.157,97 0,00 49

157.004.000.474 Medtronic Legacy Ti Fixed angle screw + Legacy Set Screw breakoff ti 7543xxx/7542xxx + 7540000 / 7540020 46.992,75 0,00 175

157.004.000.483 Medtronic Legacy Ti Fixed angle screw + Legacy Set Screw breakoff ti G7543xxx+ G7540020 3.222,36 0,00 12

157.004.000.492 Medtronic Legacy Ti fixed angled screw + Legacy set screw breakoff Ti X43502xxxx + 7440030 805,59 0,00 3

157.004.000.501 Medtronic Legacy Ti mini xx X xxmm + set screw 734xxxxINT + 734xxxxINT 2.953,83 0,00 11

157.004.000.517 Medtronic Longitude screw FAS + set screw 757xxxx + 7570955 8.592,96 0,00 32

157.004.000.526 Medtronic SOLERA SCREW FAS xxXxx TI + SET SCREW BREAK OFF 5441000xxxx + 5440020 / 5440030 5.370,60 0,00 20

157.004.000.553 NEW2DM Vis Monoaxiale 3K+ vis de blocage std 3KVX (X)(X) xxx - A + 3KVBB1005 19.871,22 0,00 74

157.004.000.571 Ortho Team WSI - MX - Monoaxial Pedicle Screw + WSI - MX- Grub Screw 226xx-xx/1 + 22650-30-02 45.113,04 0,00 168

157.004.000.587 Orthogèse BJR Vis en U mono-axiale + BJR Boulon vis en U ATR43MU.xxXxx + ATR480U.00000 1.074,12 0,00 4

157.004.000.675 SDI Belgium Vis PLUS™ + (clip + vis de blocage M6) U1 - SxxxT + U1L100T / U1 - Sxxx + U1L100 27.658,59 0,00 103

157.004.000.763 STRYKER MONO SCREW X.5 XIA TIT + BLOCKER 03820xxx + 03756230 6.981,78 0,00 26

157.004.000.797 STRYKER THOR./LUMB./SACR.SCREW X,X x Yymm + blocker 4848xxxx(XL) + 48482001 / (48482010 + 48482020) 2.148,24 0,00 8

157.004.000.824 STRYKER XIA 4.5 PED SCR MA 4 x XX + BLOCKER 4813xxxx(x) + 48130000 30.612,42 0,00 114

157.004.000.833 STRYKER XIA III PED SCR MA X MM x YY MM 48230xxxx + 48230000 217.509,30 0,00 810

157.004.000.842 STRYKER XIA III REDUCT MA SCREW X.5 x YY MM 03828xxx + 48230000 537,06 0,00 2

157.004.000.912 Synthes USS LP diam 5 - 7 + USS LP huls + USS LP moer 499.1xx + 499.888 + 499.887 15.037,68 0,00 56

157.004.000.921 Synthes USS paediatric + USS paediatric huls + USS paediatric moer 498.4xx + 498. 023 + 498.022 10.472,67 0,00 39

157.004.000.946 MSH tangoRS screw monoaxial + tangoRS locking screw CS 3065-x-xx + CS 3001 2.148,24 0,00 8

157.004.000.991 Zimmer Instinct Java Monoaxial Pedicle screw + blocker 046W0AN3xxxx + 046W0AN00002 3.759,42 0,00 14

157.004.001.034 LDR MEDICAL Vis pédiculaire standard Easyspine ES 0xx T 22.680,48 0,00 84

157.004.001.077 Inspine Quantum Fixed screw 10-x75-FX-xx 1.879,71 0,00 7

157.004.001.086 Cormed PASS LP anterior screw B021555xx, B021565xx, B021572xx 599,04 0,00 4

157.005

700092

Code d'identification Fournisseur Nom du produit Modèle Dépenses AMI Supplément patient Nombre de cas

Identificatiecode Leverancier Produktnaam Model Uitgaven ZIV Supplement patiënt Aantal gevallen

157.005.000.162 Cormed Odalys polyaxial screw + vis de blocage ODPS6xxx / ODSS6xxx + ODLS 2.995,20 0,00 10

157.005.000.196 Cormed Solas polyaxial screw + nut PASxxxx 299,52 0,00 1

157.005.000.442 InSpine Belgium pedicular Screw Standard Pioneer + cap 10-x75-PA-xx 1.198,08 0,00 4

157.005.000.932 Ortho Team WSI - PX Polyaxial Pedicle Screw + WSI - Grub Screw 2260x-xx + 22650-30-02 599,04 0,00 2

700103

Code d'identification Fournisseur Nom du produit Modèle Dépenses AMI Supplément patient Nombre de cas

Identificatiecode Leverancier Produktnaam Model Uitgaven ZIV Supplement patiënt Aantal gevallen

157.005.000.013 B Braun Medical S4 Spinal system polyaxial screw + set screw SW75xT -> SW79xT / SW80xT -> SW81xT+ SW790T 25.159,68 0,00 84

157.005.000.047 B Braun Medical S4C Polyaxial screw + set screw SW161T -> SW182T+ SW002T / SW003T 12.879,36 0,00 43

157.005.000.083 Biomet Ballista Cannulated screw + nut 2000-3xxx + 2000-1005 1.198,08 0,00 4

157.005.000.126 Biomet Polaris Polyaxial screw + nut 14-500xxx+2000-1005 / 2000-2xxx + 2000-1005 / 50-6xxxMP + 6451 27.555,84 0,00 92

157.005.000.135 Cormed Ascent polyaxial screw + Ascent locking screw 65.33xx/65.34xx + 65.2002 18.270,72 0,00 61

157.005.000.162 Cormed Odalys polyaxial screw + vis de blocage ODPS6xxx / ODSS6xxx + ODLS 205.470,72 239,60 686

157.005.000.187 Cormed Slick's polyaxial screw + nut S11/PO.xxx + S11/ST3020, S11/RSxxxx + S11/ST3020, S11/PRxxxx +S11/ST3030514.275,84 299,52 1.717

157.005.000.196 Cormed Solas polyaxial screw + nut PASxxxx 34.744,32 0,00 116

157.005.000.205 Cormed Solas RS polyaxial screw +nut PRSxxxx 35.043,84 0,00 117

Page 7: colonne vertebrale - wervelkolom (pdf - 854 kb)

157.005.000.223 Globus Medical Belgium Ellipse Polyaxial Screw + Ellipse Locking Cap 182.2xx / 182.3xx / 182.4xx / 182.5xx + 182.500 17.372,16 0,00 58

157.005.000.241 Globus Medical Belgium REVERE Dual Outer Diameter Polyaxial Screw + Revere™ Locking cap 124.1xx + 124.000 / 124.7xx + 124.000 44.628,48 898,56 149

157.005.000.275 Globus Medical Belgium Revere™ Pedicle Screw + Revere™ Locking cap 124.0xx + 124.000 / 124.4xx + 124.000 479.232,00 1.946,88 1.600

157.005.000.284 Globus Medical Belgium Revolve Polyaxial Pedicle Screw + Revolve Locking Cap 185.08x + 182.500 / 185.4xx + 185.000 14.376,96 0,00 48

157.005.000.302 Globus Medical Belgium TRANSITION™ HA Polyaxial Pedicle Screw + TRANSITION Locking Cap 152.4xxS + 152.000 94.648,32 0,00 316

157.005.000.311 Hospithera Alphatec CANNULATED POLYAXIAL SCREW x.xMM X xxMM + ZODIAC TI HEXALOBE SET SCREW73xxx-xx + 22015 / 63020 135.682,56 0,00 453

157.005.000.336 Hospithera Alphatec Ø3.5MM POLYAXIAL SMOOTH SHANK SCREW, xxMM L + ZODIAC TI HEXALOBE SET SCREW63xxx-xx + 22015 / 63020 5.990,40 0,00 20

157.005.000.345 Hospithera Alphatec SACRAL CANNULATED POLYAXIAL SCREW x.xMM X xxMM + ZODIAC TI HEXALOBE SET SCREW739xx-xx + 22015 / 63020 10.483,20 0,00 35

157.005.000.363 Hospithera Alphatec TI POLYAXIAL PEDICLE SCREW - x.xxMM X xxMM + ZODIAC TI HEXALOBE SET SCREW63xxx-xx + 22015 / 63020 4.792,32 0,00 16

157.005.000.372 Hospithera Alphatec TI HIGH TOP POLYAXIAL PEDICLE SCREW x.xMM X xxMM + ZODIAC TI HEXALOBE SET SCREW621xx-xx + 22015 30.850,56 0,00 103

157.005.000.381 Hospithera Alphatec TI POLYAXIAL PEDICLE SCREW -x.xMMXxxMM + ZODIAC TI HEXALOBE SET SCREW620xx-xx + 22015 476.835,84 1.797,12 1.592

157.005.000.397 Hospithera Alphatec TI SACRAL POLYAXIAL SCREW ASSY,x.xMM x xxMM + ZODIAC TI HEXALOBE SET SCREW623xx-xx + 22015 48.821,76 0,00 163

157.005.000.406 Hospithera Spineart Romeo Sterile Polyaxial screw + nut Øx X xx ELL-PS xx xx- X + ELL SC 0000-X 26.730,00 0,00 90

157.005.000.415 Hospithera vis de réduction Romeo spondylo ELL-SS0xxx-N / ELL-SS0xxx-S 594,00 0,00 2

157.005.000.433 Hospithera Vis Romeo MIS Polyaxiale sterile + nut MIS-PS xx xx-S + ELL SC 0000-X 4.792,32 0,00 16

157.005.000.442 InSpine Belgium pedicular Screw Standard Pioneer + cap 10-x75-PA-xx 335.162,88 0,00 1.119

157.005.000.476 Johnson & Johnson Medical-Depuy Expedium 4.5 mm + innie 1861 12 xxx + 1861 00 001 1.497,60 0,00 5

157.005.000.494 Johnson & Johnson Medical-Depuy Expedium DI Favored Angle Reduction screw + Expedium Dual-innie Setscrew 1797 99 xxx +1797 22 0x0 / 1799 82 000 620.006,40 0,00 2.070

157.005.000.503 Johnson & Johnson Medical-Depuy Expedium DI Favored Angle Reduction screw + Expedium Dual-innie Unitized Setscrew1797 99 xxx +1797 22 0x0 / 1799 82 000 49.420,80 0,00 165

157.005.000.512 Johnson & Johnson Medical-Depuy Expedium DI Screw + innie 1797 22 xxx +1797 22 0x0 297.423,36 0,00 993

157.005.000.521 Johnson & Johnson Medical-Depuy Expedium Extended Tab Screw+ Expendium Single Innie Setscrew 1797 32 xxx + 1797 02 000 / 1867 82 000 7.188,48 0,00 24

157.005.000.537 Johnson & Johnson Medical-Depuy Expedium LIS Extended Tab + innie 1867 50 0xx / 1867 60 0xx /1867 70 0xx /1867 75 0xxx + 1867 15 000 / 1867 82 0004.193,28 0,00 14

157.005.000.546 Johnson & Johnson Medical-Depuy Expedium LIS Screw SI + innie 186715xxx + 186715000 / 1867 82 000 198.282,24 0,00 662

157.005.000.555 Johnson & Johnson Medical-Depuy Expedium osteoporosis + innie 1725 13 4xx + 1797 02 000 / 1797 26 xxx + 1797 02 000 / 1797 26 xxx + 1867 82 000 / 1797 26 xxx + 1867 15 00075.778,56 0,00 253

157.005.000.573 Johnson & Johnson Medical-Depuy Expedium SI Screw +innie titanium 1797 12 xxx + 1797 02 000 / 1867 82 000 349.839,36 0,00 1.168

157.005.000.582 Johnson & Johnson Medical-Depuy Expedium Viper SC screws + Peek Innie 1797 3x xxx + 1867 82 000 4.193,28 0,00 14

157.005.000.591 Johnson & Johnson Medical-Depuy Monarch Poly screw + cap 1770 3x xxx x + 1770 91 060 10.782,72 0,00 36

157.005.000.607 Johnson & Johnson Medical-Depuy Mountaineer Favored Angled screws + innie 1883 18 xxx + 1883 42 200 53.015,04 0,00 177

157.005.000.616 Johnson & Johnson Medical-Depuy Mountaineer Long Shank screws + innie 1883 20 xxx + 1883 42 200 6.589,44 0,00 22

157.005.000.625 Johnson & Johnson Medical-Depuy Mountaineer Medial Lateral screws + innie 1883 19 xxx + 1883 42 200 4.492,80 0,00 15

157.005.000.634 Johnson & Johnson Medical-Depuy Summit MFA Screw + innie 1746 18 xxx / 1746 20 xxx + 1746 42 200 1.198,08 0,00 4

157.005.000.643 MEDIANN TLS Vis pédiculaire polyaxiale + TLS clip CT10-BPxxx + CT60-TLxx 46.425,60 0,00 155

157.005.000.661 MEDIANN TWINFLEX II Vis pédiculaire polyaxiale + vis de serrage + TWINFLEX II connecteur standard6T10-Kxxx + 6T00-BC08 + 1T20-CMxx 9.285,12 419,30 31

157.005.000.686 Medtronic Legacy Bone Screw Multiaxial + set screw breakoff ti 7442xxx/7443xxx + 7440020 / 7462xxx/7463xxx + 7460020 599,04 0,00 2

157.005.000.704 Medtronic Legacy HA Coated Screw D-X, L-X + Legacy Ti. set screw break off 719xxxx + 7540000 / 7540020 90.754,56 0,00 303

157.005.000.722 Medtronic Legacy Iliac MAS Ti + Legacy set screw breakoff Ti 7046xxxx + 7049855 898,56 0,00 3

157.005.000.731 Medtronic Legacy Multi Axial screw + set screw 764xxxxx + 7640020 599,04 0,00 2

157.005.000.747 Medtronic Legacy Reduction Ti + Legacy Ti set screw break off 7549xxxx + 7540220 / 7649xxxx + 7640220 7.488,00 0,00 25

157.005.000.774 Medtronic Legacy Ss. Multi Axial Screw + Legacy Ss set screw break off 7564xxxx + 7560000 / 7560020 / 75601xx / 76502x0 / 7464xxxx + 7460020 11.980,80 0,00 40

157.005.000.783 Medtronic Legacy Ti MAS Osteogrip screw + set screw 7540xxxx + 7540020 10.782,72 0,00 36

157.005.000.792 Medtronic Legacy Ti MAS screw + Legacy set screw breakoff ti 7444xxxx + 7440030 8.985,60 0,00 30

157.005.000.801 Medtronic Legacy Ti. Multi Axial Screw + Legacy Ti. set screw break off 7544xxxx + 7540000 / 7540020 977.333,76 0,00 3.263

157.005.000.826 Medtronic Longitude screw MAS+set screw 757xxxx + 7570955 360.322,56 0,00 1.203

157.005.000.844 Medtronic SCREW LEGACY 5.5 CANN MAS+ SET SCREW BREAK OFF TI 757x5xx + 7540020 255.191,04 718,56 852

157.005.000.853 Medtronic Sextant screw.M8 MAS+set screw 8674x5xx + 8670855 1.198,08 0,00 4

157.005.000.862 Medtronic SOLERA SCREW MAS xxXxx CC + SET SCREW BREAK OFF 5484000xxxx + 5440020 / 5440030 333.066,24 299,52 1.112

157.005.000.871 Medtronic Vertex M.A.S. Bone Screw Ti + Vertex Set Screw for laminar hook and M.A.S. screws6900xxx + 6903070 299,52 0,00 1

157.005.000.887 Medtronic Vertex MAX M.A.S. Bone Screw Ti + Vertex MAX Set Screw 6955xxx + 6950315 14.676,48 0,00 49

157.005.000.896 Medtronic Vertex Select + set screw 6958xxx/6958xxxXX + 69503xx 61.102,08 0,00 204

157.005.000.905 Medtronic Vertex Select cannulated + set screw 6959xxx/6959xxxXX + 69503xx 599,04 0,00 2

157.005.000.914 NEW2DM Vis Adaptable 3K + vis de blocage std 3KVX(X)A xxx-A + 3KVBB1005 164.136,96 0,00 548

157.005.000.932 Ortho Team WSI - PX Polyaxial Pedicle Screw + WSI - Grub Screw 2260x-xx + 22650-30-02 132.986,88 0,00 444

157.005.000.941 Orthogèse BJR Vis en U poly-axiale + BJR Boulon vis en U ATR430U.xxXxx + ATR480U.00000 79.073,28 0,00 264

157.005.000.957 Orthogèse Vis en U polyaxiale + Ecrou de serrage 12VUP(H)xx.xx + 12VUE01 1.198,08 0,00 4

157.005.000.975 SDI Belgium Vis Multi-axiale LUMIS™ + écrou de blocage MS1- MxxxT + MS1-L100T 43.729,92 0,00 146

157.005.000.993 SDI Belgium Vis Multi-axiale PLUS™ Tit. + CLIP PLUS™ titane + vis de blocage M6 U1 - MxxxT + U1L100T 8.985,60 0,00 30

157.005.001.002 SHARK MEDICAL Vis Adaptable 3K + vis de blocage std 3KVX(X)A xxx-A + 3KVBB1005 36.840,96 1.260,00 123

157.005.001.054 STRYKER P.A. SCREW + BLOCKER 48552xxx + 48551000 3.294,72 0,00 11

157.005.001.063 STRYKER PA SCREW + BLOCKER 4814xxxx + 48130000 27.855,36 0,00 93

157.005.001.097 STRYKER POLY SCREW SET X,5 XIA III + BLOCKER 03801xxx + 03756230 599,04 0,00 2

157.005.001.106 STRYKER POLY SCREW SET X,5 XIA III + BLOCKER 03821xxx + 03756230 4.193,28 0,00 14

157.005.001.142 STRYKER XIA CANN PA SCREW X.5 + BLOCKER 48285xxx + 03756230 59.604,48 0,00 199

157.005.001.151 STRYKER XIA III PED SCR PA X.5 + BLOCKER 48231xxxx + 48230000 182.108,16 0,00 608

157.005.001.167 STRYKER XIA III REDUCT PA SCREW X.5 + BLOCKER 03829xxx + (48230000 / 03756230) 8.985,60 0,00 30

157.005.001.176 STRYKER XIA III TIT PA SCREW BIAISED 48238xxx + (4823000 / 03756230) 599,04 0,00 2

157.005.001.237 Synthes AXON polyaxiale schroef + Afsluitkapje 405.5xx / 04.200.6xx + 406.104 15.575,04 0,00 52

157.005.001.246 Synthes Click'x dual core + Click'x kapje + Click'x afsluitkapje 487.0xx / 498.5xx + 498.570 + 04.606.000 23.063,04 0,00 77

157.005.001.255 Synthes Click'x dual core + Click'x kapje + Click'x afsluitkapje 487.0xx / 498.5xx + 498.570 + 498.571 6.589,44 0,00 22

157.005.001.273 Synthes Click'x TAN + Click'x kapje + Click'x afsluitkapje 498.xxx + 498.570 + 498.571 12.280,32 0,00 41

157.005.001.291 Synthes Click'x TAV + Click'x kapje + Click'x afsluitkapje 498.xxx(V) + 498.570(V) + 498.571(V) 898,56 0,00 3

157.005.001.334 Synthes Geperforeerd Pangea diam 5 + nut 04.648.5xxS + 04.620.000 1.497,60 0,00 5

Page 8: colonne vertebrale - wervelkolom (pdf - 854 kb)

157.005.001.343 Synthes Geperforeerd Pangea diam 6 + nut 04.648.6xxS + 04.620.000 2.995,20 0,00 10

157.005.001.352 Synthes Geperforeerd Pangea diam 7 + nut 04.648.7xxS + 04.620.000 599,04 0,00 2

157.005.001.361 Synthes Pangea + Afsluitkapje 04.620.xxx + 04.620.000 103.933,44 0,00 347

157.005.001.377 Synthes Pangea cannulated + Afsluitkapje 04.624.xxx + 04.620.000 20.067,84 0,00 67

157.005.001.386 Synthes Synapse screw diam 3,5 + nut 04.614.0xx(S) + 04.614.508(S) 43.130,88 0,00 144

157.005.001.395 Synthes Synapse screw diam 4,0 + nut 04.614.1xx(S) + 04.614.508(S) 3.594,24 0,00 12

157.005.001.422 Synthes Universal reduction screw + nut 04.636.xxx + 04.636.001 30.551,04 0,00 102

157.005.001.431 Synthes USS II poly-axiaal schroef + 3D kapje + Moer + huls 04.607.xxx / 04.608.xxxS + 04.607.40x + 04.607.41X + 499.294 325.877,76 0,00 1.088

157.005.001.447 MSH tangoRS screw polyaxial + tangoRS locking screw CS 3060-x-xx + CS 3001 14.077,44 0,00 47

157.005.001.474 Zimmer Nexlink Primary Polyaxial 3.5 mm Screw + Open Connector Closure Top 2112-35xx + 707-01 2.396,16 0,00 8

157.005.001.492 Zimmer Nexlink Primary Smooth Shank 3.5 mm Screw + Open Connector Closure Top 2113-35xx + 707-01 2.096,64 0,00 7

157.005.001.526 Zimmer Optima ZS Poly-axial screw + nut SPAxxxx + SP30x0 5.990,40 0,00 20

157.005.001.544 Zimmer Pathfinder 5.5mm Cannulated Polyaxial Screw + closure top 5.5 ti 1105-x5xx + 2101-2 8.087,04 0,00 27

157.005.001.553 Zimmer Seq poly Screw Assy + Closure Top 3306-x5xx + 3301-1 636.180,48 2.755,62 2.124

157.005.001.571 Cormed Serengeti polyaxial screw + set screw M101.055xx /M101.065xx /M101.075xx + 101.10001 138.078,72 0,00 461

157.005.001.587 Cormed Fixspine polyaxial screw + set screw OSM21xx / OSM22xx + OSM4153 495.705,60 3.594,24 1.655

157.005.001.596 Hospithera Osseoscrew F TI + set screw 53xx5-xx + 22015 106.329,60 0,00 355

157.005.001.605 Zimmer Instinct Java Polyaxial Pedicle screw + blocker 046W0AN2xxxx + 046W0AN00002 6.589,44 0,00 22

157.005.001.614 Synthes Pedicle Screw Matrix 5.5 Polyaxial preassembled + Locking Cap 04.632.xxx(S) + 04.632.050(S) / 04.632.000(S) / 04.632.099(S) 83.865,60 0,00 280

157.005.001.623 Synthes Reduction Screw Matrix 5.5 + Locking cap 04.634.xxx(S) + 04.632.050(S) / 04.632.000(S) / 04.632.099(S) 599,04 0,00 2

157.005.001.632 Synthes Pedicle Screw Matrix 5.5 + Screwhead + Locking Cap 04.639.xxx(S) + 04.632.001(S) / 04.634.002(S) / 04.637.003(S) + 04.632.050(S) / 04.632.000(S) / 04.632.099(S)11.980,80 0,00 40

157.005.001.641 Synthes Pedicle Screw Matrix Polyaxial, preassembled, cannulated + Locking cap 04.606.xxx(S) + 04.632.050(S) / 04.632.000(S) / 04.632.099(S) 54.512,64 0,00 182

157.005.001.675 Synthes Screw Matrix + polyAxial screw body + lock Cap 04.616.xxx(S) + 04.631.500(S) + 04.631.502(S) / 04.631.503(S) 34.145,28 0,00 114

157.005.001.684 Synthes Screw Perforated + polyAxial screw body + Lock Cap (04.637.xxx(S) + 04.631.500(S) + 04.631.502(S) / 04.631.503(S) 13.478,40 0,00 45

157.005.001.711 SHARK MEDICAL Vis polyaxiale Spine Tune ST1xxxT-S 3.893,76 0,00 13

157.005.001.736 LDR MEDICAL Vis pédiculaire Easyspine ES 1xx T 5.990,40 0,00 20

157.005.001.745 LDR MEDICAL Vis polyaxiale Spine Tune ST1xxxT-S 48.821,76 0,00 163

157.005.001.754 LDR MEDICAL Vis de réduction polyaxiale Spine Tune ST2xxxT-S 15.874,56 0,00 53

157.005.001.772 Zimmer Cannulated Polyaxial Screw + Open implant Closure Top 3505-x5xx + 3301-1 88.058,88 0,00 294

157.005.001.781 Medtronic CDH Legacy Peek MAS xxmm + set screw 722xxxx + 722xxxx 100.039,68 0,00 334

157.005.001.797 Medtronic Srew L5.5 Fene + Set screw 7547x5xx + 7570955 / 7540020 41.633,28 0,00 139

157.005.001.806 Johnson & Johnson Medical-Depuy Viper cortical fix fenestrated screw 186727xxx + 179702000 / 186715000 / 186782000 69.189,12 0,00 231

157.005.001.815 Medtronic Solera screw + Solera set screw 4.75 TI NS SXT BRK OFF 548400155xx / 548400165xx / 548400175xx + 5440430 64.396,80 0,00 215

157.005.001.824 SDI Belgium Vis Ulis multi-axiale IS1-M5xxT / IS1-M6xxT / IS1-M7xxT 23.961,60 0,00 80

157.005.001.833 InSpine Belgium Quantum Pedicular Polyaxial Cannulated Screw 51-x75-PA-xx 1.198,08 0,00 4

Page 9: colonne vertebrale - wervelkolom (pdf - 854 kb)

157.006

700114

Code d'identification Fournisseur Nom du produit Modèle Dépenses AMI Supplément patient Nombre de cas

Identificatiecode Leverancier Produktnaam Model Uitgaven ZIV Supplement patiënt Aantal gevallen

157.006.000.794 Medtronic Tenor screw + self breaking nut + connector 806SxxXxxX / 806RxxXxxX + 806ECT/G806ECT + 806PXxxX 2.003,68 0,00 4

700125

Code d'identification Fournisseur Nom du produit Modèle Dépenses AMI Supplément patient Nombre de cas

Identificatiecode Leverancier Produktnaam Model Uitgaven ZIV Supplement patiënt Aantal gevallen

157.006.000.024 B Braun Medical S4C Favored angle screw + set screw +Lateral offset connector +set screw SW141T -> SW160T / SW121T ->SW124T + SW002T/SW003T + SW005T/SW007T/SW009T/SW011T/SW013T/SW019T/SW021T + SW002T/SW003T1.001,84 0,00 2

157.006.000.076 Biomet Altius Polyaxiale schroef + Offset Lateral Connector 1200-2xxx + 1200-260x 1.001,84 0,00 2

157.006.000.094 Biomet Omega LP schroef + Omega LP Multidirectional Coupling 129x-xx / 139x-xx / 125x-xx / SC120x-xx / SFC130x-xx + 1280-1x 4.007,36 0,00 8

157.006.000.146 Cormed Evos screw + connector + breakaway nut 32.xxx(NC) + 036.5xx + 036.013 636.168,40 0,00 1.270

157.006.000.155 Cormed PASS LP Spinal system + nut + connecteur B0221xxxx / B0218xxxx + B02130005 + B0223xxxx 2.221.580,20 1.502,72 4.435

157.006.000.225 Hospithera Alphatec OFF CONNECTOR ASSEMBLY 10mm + Alphatec Polyaxial screw + ZODIAC TI HEXALOBE SET SCREW6200x-xx + 62xxx-xx + 22015 / 63020 2.504,60 0,00 5

157.006.000.347 Johnson & Johnson Medical-Depuy Expedium Offset Fixed Bolt screw + Connector + nut Titanium 1754 22 xxx + 1754 5x xxx + 1754 91 040 41.576,36 0,00 83

157.006.000.356 Johnson & Johnson Medical-Depuy Expedium Offset Fixed Bolt screw + Polyaxial Closed lateral Connector + nut Titanium1754 22 xxx + 1797 98 xxx + 1754 91 040 1.001,84 0,00 2

157.006.000.575 Johnson & Johnson Medical-Depuy Monarch Bolt screw + connector + nut 1770 xx xxx + 1770 50 xxx + 1770 91 045 334.113,64 701,16 667

157.006.000.584 Johnson & Johnson Medical-Depuy Monarch Bolt screw Osteoporosis+ connector + nut 1725 00 xxx + 1770 50 xxx + 1770 91 045 85.156,40 0,00 170

157.006.000.593 Johnson & Johnson Medical-Depuy Mountaineer Polyaxial screw + innie + Mountaineer Lateral Offset Connector 1883 18 xxx + 1883 42 200 + 1883 12 001 3.005,52 0,00 6

157.006.000.627 Johnson & Johnson Medical-Depuy Summit Screw MFA + lateral connector + innie 1746 xx xxx + 1746 29 000 + 1746 42 200 1.001,84 0,00 2

157.006.000.645 Johnson & Johnson Medical-Depuy VSP Isola SS Screw + connector (+ nut) 302xxxxx + 5000xx(X)(X) (+ 203007R ou 20261000) 4.007,36 0,00 8

157.006.000.654 Johnson & Johnson Medical-Depuy VSP Isola Ti Screw + connector (+ nut) '222xxxxx + 5200-xx(X) (+ 22261000 ou 223007R) 37.068,08 0,00 74

157.006.000.715 Medtronic Colorado2 Anterior screw (2x) + Clamp + breakoff nut 8632xxx /8612xxx + 8634100/8614100 + 8634111/8614111 5.510,12 0,00 11

157.006.000.724 Medtronic Colorado2 inox screw + self breaking nut + clip 861xxxx + 8614111+ 8614xxx 47.086,48 0,00 94

157.006.000.733 Medtronic Colorado2 inox screw + self breaking nut + connector 861xxxx + 8614111+ X1970455/X347455 40.073,60 0,00 80

157.006.000.751 Medtronic Colorado2 Ti screw + self breaking nut+ Clip 863xxxx + 8634111 + 8634xxx 723.829,40 0,00 1.445

157.006.000.767 Medtronic Iliac FAS screw + connector + set screw 704xxxx + 7041xxx + 7045855/7049855 2.003,68 0,00 4

157.006.000.785 Medtronic Iliac Ti screw + set screw + connector 7046xxxx + 7049855/5440020 + 7041xxx/5443xxx 2.003,68 0,00 4

157.006.000.794 Medtronic Tenor screw + self breaking nut + connector 806SxxXxxX / 806RxxXxxX + 806ECT/G806ECT + 806PXxxX 989.817,92 0,00 1.976

157.006.000.803 Medtronic TSRH-3D MPA Thrd screw + set screw + connector 837xxx(x) + 8281246 + 837912x 113.207,92 0,00 226

157.006.000.812 Medtronic TSRH-3D Ti screw + set screw + connector 837xxx(x) + 8281246 + 837912x 32.559,80 0,00 65

157.006.000.821 Medtronic TSRH-3Dx Ti screw + set screw + connector 835xxxxx + 8281248 + 83791xx 49.090,16 0,00 98

157.006.000.837 Medtronic TSRH-TC Osteogrip screw + set screw + connector 835xxxxx + 828124x+ 83791xx 304.058,44 0,00 607

157.006.000.846 Medtronic Vertex Lateral Connector + set screw + vertex screw 695xxxx + 69503xx + 695xxxx 3.506,44 0,00 7

157.006.000.925 Orthogèse BJR Ecrou + BJR Connecteur + BJR Vis à dôme ATR480D.00000 + ATR4700.xxX0x/ATR4700.xxX0X + MUN43AD.xxXxx / ATR43AD.xxXxx363.167,00 3.005,52 725

157.006.000.961 SDI Belgium Vis Uni-Thead™ + Connecteur UNI-Thread™ L2-CH5xxT / L2-C6xxT / L2-C7xxT + L2-L9xxT / L2-L1xxT / L2-LSPL1xxT 5.009,20 0,00 10

157.006.000.977 SDI Belgium Vis Uni-Thead™ pour abords LIS + Connecteur UNI-Thread™ L2-CLISxxxT + L2-L9xxT / L2-L1xxT 2.003,68 0,00 4

157.006.000.986 SDI Belgium Vis Uni-Thread™ de réduction de spondylolisthesis + Connecteur UNI-Thread™ L2-SH5xxT / L2-S6xxT / L2-S7xxT + L2-L9xxT / L2-LSPL1xxT / L2-L1xxT 6.011,04 0,00 12

157.006.001.162 Synthes Polyaxial screw + USS II sacro-iliac connector + moer + huls + klem 04.607.2xx + 04.621.1xx + 499.294 + 04.621.190 + 04.621.27x 6.011,04 0,00 12

157.006.001.196 Synthes USS fractuur schanzschroef Ti diam 5 + connector 496.7xx + 498.83x 29.554,28 0,00 59

157.006.001.205 Synthes USS fractuur schanzschroef inox diam 5 + connector 296.6xx + 298.83x 14.025,76 0,00 28

157.006.001.214 Synthes USS fractuur schanzschroef inox diam 6 + connector 296.7xx + 298.83x 3.005,52 0,00 6

157.006.001.232 Synthes USS fractuur schanzschroef Ti diam 6 + connector 496.7xx + 498.83x 146.769,56 0,00 293

157.006.001.241 Synthes USS fractuur schanzschroef Ti diam 7 + connector 496.7xx + 498.83x 17.532,20 0,00 35

157.006.001.266 Synthes USS Ti connector closed + screw USS Ti 499.2xx + 498.xxx 3.506,44 0,00 7

157.006.001.275 Synthes USS Ti connector open + screw USS Ti 499.25x + 498. xxx 26.548,76 0,00 53

157.006.001.354 MSH neon screw, self-tapping, cannulated, Ø 4 mm + neon easy fit + neon connector 15/ 17mm + Inlay for neon connector + Neon hex nutCS 1401-xxT + CS 1409-01T +CS 1409-15T / CS 1409-17T + CS 1411-3T + CS 1411-4T4.439,70 0,00 10

157.006.001.503 Synthes Pedicle Screw Matrix 5.5 Polyaxial preassembled + Locking Cap + connector 04.632.xxx(S) + 04.632.050(S) / 04.632.000(S) / 04.632.099(S) + 04.633.xxx(S) / 04.632.xxx(S)20.537,72 0,00 41

157.006.001.521 Synthes Pedicle Screw Matrix 5.5 + Screwhead + Locking Cap + connector 04.639.xxx(S) + 04.632.001 / 04.634.002 / 04.637.003 + 04.632.050 / 04.632.000 / 04.632.100 + 04.633.xxx(S) / 04.632.xxx(S)2.003,68 0,00 4

157.006.001.591 LDR MEDICAL Vis pédiculaire LP multiaxiale ES 8xx T 500,92 0,00 1

157.008

700162

Code d'identification Fournisseur Nom du produit Modèle Dépenses AMI Supplément patient Nombre de cas

Identificatiecode Leverancier Produktnaam Model Uitgaven ZIV Supplement patiënt Aantal gevallen

157.008.000.082 Medtronic Colorado2 Ti. Ilio-sacrale plaat + Ti. Sacrale schroef (x2) + Ti. Iliac schroef + Ti conn. sacr. en sacro-iliacale plaat 5mm + Ti. Sacral/Ilio Sacral Locking Screw + Ti. Zelfbrekende schroef86382xx + 8632xxx + 86320xx + 8634110 + 8639300 + 8634111 21.482,76 0,00 26

157.008.000.091 Medtronic Colorado2 Ti. Sacrale plaat X + Ti. Sacral screw (x2) + Ti conn. sacr. en sacro-iliacale plaat 5mm + Ti. Sacral/Ilio Sacral Locking Screw + Ti. Zelfbrekende schroef86381xx + 8632xxx + 8634110 + 8639300 + 8634111 9.915,12 0,00 12

157.008.000.107 Medtronic Praxis Ilio-sacrale plaat X + Colorado2 Ti. Sacrale schroef (x2) + Colorado2 Ti. Iliac schroef + Praxis Ti connector + Colorado2 inox Sacral/Ilio Sacral Locking Screw + Colorado2 Ti. Zelfbrekende schroef563xxxx + 8632xxx + 86320xx + 563xxxx + 8619300 + 8634111 35.529,18 0,00 43

157.008.000.116 Medtronic Praxis sacrale modulaire plaat X + Colorado2 Ti. Sacrale schroef + Colorado2 Ti. Iliac schroef + Praxis Iliac extension + Colorado2 inox Sacral/Ilio Sacral Locking Screw + Colorado2 Ti. Zelfbrekende schroef + Praxis connector563xxxx + 8632xxx + 86320xx + 563xxxx + 8619300 + 8634111 + 563xxxx 5.783,82 0,00 7

157.008.000.125 Medtronic Praxis Sacrale plaat X + Colorado2 Ti. Sacrale schroef + Praxis Ti connector + Colorado2 inox Sacral/Ilio Sacral Locking Screw + Colorado2 Ti. Zelfbrekende schroef563xxxx + 8632xxx + 563xxxx + 8619300 + 8634111 25.614,06 0,00 31

157.008.000.134 Orthogèse BJR Ecrou + BJR Connecteur sacré Ø 5,5 + BJR Vis Sacrée + BJR Vis à dôme mono-axialeATR480D.00000 + MUN4700.xxXSX / ATR4700.xxXSX + MUN43SA.xxXxx / ATR43SA.xxXxx + MUN43AD.xxXxx / ATR43AD.xxXxx3.305,04 0,00 4

157.008.000.143 Orthogèse BJR Ecrou + BJR Connecteur sacré Ø 5,5 + BJR Vis Sacrée + BJR Vis à dôme poly-axialeATR480D.00000 + MUN4700.xxXSX / ATR4700.xxXSX + MUN43SA.xxXxx / ATR43SA.xxXxx + MUN43PD.xxXxx / ATR43PD.xxXxx1.652,52 0,00 2

157.008.000.161 Cormed PASS LP sacral plate + sacral screw + cap for sacral plate B022500x0 + B0215xxxx + B02150000 15.698,94 413,12 19

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157.009

700184

Code d'identification Fournisseur Nom du produit Modèle Dépenses AMI Supplément patient Nombre de cas

Identificatiecode Leverancier Produktnaam Model Uitgaven ZIV Supplement patiënt Aantal gevallen

157.009.000.023 B Braun Medical S4C Lamina hooks + set screw SW015T/SW017T/SW025T/SW027T + SW002T/SW003T 1.239,40 0,00 4

157.009.000.032 Biomet Altius Laminaire haak 1200-276x 1.549,25 0,00 5

157.009.000.066 Biomet Polaris 5.5 Hook 2000-55xx 13.323,55 0,00 43

157.009.000.075 Cormed Ascent hook 67.3010/60.3011 619,70 0,00 2

157.009.000.084 Cormed Fixspine hook + set screw SH.XX.0xxx + SH.SS.0001 6.506,85 0,00 21

157.009.000.093 Cormed Solas hook + set screw SSHxxxx-Xx 11.774,30 0,00 38

157.009.000.102 Globus Medical Belgium Ellipse Inline Hook + Ellipse Locking Cap 182.501 / 182.49x + 182.500 11.774,30 0,00 38

157.009.000.111 Globus Medical Belgium Ellipse Inline Hook, Right - Left + Ellipse Locking Cap 182.503 -> 182.504 + 182.500 1.239,40 0,00 4

157.009.000.145 Globus Medical Belgium REVERE™ Hook + REVERE™ Locking cap 124.9xx + 124.000 / 124.89x + 124.000 14.253,10 0,00 46

157.009.000.163 Hospithera Alphatec 6MM CERVICAL HOOK + ZODIAC TI HEXALOBE SET SCREW 63012 + 22015 / 63020 4.337,90 0,00 14

157.009.000.172 Hospithera Alphatec CERVICAL HOOK - 5MM + ZODIAC TI HEXALOBE SET SCREW 63013 + 22015 / 63020 1.549,25 0,00 5

157.009.000.181 Hospithera Alphatec HOOK large, small, laminar, pedicular, offset, left and right + ZODIAC TI HEXALOBE SET SCREW62xxx + 22015 / 63020 44.928,25 0,00 145

157.009.000.312 Johnson & Johnson Medical-Depuy Expedium 4.5mm Hook + innie 1861 5x xxx + 1861 00 001 929,55 0,00 3

157.009.000.337 Johnson & Johnson Medical-Depuy Expedium Hook Ti + innie 1797 52 0xx + 1797 02 000 13.943,25 0,00 45

157.009.000.443 Johnson & Johnson Medical-Depuy Mountaineer Hook + innie 1883 43 00x + 1883 42 200 6.816,70 0,00 22

157.009.000.452 Johnson & Johnson Medical-Depuy Summit Hook + innie 1746 43 00x + 1746 42 200 309,85 0,00 1

157.009.000.461 Johnson & Johnson Medical-Depuy VSP Isola Hook SS (+ nut) 5000xx(x)(X) / 5003xx(x)(X)(X) (+ 5000 05 SS) 7.044,90 0,00 23

157.009.000.504 Medtronic CD Horizon Ti. hook X + CD Horizon Ti. Blocage voor Open Implantaten 841xx(X)HT + 89104EHT 619,70 0,00 2

157.009.000.513 Medtronic Colorado2 Inox Laminar thoracic hook + Colorado2 BREAK OFF NUT 8611402 + 8614111 5.267,45 0,00 17

157.009.000.522 Medtronic Colorado2 Ti. Laminar hook closed 8631402 1.859,10 0,00 6

157.009.000.547 Medtronic Legacy ss Hook + break off screw 73411xx + 7340000 619,70 0,00 2

157.009.000.565 Medtronic Legacy ss Hook + set screw breaf off 7561xxx+ 7560000 / 7560020 / 75601xx/75602x0 8.056,10 0,00 26

157.009.000.583 Medtronic Legacy Ti Hook + break off screw 74411xx + 7440020 619,70 0,00 2

157.009.000.601 Medtronic Legacy Ti Hook + break off screw 75411xx + 7540000 / 7540020 71.575,35 0,00 231

157.009.000.635 Medtronic Legacy Ti Hook + set screw breaf off X43501xx + 7440030 4.957,60 0,00 16

157.009.000.653 Medtronic SOLERA HOOK + SET SCREW BREAK OFF 54411xx + 5440020 / 5440030 9.605,35 0,00 31

157.009.000.662 Medtronic Vertex Hook + set screw 695xxxxX+69503xx 20.759,95 0,00 67

157.009.000.671 Medtronic Vertex Hook + Vertex Set Screw for laminar hook and M.A.S. screws 690xxxx + 6903070 / 6950315 18.281,15 0,00 59

157.009.000.802 Ortho Team WSI - Lamina & Pedicle Hook + WSI- Grub screw 22601-xx + 22650-30-02 1.859,10 0,00 6

157.009.000.836 SDI Belgium total crochet PLUS™ + clip U1-Hx0x / U1-H30(L/R) / U1-H31(R/L) /U1H20(L/R)+ U1L100 3.718,20 0,00 12

157.009.000.845 SDI Belgium total crochet PLUS™ Titane + clip U1-H20R/L(T) / U1-Hx0xT / U1-H30(L/R)T / U1-H31RT/LT + U1L100T 21.379,65 0,00 69

157.009.000.985 STRYKER HOOK + BLOCKER 038202xx + 03756230 3.718,20 0,00 12

157.009.000.994 STRYKER HOOK + BLOCKER 481302xx + 48130000 309,85 0,00 1

157.009.001.003 STRYKER HOOK STANDARD / OFFSET + BLOCKER 485510xx + 48551000 1.238,08 0,00 4

157.009.001.055 STRYKER XIA III HOOK 482302xx + 48230000 619,70 0,00 2

157.009.001.073 Synthes Cervifix lam haak 498.94x 1.093,92 0,00 4

157.009.001.134 Synthes USS lam haak Ti 498.31x 2.788,65 0,00 9

157.009.001.143 Synthes USS lam haak Ti 498.3xx 5.225,80 0,00 17

157.009.001.161 Synthes USS LP lam haak + USS LP huls + USS LP moer 499.8xx + 499.888 + 499.887 20.450,10 0,00 66

157.009.001.177 Synthes USS LP ped haak + USS LP huls + USS LP moer 499.88x + 499.888 + 499.887 17.971,30 0,00 58

157.009.001.204 Synthes USS ped haak Ti 498.350 1.549,25 0,00 5

157.009.001.213 Synthes USS ped haak Ti 498.35x 1.549,25 0,00 5

157.009.001.222 Synthes USS ped lam haak 498.3xx 6.148,00 0,00 20

157.009.001.231 Zimmer Java hook + bloker SN2030-0-500xx + SN2023-0-00002 4.957,60 0,00 16

157.009.001.247 Zimmer Nexlink hook + open connector closure top 2111-xx + 707-01 7.126,55 0,00 23

157.009.001.265 MSH Neon hook + Neon locking screw CS 1418-0x + CS 1419 1.239,40 0,00 4

157.010

700206

Code d'identification Fournisseur Nom du produit Modèle Dépenses AMI Supplément patient Nombre de cas

Identificatiecode Leverancier Produktnaam Model Uitgaven ZIV Supplement patiënt Aantal gevallen

157.010.000.016 Johnson & Johnson Medical-Depuy Mountaineer Hook + Innie + Lateral offset connector 1883 43 00x + 1883 42 200 + 1883 12 001 4.524,40 0,00 8

157.010.000.025 Medtronic Colorado2 Inox Laminar hook X + Break Off Nut + Colorado2 Inox Clip 8611xxx + 8614111 + 8614xxx 35.632,50 0,00 50

157.010.000.034 Medtronic Colorado2 Inox pedicular hook +Colorado2 Inox Clip + nut 86111xx / 86112xx + 8614xxx + 8614111 24.942,75 0,00 35

157.010.000.043 Medtronic Colorado2 Ti hook + Colorado2 Ti. Clip + nut 86311xx / 86381xx/86312xx + 8634xxx + 8634111 43.471,65 0,00 61

157.010.000.061 Medtronic Colorado2 Ti. Laminar hook X + Colorado2 Ti. Break Off Nut + Colorado2 Ti. Clip8638xxx + 8634111 + 8634xxx 20.666,85 0,00 29

157.010.000.077 Orthogèse BJR Ecrou + BJR Connecteur universel et long Ø 5,5 + BJR Crochet à dôme ATR480D.00000 + ATR4700.xxX0x/ATR4700.xxX0X + MUN44XD.xxxxx / ATR44XD.xxxxx115.449,30 2.137,95 162

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157.011

700221

Code d'identification Fournisseur Nom du produit Modèle Dépenses AMI Supplément patient Nombre de cas

Identificatiecode Leverancier Produktnaam Model Uitgaven ZIV Supplement patiënt Aantal gevallen

157.011.000.011 Zimmer Universal Clamp Stainless Steel SN2027-0-300xx 27.266,58 0,00 66

157.011.000.027 Zimmer Universal Clamp Ti SN2027-0-200xx 311.913,15 0,00 755

157.012

700243

Code d'identification Fournisseur Nom du produit Modèle Dépenses AMI Supplément patient Nombre de cas

Identificatiecode Leverancier Produktnaam Model Uitgaven ZIV Supplement patiënt Aantal gevallen

157.012.000.013 Medtronic Praxis laminaire hook + Praxis conicle break-off plug + Praxis Short Rod plate + Colorado2 Ti. Clip + Colorado2 Ti. Break Off Nut + Praxis Laminar Clow hook + Praxis set srew5636xxx + 5636205 + 56362xx + 8634xxx + 8634111 + 56364xx + 563xxxx 34.857,90 0,00 45

157.012.000.022 Medtronic Praxis pedicular hook + Praxis conicle break-off plug + Praxis Short Rod plate + Colorado2 Ti. Clip + Colorado2 Ti. Break Off Nut + Praxis Laminar Clow hook + Praxis set srew563620x + 5636205 + 56362xx + 8634xxx + 8634111 + 56364xx + 563xxxx 27.111,70 0,00 35

157.012.000.031 Orthogèse BJR Ecrou + BJR Connecteur universel et long Ø 5,5 + BJR Contre crochet + BJR Crochet pince à dômeATR480D.00000 + ATR4700.xxX0x/ATR4700.xxX0X + MUN44CX.xxxxx / ATR44CX.xxxxx + MUN44XD.xxxxx / ATR44XD.xxxxx774,62 0,00 1

157.012.000.047 Cormed PASS LP hook for claw + counterhook + connector B02241xxx + (B02242xxx / B02245xxx) + B022360xx 19.365,50 0,00 25

157.013

700265

Code d'identification Fournisseur Nom du produit Modèle Dépenses AMI Supplément patient Nombre de cas

Identificatiecode Leverancier Produktnaam Model Uitgaven ZIV Supplement patiënt Aantal gevallen

157.013.000.033 Zimmer Connection Hook Ti + blocker + small blocker + polyaxial Rod + blocker + hook 049E0AN200xx + 049E0AN 20001 + 049E0AN20002 + 049E0AN 20100 + SN2030-0-500xx + SN2023 -0-0000218.570,24 0,00 31

157.014

700276

Code d'identification Fournisseur Nom du produit Modèle Dépenses AMI Supplément patient Nombre de cas

Identificatiecode Leverancier Produktnaam Model Uitgaven ZIV Supplement patiënt Aantal gevallen

157.014.000.245 Cormed Odalys système transverse + vis de blocage ODLTDxx + ODLS 330,50 0,00 1

157.014.000.412 InSpine Belgium cross link 10-x0x0-VXL 330,50 0,00 1

157.014.000.823 Medtronic Tenor D.L.T. L40mm 806LT55L40T / G806LT55L40T 287,28 0,00 1

700280

Code d'identification Fournisseur Nom du produit Modèle Dépenses AMI Supplément patient Nombre de cas

Identificatiecode Leverancier Produktnaam Model Uitgaven ZIV Supplement patiënt Aantal gevallen

157.014.000.017 B Braun Medical S4 Spinal system adjustable cross connector SW48xT / SW494T -> SW498T 2.974,50 0,00 9

157.014.000.132 B Braun Medical S4C Cross connectors variable SW115T -> SW117T 1.652,50 0,00 5

157.014.000.175 Biomet Array Cross Connector 946xx / 6x5x 1.652,50 0,00 5

157.014.000.184 Biomet Array Fixed Cross Connector 944xx / 14-50013x 881,07 0,00 3

157.014.000.202 Cormed Ascent transverse cross connector 65.53xx 661,00 0,00 2

157.014.000.211 Cormed Dyflex transverse Connector XDxxxx 330,50 0,00 1

157.014.000.245 Cormed Odalys système transverse + vis de blocage ODLTDxx + ODLS 330,50 0,00 1

157.014.000.254 Cormed PASS LP Crosslink B0226xxxx 93.862,00 247,86 284

157.014.000.272 Cormed Slick's transverse Connector S11/TC.xxxx(x) 135.835,50 661,00 411

157.014.000.281 Cormed Solas STCxxxx(x) 22.474,00 0,00 68

157.014.000.315 Globus Medical Belgium Cross Connector 131.1xx 991,50 0,00 3

157.014.000.333 Globus Medical Belgium Ellipse Top-Loading T-Connector for 3,5mm Rod 182.92x 1.652,50 0,00 5

157.014.000.342 Globus Medical Belgium REVERE™ Adjustable T Connector 124.91x 69.405,00 826,20 210

157.014.000.367 Hospithera Alphatec SOLANAS - TI 3.3MM ADJUSTABLE BRIDGE 63003-xx 2.313,50 0,00 7

157.014.000.376 Hospithera Alphatec TI 5.5MM ADJUSTABLE BRIDGE 11-20xx 26.770,50 0,00 81

157.014.000.412 InSpine Belgium cross link 10-x0x0-VXL 42.965,00 0,00 130

157.014.000.455 Johnson & Johnson Medical-Depuy Cross connector SFX 4.5 + set screw 1894 07 xxx + 1894 07 000 661,00 0,00 2

157.014.000.464 Johnson & Johnson Medical-Depuy Cross connector SFX 5.5 & 6.35 + set screw TI 1894 xx xxx + 1894 07 000 13.881,00 0,00 42

157.014.000.473 Johnson & Johnson Medical-Depuy Crossover 1740xxxxx 2.644,00 0,00 8

157.014.000.482 Johnson & Johnson Medical-Depuy Expedium Anterior crossconnector 1877 04 0xx 6.940,50 0,00 21

157.014.000.543 Johnson & Johnson Medical-Depuy J-Hook transverse connector Ti (1 plaque + 2 crochets + 2 vis + 2 écrous) 22305xx + 2230xxx + 2230-1000 + 223005SS 17.516,50 0,00 53

157.014.000.613 Johnson & Johnson Medical-Depuy Moss Miami Ti Transverse Connector 1755 65 000 4.594,50 0,00 18

157.014.000.622 Johnson & Johnson Medical-Depuy Mountaineer Head to Head Cross-Connector + Mountaineer Head to Head Cross-Connector Inner Screw (2x)+ Mountaineer Head to Head Cross-Connector Outer Nut (2x)1883 41 0xx + 1883 41 200 + 1883 41 100 1.650,00 0,00 5

157.014.000.631 Johnson & Johnson Medical-Depuy Mountaineer J Hook (2x) + Mountaineer Rod 1883 12 003 + 1883 16 xxx 1.322,00 0,00 4

157.014.000.683 MEDIANN ORIA CLARIS Tige transverse + connecteurs (x2) 2T40-BTxx + 2T20-DTxx 1.653,60 0,00 6

157.014.000.692 MEDIANN Tige transverse + connecteurs (x2) 2T40-BTxx + 2T20-DTxx 1.102,40 0,00 4

Page 12: colonne vertebrale - wervelkolom (pdf - 854 kb)

157.014.000.717 Medtronic CD HORIZON FULL SET OF DTT NRX 94107XX 3.966,00 0,00 12

157.014.000.735 Medtronic CD Horizon Ti. Full Set Of DTT NRX 84107XET 2.644,00 0,00 8

157.014.000.762 Medtronic D-X Low Profile Xlink Offset Ti. L-X 811-xxx 106.751,50 0,00 323

157.014.000.771 Medtronic D-x Low Profile Xlink, L-X 810-xxx 4.296,50 0,00 13

157.014.000.796 Medtronic Legacy Anterior Crosslink 81107xx 4.957,50 0,00 15

157.014.000.805 Medtronic Legacy Mini Ti Crosslink 8113xxxINT / 8113xxx 14.211,50 0,00 43

157.014.000.814 Medtronic SOLERA CROSSLINK 4.75 TI + nut 5442xxx + 8110855 23.135,00 82,62 70

157.014.000.823 Medtronic Tenor D.L.T. L40mm 806LT55L40T / G806LT55L40T 12.353,00 0,00 43

157.014.000.832 Medtronic Tenor D.L.T. L60mm 806LT55L60T 76.474,42 0,00 242

157.014.000.841 Medtronic Tenor D.L.T. L80-100mm 806LT55L80T/806LT55L100T 78.659,00 0,00 238

157.014.000.857 Medtronic Vertex Cross Link Bar + clip 6902530 + 6902525 3.118,50 0,00 11

157.014.000.866 Medtronic Vertex MAX Crosslink Adj Crosslink X 700252x 4.957,50 0,00 15

157.014.000.884 Medtronic X10 Crosslink for 4.5 Rod 8114xxx/8114xxxM 330,50 0,00 1

157.014.000.927 Medtronic X10 Inox L.P. Crosslink 5.5mm L-X + X10 Inox L.P. Break Off Screw, 12-32 81055xx + 8100855 2.974,50 0,00 9

157.014.000.936 Medtronic X10 Ti. L.P. Crosslink 5.5mm L-X + X10 Ti. Break Off Screw 12-32 81155xx/G81155xx + 8110855/G8110855 17.516,50 0,00 53

157.014.000.945 NEW2DM Barre Transversale Lisse 3K + 2 Crochets pour Barre Transversale 3K + 2 vis de blocage longue3KBTC(X)25xxx + 3KBC560-A + 3KBCV601 37.016,00 0,00 112

157.014.000.963 Ortho Team WSI - Connecting Rod 3 mm + WSI - Set Cross Connector 3 mm 22630-40 + 22601-43-00 14.211,50 0,00 43

157.014.000.972 Ortho Team WSI - Connecting Rod 4 mm + WSI - Set Cross Connector 4 mm 22601-42-02 + 22601-42-00 991,50 0,00 3

157.014.000.997 Orthogèse BJR Tige avec machoire + BJR Machoire TNF4603.xxxxx + TNF4603.55000 330,50 0,00 1

157.014.001.042 SDI Belgium (Connecteur Transverse Multi-Axial Ti (MATC) + vis de blocage M6) (2x) + Barre transversale pour MATC TiL2-T610T + L2-T6xxT 13.220,00 0,00 40

157.014.001.051 SDI Belgium (Connecteur Transverse Multi-Axial Ti (MATC) + vis de blocage M6) + (Connecteur Fixe Transverse Ti (FTC) + vis de blocage M6) + Barre mixte MATC / FTC TiL2-T610T + L2-T613T + L2-T614T 1.322,00 0,00 4

157.014.001.067 SHARK MEDICAL Barre Transversale Lisse 3K + 2 Crochets pour Barre Transversale 3K + 2 vis de blocage longue3KBTC(X)25xxx + 3KBC560-A + 3KBCV601 330,50 0,00 1

157.014.001.094 STRYKER CROSSLINK XXmm 038210xx 1.641,40 0,00 5

157.014.001.103 STRYKER MAC CONNECTOR XXmm 41070xx 3.613,06 0,00 11

157.014.001.137 STRYKER TRANS CONN OASYS + set screw 4855107x + 48551005 906,30 0,00 3

157.014.001.164 STRYKER XIA III CROSSLINK 482360xx 6.897,66 0,00 21

157.014.001.173 STRYKER XIa4.5 STR.ILIAC CONNECT 4813510x 1.977,96 0,00 6

157.014.001.182 STRYKER XXmm CROSS CONNECTOR 481330xx 329,66 0,00 1

157.014.001.216 Synthes cross-link klem Ti 2stuks + crosslink staaf 498.813 + 496.9xx 31.728,00 0,00 96

157.014.001.225 Synthes dwarsverbinding pangea 497.7xx / 04.620.20x 27.101,00 0,00 82

157.014.001.234 Synthes SYNAPSE dwarsverbinding 04.614.51x(S) 1.983,00 0,00 6

157.014.001.243 Synthes transversale connector korter dan 24 mm 497.87x 1.652,50 0,00 5

157.014.001.252 Synthes transversale connector langer dan 24mm 497.87x 330,50 0,00 1

157.014.001.277 MSH TangoRS X-plate for crosslink + TangoRS Nut for crosslink (2x) + TangoRS Locking plate for crosslink (2x) + TangoRShook for crosslink (2x)CS 2809-1T/CS 2809-2T / CS 3005-2/ CS 3005-3 + CS 2809-4T + CS 2809-5T + CS 3005-11.652,50 0,00 5

157.014.001.286 MSH X-plate for neon crosslink + Locking plate for neon crosslink (2x) + Hook for neon crosslink (2x) + Hex nut for neon easy fit, golden (2x)CS 1415-1T/ CS 1415-2T+ CS 1415-3T + CS 1415-5T + CS 1411-4T 330,50 0,00 1

157.014.001.295 Zimmer Java connecteur transverse SN2023-0-xx055 583,00 0,00 2

157.014.001.304 Zimmer Nexlink variable crosslink 4.0 mm 721-xx 1.652,50 0,00 5

157.014.001.313 Zimmer Optima transverse connector SGA24x0 1.652,50 0,00 5

157.014.001.322 Zimmer Sequoia Transverse Connector 3308-35/3309-40/3310-50 33.380,50 0,00 101

157.014.001.356 Cormed Fixspine transverse cross connector OSM620x 7.271,00 0,00 22

157.014.001.374 Synthes Snap-On Transverse Connector 04.633.3xx(S) 4.627,00 0,00 14

157.014.001.435 LDR MEDICAL Connexion transversale Spine Tune ST101xT-S 2.313,50 0,00 7

157.014.001.444 Cormed PASS LP anterior transverse connector B03135510 661,00 0,00 2

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157.015

700302

Code d'identification Fournisseur Nom du produit Modèle Dépenses AMI Supplément patient Nombre de cas

Identificatiecode Leverancier Produktnaam Model Uitgaven ZIV Supplement patiënt Aantal gevallen

157.015.000.073 Cormed Solas Domino connector SSH00xx 454,44 0,00 2

157.015.000.091 Globus Medical Belgium Parallel Connector/ Rod to Rod Clamp / Offset Connector / In-line Connector 124. 9xx / 115.9xx 2.272,20 0,00 10

157.015.000.125 Hospithera Alphatec Ø3.3MM - Ø5.5MM AXIAL ROD CONNECTOR 630xx 908,88 0,00 4

157.015.000.204 Johnson & Johnson Medical-Depuy Monarch Connector 1770 92 0xx 5.680,50 0,00 25

157.015.000.222 Johnson & Johnson Medical-Depuy Summit Dual Connector 1746 66 0xx / 1746 67 0xx 454,44 0,00 2

157.015.000.283 Medtronic Colorado2 Inox domino X 86154xx 681,66 0,00 3

157.015.000.292 Medtronic Colorado2 Ti. clamp 5.5x5.5 86354xx 2.726,64 0,00 12

157.015.000.317 Medtronic CONNECTOR CDH DOMINO 845xxXX 681,66 0,00 3

157.015.000.326 Medtronic CONNECTOR DOMINO DIA xx xx 965xxXX 908,88 0,00 4

157.015.000.362 Medtronic CONNECTOR ROD CONN 3.2 TO 4.5 TI 6902220 227,22 0,00 1

157.015.000.414 Medtronic IN LINE CONNECTOR L=XX(X) TI Y84403Hxx(x)T / Y84404Hxx(x)T 908,88 0,00 4

157.015.000.423 Medtronic LEG CONN-INLINE-TI-5.5-XX(X)MM X84405Hxx(x)T 454,44 0,00 2

157.015.000.475 Orthogèse BJR Cylindre de connexion tige Ø 5,5 et Ø 7 ATR4700.000xx 227,22 0,00 1

157.015.000.484 Orthogèse BJR Domino de connexion tige Ø 5,5 et Ø 7 ATR4703.000xx 227,22 0,00 1

157.015.000.511 SDI Belgium Connecteur axial pour tiges 6 mm Ti U1-L302T 227,22 0,00 1

157.015.000.536 SDI Belgium Connecteur double pour tiges 6 mm Ti U1-L301T 227,22 0,00 1

157.015.000.554 SDI Belgium Petit connecteur double ouvert pour tiges 6 mm X2 (lot) Ti U1-L310T 227,22 0,00 1

157.015.000.563 SDI Belgium Petit connecteur double pour tiges 6 mm x 2 (lot) U1-L303T 1.817,76 0,00 8

157.015.000.615 STRYKER ATLRODTORODCLAMPPARALLEL 03805001 908,88 0,00 4

157.015.000.721 STRYKER XIA4.5: EXT.CONNECTOR + BLOCKERS (2x) 48135103 / 48135104 + 48130000 908,88 0,00 4

157.015.000.746 Synthes Parallel connector 498.935 / 498.960 454,44 0,00 2

157.015.000.755 Synthes Parallel connector 498.959 / 498.1xx 1.363,32 0,00 6

157.015.000.791 Zimmer Butterfly/domino connector Optima + Set Screw Connector M7X1.0 SH00x0 + SH0060 689,52 0,00 8

157.015.000.825 Zimmer Nexlink 4.0mm In line rod connector 726-40xx 300,00 0,00 2

157.015.000.843 Cormed PASS LP domino connector MS025 / MS026 1.363,32 0,00 6

157.015.000.895 Johnson & Johnson Medical-Depuy Top Notch Connector Ti/SS + set screw 179x71555 / 179x71655 + 179x02000, 18xx71555 / 18xx71655 + 188102000 / 1896020001.363,32 0,00 6

157.015.000.983 Medtronic Connector TI SDLD + set screw TI standard (x2) 77814xxx5 / 77914xxx5 + 779170005 908,88 0,00 4

157.015.001.017 Medtronic Connector SS AXL CL + set screw SS standard + set screw break off 77821xxx5 + 778270001 + 7x60020 227,22 0,00 1

157.015.001.026 Medtronic Connector lat conn TI + set screw Ti standard 7042xx0 + 779170005 454,44 0,00 2

157.016

700324

Code d'identification Fournisseur Nom du produit Modèle Dépenses AMI Supplément patient Nombre de cas

Identificatiecode Leverancier Produktnaam Model Uitgaven ZIV Supplement patiënt Aantal gevallen

157.016.000.041 Orthogèse Crochet isthmique (x2) + BJR Ecrou (x2) + BJR Connecteur universel et long Ø 5,5 (x2) + BJR Vis à dôme mono-axiale (x2)LYS4403.ISx55 + ATR480D.00000 + ATR4700.xxX0x/ATR4700.xxX0X + MUN43AD.xxXxx / ATR43AD.xxXxx16.525,28 0,00 16

157.016.000.057 Orthogèse Crochet isthmique (x2) + BJR Ecrou (x2) + BJR Connecteur universel et long Ø 5,5 (x2) + BJR Vis à dôme poly-axiale (x2)LYS4403.ISx55 + ATR480D.00000 + ATR4700.xxX0x/ATR4700.xxX0X + MUN43PD.xxXxx / ATR43PD.xxXxx12.393,96 0,00 12

157.016.000.084 Orthogèse Crochet isthmique (x2) + BJR Ecrou (x2) + BJR Vis en U polyaxiale (x2) LYS4403.ISx55 + ATR480U.00000 + ATR430U.xxxxx 2.065,66 0,00 2

157.016.000.093 Johnson & Johnson Medical Cannulated, non-coated facet screw (2x) 1757105xx / 1757106xx 4.131,32 0,00 4

157.017

700346

Code d'identification Fournisseur Nom du produit Modèle Dépenses AMI Supplément patient Nombre de cas

Identificatiecode Leverancier Produktnaam Model Uitgaven ZIV Supplement patiënt Aantal gevallen

157.017.000.034 Cormed Evos posterior plate 42.xxx 80.590,54 0,00 289

157.017.000.043 Cormed PASS LP Plaat B022700xx 37.924,96 0,00 136

157.017.000.086 Johnson & Johnson Medical-Depuy Expedium Offset Nested Plate Titanium 1754 65 xxx 51.031,38 0,00 183

157.017.000.113 Johnson & Johnson Medical-Depuy Monarch Nest Plate 1770 65 0xx 3.346,32 0,00 12

157.017.000.122 Johnson & Johnson Medical-Depuy Monarch Plate 1770 60 0xx 46.569,62 0,00 167

157.017.000.131 Johnson & Johnson Medical-Depuy Monarch Thin Plate 1725 00 10x 2.230,88 0,00 8

157.017.000.147 Johnson & Johnson Medical-Depuy VSP Plate SS 2025xx(x) / 2025xxX / 2025xX(X) 557,72 0,00 2

157.017.000.156 Johnson & Johnson Medical-Depuy VSP Plate Ti 2225 x(x)A 13.943,00 0,00 50

157.017.000.165 Medtronic Centerpiece Plate 853xxxXX / 853-xxx / 8530000 34.857,50 0,00 125

157.017.000.174 Medtronic Holyplate XXmm XA600909-xx 29.838,02 0,00 107

157.017.000.183 Medtronic X'NGAGE PLATE PRE BENT XX MM X2820xxx 3.346,32 0,00 12

157.017.000.305 Johnson & Johnson Medical-Depuy Mountaineer Inline sidebyside plate 18837030x / 18837031x 1.115,44 0,00 4

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157.018

700361

Code d'identification Fournisseur Nom du produit Modèle Dépenses AMI Supplément patient Nombre de cas

Identificatiecode Leverancier Produktnaam Model Uitgaven ZIV Supplement patiënt Aantal gevallen

157.018.000.081 Cormed Evos screw 32.xxx(NC) + 036.013 153.599,16 0,00 572

157.018.000.124 Johnson & Johnson Medical-Depuy Expedium Offset Reduction Fixed Bolt + nut SS 1754 62 xxx + 1754 91 xxx 7.787,37 0,00 29

157.018.000.176 Johnson & Johnson Medical-Depuy Expedium Offset Fixed Bolt + nut Titanium 1754 22 xxx + 1754 91 xxx 95.059,62 0,00 354

157.018.000.203 Johnson & Johnson Medical-Depuy Monarch Bolt screw + nut 1770 xx xxx + 1770 91 045 86.735,19 27,43 323

157.018.000.212 Johnson & Johnson Medical-Depuy Monarch Osteoporosis Bolt Screw + nut 1725 00 xxx +1770 91 045 20.408,28 0,00 76

157.018.000.221 Johnson & Johnson Medical-Depuy VSP Isola Screw SS(+ nut) 302xxxxx (+ 20261000 / 203007R) 537,06 0,00 2

157.018.000.237 Johnson & Johnson Medical-Depuy VSP Isola Screw Ti (+ nut) 222xxxxx (+ 22261000 / 223007R) 18.528,57 0,00 69

157.018.000.246 Medtronic Centerpiece Bone Screw 853-4xx / 853-5xx 106.337,88 0,00 396

157.018.000.255 Medtronic Holyplate screw + self breaking screw 8630xxx + XA600909/XA606509 56.928,36 0,00 212

157.018.000.264 Medtronic X'ngage Short/Long Post Bolt xxmm + Multi axial nut Ti 9942xxx / 9941xxx + 99453105 5.370,60 0,00 20

157.018.000.316 STRYKER PLATE SCREW 48554xxx 1.590,00 0,00 10

157.018.000.334 Cormed PASS LP screw for plate B0221XXXX / B0218XXXX 66.863,97 0,00 249

157.018.000.343 Johnson & Johnson Medical-Depuy Mountaineer screw 1883700xx / 1883701xx 4.027,95 0,00 15

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157.019

700372

Code d'identification Fournisseur Nom du produit Modèle Dépenses AMI Supplément patient Nombre de cas

Identificatiecode Leverancier Produktnaam Model Uitgaven ZIV Supplement patiënt Aantal gevallen

157.019.000.783 Zimmer Trinica Select 1 level 07.00340.xxx 340,83 0,00 1

157.019.000.801 Cormed Spider cervical plate N60000100 -> N60000113 681,66 0,00 2

700383

Code d'identification Fournisseur Nom du produit Modèle Dépenses AMI Supplément patient Nombre de cas

Identificatiecode Leverancier Produktnaam Model Uitgaven ZIV Supplement patiënt Aantal gevallen

157.019.000.013 B Braun Medical ABC 2 one or two levels FJ748T -> FJ765T 681,66 0,00 2

157.019.000.031 B Braun Medical Caspar FG420T -> FG450T 1.704,15 0,00 5

157.019.000.065 Biomet VueLock Plate 1 Level 831xx 3.408,46 0,00 11

157.019.000.074 Biomet VueLock Plate 2 Level 832xx 1.859,16 0,00 6

157.019.000.083 Cormed C-tek cervical plate 1 - 2 level 1100.xxxx 84.185,01 0,00 247

157.019.000.092 Cormed Liberty cervical plate (1-2 level) S9/PC0xxx 1.704,15 0,00 5

157.019.000.117 Cormed OSD Cervical plate (1-2 level) PCEV.00xx 8.179,92 0,00 24

157.019.000.126 Cormed SAS 3 cervical plate (1-2 level) S3i/PCxx 2.385,81 0,00 7

157.019.000.135 Cormed Sonoma cervical plate 1 - 2 level 20.xxxx 24.880,59 511,20 73

157.019.000.144 Globus Medical Belgium Assure-T Anterior Cervical Plate, 1-Level, 12mm - 26mm 117.1xx 3.749,13 0,00 11

157.019.000.162 Globus Medical Belgium ASSURE™ Cervical Plate 1-Level, 10mm-26mm 110.1xx 1.022,49 0,00 3

157.019.000.171 Globus Medical Belgium ASSURE™ Cervical Plate 2-Level, 24mm-46mm 110.2xx 3.749,13 0,00 11

157.019.000.187 Globus Medical Belgium Providence Cervical Plate 1-Level, 10mm - 26mm 150.1xx 18.063,99 255,60 53

157.019.000.196 Globus Medical Belgium Providence Cervical Plate 2-Level, 24mm - 46mm 150.2xx 10.224,90 170,40 30

157.019.000.205 Globus Medical Belgium VIP Anterior Cervical Plate 1-Level, 13mm - 19mm 171.1xx 18.745,65 0,00 55

157.019.000.214 Globus Medical Belgium VIP Cervical Plate 1-Level, 26mm - 46mm 171.2xx 14.655,69 340,83 43

157.019.000.223 Hospithera Alphatec Trestle plate 61001-xx / 61002-xx 71.574,30 0,00 210

157.019.000.266 InSpine Belgium Plaat cervicaal Morpho XX(.5) PCM0xx 23.858,10 0,00 70

157.019.000.327 Johnson & Johnson Medical-Depuy Skyline Plate 1868 01 0xx 11.560,00 0,00 34

157.019.000.336 Johnson & Johnson Medical-Depuy Skyline Plate 1868 02 0xx 13.259,98 0,00 39

157.019.000.345 Johnson & Johnson Medical-Depuy Slimloc Plate 1 level 1796 01 0xx 2.478,88 0,00 8

157.019.000.354 Johnson & Johnson Medical-Depuy SlimlocPlate 2 level 1796 02 0xx 2.726,64 0,00 8

157.019.000.363 Johnson & Johnson Medical-Depuy Swift+ plate 1 level 1836 01 0xx 340,83 0,00 1

157.019.000.381 Johnson & Johnson Medical-Depuy Uniplate 2 Anterior Cervical Plate system 189721xxx, 189722xxx 35.787,15 85,20 105

157.019.000.397 Johnson & Johnson Medical-Depuy Uniplate Plate 1 level 1897 01 0xx 16.422,58 0,00 53

157.019.000.406 Johnson & Johnson Medical-Depuy Uniplate Plate 2 level 1897 02 0xx 14.655,69 85,20 43

157.019.000.424 Medtronic Altantis Vision cervical plate xxmm 976-1xx 1.704,15 0,00 5

157.019.000.433 Medtronic Atlantis cervicale plaat XXmm 876-1xx / 876-2xx 63.053,55 0,00 185

157.019.000.442 Medtronic Premier Anterior Cervical plate XXmm 6860123 -> 6860145 3.749,13 0,00 11

157.019.000.451 Medtronic VENTURE ANT CER PLATE ASS'Y XX MM TRANS 9790019 -> 9790045 / 9791030 126.447,93 68,16 371

157.019.000.467 Medtronic Zephir Cervicale plaat XXX mm 8799xxx 56.236,95 0,00 165

157.019.000.476 NEW2DM Plaque Cervicale Morpho PCM0xx 17.382,33 0,00 51

157.019.000.485 Ortho Team FENICIA - Plaque cervicale + vis de blocage FPC0xx + VBF430 25.221,42 0,00 74

157.019.000.503 Orthogèse BJR Cervical plate 2 levels BJL42x2.02Xxx 681,66 0,00 2

157.019.000.512 OSTEON CERVICAL PLATE CP 1Lxx / CP2Lxx / CP 3Lxx 42.603,74 0,00 125

157.019.000.546 SDI Belgium Plaque cervicale antérieure C3™ deux niveaux Long. xx,x mm avec SLS + 2 vis de blocageC1P20xxx / C1P20xxxN1 5.112,44 0,00 15

157.019.000.555 SDI Belgium Plaque cervicale antérieure C3™ un niveau Long. xx,x mm avec SLS + 2 vis de blocageC1P10xxx / C1P10xxxN1 4.089,96 0,00 12

157.019.000.573 STRYKER 1 LEVEL ACP SIZE YYMM 486511xx 4.430,79 0,00 13

157.019.000.582 STRYKER 2 LEVEL ACP SIZE YYMM 486512xx 5.794,11 0,00 17

157.019.000.607 STRYKER ONE LEVEL ZP ACP XXMM 48660xxx 2.726,64 0,00 8

157.019.000.625 Synthes CSLP 487.xxx 10.565,73 0,00 31

157.019.000.634 Synthes CSLP narrow 450.11x -> 450.12x /450.2xx -> 450.4xx 9.202,41 0,00 27

157.019.000.643 Synthes CSLP va 450.15x -> 450.17x 681,66 0,00 2

157.019.000.652 Synthes Vectra 04.613.014 -> 04.613.269 27.266,40 0,00 80

157.019.000.661 Synthes Vectra-T 450.5xx 2.385,81 0,00 7

157.019.000.783 Zimmer Trinica Select 1 level 07.00340.xxx 44.989,56 0,00 132

157.019.000.792 Zimmer Trinica Select 2 level 07.00341.xxx 43.626,24 0,00 128

157.019.000.801 Cormed Spider cervical plate N60000100 -> N60000113 171.778,32 238,56 504

157.019.000.826 Ixemel Plaque cervicale antérieure Easy plate 5432.4.xx 3.749,13 0,00 11

157.019.000.835 SHARK MEDICAL Plaque cervicale C-Plate CP002xT / CP003xT / CP004xT / CP0050T 340,83 0,00 1

157.019.000.844 LDR MEDICAL Plaque cervicale C-Plate CP002xT / CP003xT / CP004xT / CP0050T 6.134,94 0,00 18

157.019.000.853 Biomet MAXAN Fixed Plate – 1 level 14-5221xx 1.022,49 0,00 3

157.019.000.862 Biomet MAXAN Fixed Plate – 2 level 14-5222xx 681,66 0,00 2

157.019.000.871 Zimmer inViZia 1–Level ACDF Plate 07.01615.0xx 681,66 0,00 2

157.019.000.887 Zimmer inViZia 2–Level ACDF Plate 07.01616.0xx 681,66 0,00 2

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157.020

700394

Code d'identification Fournisseur Nom du produit Modèle Dépenses AMI Supplément patient Nombre de cas

Identificatiecode Leverancier Produktnaam Model Uitgaven ZIV Supplement patiënt Aantal gevallen

157.020.000.261 Johnson & Johnson Medical-Depuy Skyline Plate 3-4-5 level 1868 03 xxx / 1868 04 xxx / 1868 05 xxx 361,49 0,00 1

157.020.000.602 Cormed Spider cervical plate N60000114 -> N60000121 361,49 0,00 1

700405

Code d'identification Fournisseur Nom du produit Modèle Dépenses AMI Supplément patient Nombre de cas

Identificatiecode Leverancier Produktnaam Model Uitgaven ZIV Supplement patiënt Aantal gevallen

157.020.000.015 B Braun Medical ABC 2 (3 levels and more) FJ740T -> FJ744T / FJ768T -> FJ789T 3.253,41 0,00 9

157.020.000.024 B Braun Medical Caspar (3 levels and more) FG450T -> FG490T 1.727,95 0,00 5

157.020.000.076 Cormed C-tek cervical plate multi level 1100.xxxx 27.473,24 0,00 76

157.020.000.112 Cormed SAS 3 cervical plate (>2 level) S3i/PCxx 361,49 0,00 1

157.020.000.121 Cormed Sonoma cervical plate multi level 20.xxxx 1.807,45 0,00 5

157.020.000.155 Globus Medical Belgium ASSURE™ Cervical Plate 3-Level, 39mm-69mm 110.339 -> 110.369 3.253,41 0,00 9

157.020.000.164 Globus Medical Belgium ASSURE™ Cervical Plate 4-Level, 60mm-100mm 110.460 -> 110.500 361,49 0,00 1

157.020.000.173 Globus Medical Belgium Providence Cervical Plate 3-Level, 39mm - 69mm 150.3xx 1.445,96 0,00 4

157.020.000.207 Hospithera Alphatec trestle plate 6100x-xxx 3.976,39 0,00 11

157.020.000.225 InSpine Belgium Plaat cervicaal Morpho XX(.5) PCM0xx 2.530,43 0,00 7

157.020.000.261 Johnson & Johnson Medical-Depuy Skyline Plate 3-4-5 level 1868 03 xxx / 1868 04 xxx / 1868 05 xxx 13.375,13 72,29 37

157.020.000.277 Johnson & Johnson Medical-Depuy Slimloc Plate 3-4-5 level 1796 03 0xx / 1796 04 0xx / 1796 05 0xx 1.807,45 0,00 5

157.020.000.313 Medtronic Altantis Vision cervical plate xxmm 976-1xx 722,98 0,00 2

157.020.000.322 Medtronic Atlantis cervical plate XXmm 876-1xx / 876-2xx 13.736,62 0,00 38

157.020.000.331 Medtronic Premier Anterior Cervical plate XXmm 6860147 -> 6860210 1.084,47 0,00 3

157.020.000.347 Medtronic VENTURE ANT. CERV. PLATE ASS'Y XX MM '9790047 -> 9790110 / 9791150 19.520,46 0,00 54

157.020.000.356 Medtronic Zephir Cervical plate XXX mm 8799xxx 5.783,84 0,00 16

157.020.000.383 Orthogèse BJR Cervical plate 4 levels BJL42x2.04Xxx 722,98 0,00 2

157.020.000.392 OSTEON CERVICAL PLATE(70-80) CP 4Lxx 13.974,03 0,00 41

157.020.000.401 OSTEON CERVICAL PLATE(85-105) CP 4Lxx / CP 5Lxx(x) 2.168,94 0,00 6

157.020.000.426 SDI Belgium Plaque cervicale antérieure C3™ trois niveaux Long. xx mm avec SLS + 2 vis de blocageC1-P3 0xx0 1.807,45 0,00 5

157.020.000.444 STRYKER 3 LEVEL ACP SIZE YYMM 486513xx 2.891,92 0,00 8

157.020.000.584 Zimmer Trinica Select 3 level 07.00342.xxx 11.206,19 0,00 31

157.020.000.593 Zimmer Trinica Std 4 level 07.00188.xxx 2.168,94 0,00 6

157.020.000.602 Cormed Spider cervical plate N60000114 -> N60000121 23.496,85 0,00 65

157.020.000.636 LDR MEDICAL Plaque cervicale C Plate CP005xT / CP006xT / CP0070T 361,49 0,00 1

Page 17: colonne vertebrale - wervelkolom (pdf - 854 kb)

157.021

700416

Code d'identification Fournisseur Nom du produit Modèle Dépenses AMI Supplément patient Nombre de cas

Identificatiecode Leverancier Produktnaam Model Uitgaven ZIV Supplement patiënt Aantal gevallen

157.021.000.281 Johnson & Johnson Medical-Depuy Skyline Screw 1868 50 xxx / 1868 52 xxx / 1868 54 xxx / 1868 60 0xx / 1868 62 0xx / 1868 64 0xx 578,40 0,00 4

157.021.000.613 Zimmer Trinica Self-Drilling screw 07.0081x.00x 578,40 0,00 4

157.021.000.622 Cormed Spider cervical screw N60000135 -> N60000152 1.156,80 0,00 8

700420

Code d'identification Fournisseur Nom du produit Modèle Dépenses AMI Supplément patient Nombre de cas

Identificatiecode Leverancier Produktnaam Model Uitgaven ZIV Supplement patiënt Aantal gevallen

157.021.000.017 B Braun Medical Caspar screw bicortical LB45xT/LB46xT 4.482,60 0,00 31

157.021.000.035 B Braun Medical Caspar screw oversized LA0xxT 144,60 0,00 1

157.021.000.044 Biomet VueLock Screw 630xx 10.411,20 0,00 72

157.021.000.053 Cormed C-tek cervical screw 1100.2xxx 262.882,80 0,00 1.818

157.021.000.062 Cormed Maxima cervical screw SCxxxx-V 6.651,60 0,00 46

157.021.000.071 Cormed OSD cervical screw VPCE-0xx, VREV-0xx 15.183,00 0,00 105

157.021.000.087 Cormed SAS 3 cervical screw S3i/Vxx, VCS-35xx, VCR.40xx 4.627,20 0,00 32

157.021.000.096 Globus Medical Belgium 4,2mm Fixed Angle Screw 150.0xx 1.156,80 0,00 8

157.021.000.105 Globus Medical Belgium 4,2mm Variable Angle Screw 150.61x / 150.8xx 54.948,00 867,60 380

157.021.000.123 Globus Medical Belgium 4,6mm Variable Angle Screw 150.71x / 150.9xx 1.879,80 0,00 13

157.021.000.132 Globus Medical Belgium 4.0mm/ 4,5 mm Standard Screw, Self-Tapping 110.8xx / 110.9xx 289,20 0,00 2

157.021.000.141 Globus Medical Belgium 4.0mm/4,5 mm Standard Screw, Self-Drilling 110.6xx / 110.7xx 26.606,40 0,00 184

157.021.000.166 Globus Medical Belgium VIP 4.6mm Variable Angle Screw 171.01x / 171.3xx 32.679,60 433,80 226

157.021.000.184 Globus Medical Belgium VIP 5.1mm Variable Angle Screw 171.41x / 171.5xx 1.446,00 0,00 10

157.021.000.193 Hospithera Alphatec TRESTLE SCREW 61xxx-xxx 152.553,00 0,00 1.055

157.021.000.236 InSpine Belgium Schroef Morpho LXX diam 4,0 VPC4xx 38.608,20 0,00 267

157.021.000.245 InSpine Belgium Schroef Morpho LXX diam 4,5 VPC45xx 7.230,00 0,00 50

157.021.000.272 Johnson & Johnson Medical-Depuy Eagle+ / Swift+ screw 1836 5x 0xx 289,20 0,00 2

157.021.000.281 Johnson & Johnson Medical-Depuy Skyline Screw 1868 50 xxx / 1868 52 xxx / 1868 54 xxx / 1868 60 0xx / 1868 62 0xx / 1868 64 0xx 80.686,80 164,40 558

157.021.000.297 Johnson & Johnson Medical-Depuy Slimloc Screw 1796 06 xxx / 1796 07 xxx 10.075,20 0,00 96

157.021.000.306 Johnson & Johnson Medical-Depuy Uniplate Screw 1897 0x xxx 69.118,80 108,45 478

157.021.000.324 Medtronic Atlantis screw / fixed D-X L-X 876-0xx 32.245,80 0,00 223

157.021.000.333 Medtronic Atlantis screw FIXED SELF TAP xmm X xxmm X47724xx 1.446,00 0,00 10

157.021.000.342 Medtronic Atlantis screw/ fixed, self tapping D-X, L-X 876-7xx 82.855,80 0,00 573

157.021.000.351 Medtronic Atlantis screw/ variable D-X, L-X 876-3xx 23.714,40 0,00 164

157.021.000.367 Medtronic Atlantis screw/ variable, self tapping D-X, L-X 876-8xx 29.643,00 0,00 205

157.021.000.376 Medtronic Premier screw 686xxxx 8.242,20 0,00 57

157.021.000.385 Medtronic Venture screw (variable/ fixed/ self tapping/selfdrilling) D-X, L-X 979xxxx 302.214,00 115,68 2.090

157.021.000.394 Medtronic Zephir (screw/ revision screw) D-X L-X 8792xxx 110.040,60 0,00 761

157.021.000.403 NEW2DM Vis Cervicale Morpho VPC4xx(x) 36.005,40 0,00 249

157.021.000.412 Ortho Team FENICIA - Vis Cervicale VCF4xxx 1.879,80 0,00 13

157.021.000.421 Ortho Team FENICIA - Vis cervicale Ǿ 4 Auto Forante VCFA 40 xx 47.718,00 0,00 330

157.021.000.437 OSTEON CERVICAL SCREW CS 30xx / CS 40xx / CS 45xx 175.110,60 0,00 1.211

157.021.000.446 SDI Belgium Vis C3™ à angle fixe 4 mm x xx mm C1-C40xx 1.735,20 0,00 12

157.021.000.455 SDI Belgium Vis C3™ à angle variable 4 mm x xx mm C1-S40xx 14.170,80 0,00 98

157.021.000.464 SDI Belgium Vis C3™ à angle variable 4.5 mm x xx mm C1-R45xx 2.313,60 0,00 16

157.021.000.507 STRYKER 4 x YYMM FIX.ANGLE SELFDR. 48654xxx 4.482,60 0,00 31

157.021.000.516 STRYKER 4,X x YYMM FIX.ANGLE SCREW 48674xxx 6.073,20 0,00 42

157.021.000.525 STRYKER 4,X x YYMM VAR.ANGLE SCREW 48694xxx 10.411,20 0,00 72

157.021.000.534 STRYKER 4x YYMM VAR.ANGLE SELFDR. 486440xx 12.291,00 0,00 85

157.021.000.561 Synthes Vectra schroef 04.613.512 -> 04.613.868 59.575,20 0,00 412

157.021.000.604 Zimmer Trinica screws 07.001xx.00x 6.940,80 0,00 48

157.021.000.613 Zimmer Trinica Self-Drilling screw 07.0081x.00x 241.771,20 0,00 1.672

157.021.000.622 Cormed Spider cervical screw N60000135 -> N60000152 148.793,40 0,00 1.029

157.021.000.647 Ixemel Vis de blocage Easy plate 5432.4.12F -> 5432.4.20F 572,40 0,00 4

157.021.000.665 Ixemel Vis polyaxiale Easy plate 5432.4.1x / 5432.4.20T 9.730,80 0,00 68

157.021.000.674 SHARK MEDICAL Vis C-plate CP13xxT/ CP14xxT / CP23xxT / CP24xxT 144,60 0,00 1

157.021.000.683 LDR MEDICAL Vis C-plate CP13xxT/ CP14xxT / CP23xxT / CP24xxT 12.580,20 0,00 87

157.021.000.701 Biomet MAXAN Fixed Self-Drilling screw 14-5215xx 289,20 0,00 2

157.021.000.726 Biomet MAXAN Variable screw 14-5216xx 3.036,60 0,00 21

Page 18: colonne vertebrale - wervelkolom (pdf - 854 kb)

157.022

700431

Code d'identification Fournisseur Nom du produit Modèle Dépenses AMI Supplément patient Nombre de cas

Identificatiecode Leverancier Produktnaam Model Uitgaven ZIV Supplement patiënt Aantal gevallen

157.022.000.064 Cormed Liberty cervical screw SP/VCS.40xx, S9/VCR.45xx 1.859,12 0,00 8

700442

Code d'identification Fournisseur Nom du produit Modèle Dépenses AMI Supplément patient Nombre de cas

Identificatiecode Leverancier Produktnaam Model Uitgaven ZIV Supplement patiënt Aantal gevallen

157.022.000.012 B Braun Medical ABC 2 screw monocortical FJ93xT 16.499,69 0,00 71

157.022.000.021 B Braun Medical ABC 2 screw oversized FJ94xT 929,56 0,00 4

157.022.000.064 Cormed Liberty cervical screw SP/VCS.40xx, S9/VCR.45xx 441.773,39 476,33 1.901

157.022.000.073 Cormed Sonoma cervical screw 21.xxxx / 23.xxxx 86.449,08 1.452,25 372

157.022.000.091 Globus Medical Belgium 4.0mm / 4,5mm Rigid Screw, Self-Tapping, 10mm-20mm + Set Screw 110.0xx + 110.050 / 110.5xx + 110.050 1.161,95 0,00 5

157.022.000.107 Orthogèse BJR Vis cervicale (avec insert) BJL4302.4xXxx 2.788,68 0,00 12

157.022.000.116 Synthes CSLP schroef SD + expansie schroef 450.1xx + 497.780 3.021,07 0,00 13

157.022.000.125 Synthes CSLP schroef ST + expansie schroef 487.0xx + 497.780 51.358,19 0,00 221

157.022.000.134 MSH osmium / ADD plus screw incl. bolt, golden, Ø 5 mm, titanium CS 1300-1xT 847,40 0,00 4

157.023

700453

Code d'identification Fournisseur Nom du produit Modèle Dépenses AMI Supplément patient Nombre de cas

Identificatiecode Leverancier Produktnaam Model Uitgaven ZIV Supplement patiënt Aantal gevallen

157.023.000.172 Synthes ATB 449.xxx 1.032,82 0,00 2

700464

Code d'identification Fournisseur Nom du produit Modèle Dépenses AMI Supplément patient Nombre de cas

Identificatiecode Leverancier Produktnaam Model Uitgaven ZIV Supplement patiënt Aantal gevallen

157.023.000.023 Cormed Unity Anterior plate 43.xxxx 35.115,88 258,20 68

157.023.000.032 Globus Medical Belgium CITADEL Anterior Lumbar Plate 1-Level, 20mm-38mm 130.120 -> 130.138 1.032,82 0,00 2

157.023.000.057 Globus Medical Belgium CITADEL Anterior Lumbosacral Plate 1-Level, 20mm-34mm 130.220 -> 130.234 8.262,56 129,10 16

157.023.000.084 Medtronic Anterior Plate 4 hole xxmm 98740xx 7.746,15 516,41 15

157.023.000.093 Medtronic Vantaga Thoracic Plate XX cm 9331xxx 4.131,28 0,00 8

157.023.000.102 Medtronic Vantage ATL Plate XX cm 9330xxx 3.614,87 0,00 7

157.023.000.127 Medtronic XX mm Pyramid Locking Plate & Set Screw + Pyramid Plate XXmm 89692xx + 89691xx 102.249,18 516,41 198

157.023.000.172 Synthes ATB 449.xxx 16.525,12 0,00 32

157.023.000.181 Synthes TSLP 489.xxx 6.196,92 0,00 12

157.023.000.233 Zimmer Trinica ALP lumbar 35mm-41mm 07.010xx.002 tot 07.010xx.005 11.601,89 0,00 23

157.023.000.251 Zimmer Trinica ALP sacral 35mm-41mm 07.0101x.002 tot 07.0101x.005 20.177,20 0,00 40

157.023.000.267 Zimmer Trinica ALP sacral 43mm-47mm 07.0101x.006 tot 07.0101x.010 3.614,87 0,00 7

157.023.000.276 MSH Golden Gate C-Plate A/B + Gate CS 3601-xxx-A/ 3601-xxx-B + CS 3603-xxx 516,41 0,00 1

157.023.000.285 Globus Medical Belgium TRUSS Plate 163.1xx 3.098,46 0,00 6

157.025

700501

Code d'identification Fournisseur Nom du produit Modèle Dépenses AMI Supplément patient Nombre de cas

Identificatiecode Leverancier Produktnaam Model Uitgaven ZIV Supplement patiënt Aantal gevallen

157.025.000.036 Cormed Unity Anterior plate fixation screw 43.xxxx 19.087,20 108,45 132

157.025.000.054 Globus Medical Belgium 6.5mm Self-tapping Screw, Variable Angle, 22mm-57mm 130.6xx 10.989,60 144,60 76

157.025.000.063 Medtronic Bone Screw D6.5 L-X (Xantus/ Pyramid) 89686xx 60.732,00 433,80 420

157.025.000.072 Medtronic Screw VAR xx X xxmm 98716xxx 9.254,40 578,40 64

157.025.000.081 Medtronic Vantage ATL Screw 6,5mm L-X 93365xx 2.747,40 0,00 19

157.025.000.106 Medtronic Vantage Thoracic Screw 5,5 L-X 93355xx 5.494,80 0,00 38

157.025.000.151 Synthes ATB / TSLP schroef 489.140 -> 489.174 25.738,80 0,00 178

157.025.000.194 Zimmer Trinica ALP fixed angle screw 07.01013.00x 20.677,80 0,00 143

157.025.000.203 Zimmer Trinica ALP variable angle screw 07.01014.00x 20.533,20 0,00 142

157.025.000.212 MSH Golden Gate screw CS 3608-xxx 289,20 0,00 2

157.025.000.221 Globus Medical Belgium Variable Angle Screw 163.6xx 1.879,80 0,00 13

Page 19: colonne vertebrale - wervelkolom (pdf - 854 kb)

157.026

700523

Code d'identification Fournisseur Nom du produit Modèle Dépenses AMI Supplément patient Nombre de cas

Identificatiecode Leverancier Produktnaam Model Uitgaven ZIV Supplement patiënt Aantal gevallen

157.026.000.065 MSH Golden Gate screw polyaxial + Golden gate Inlay + golden gate hex nut CS 3607-xxx + CS 3609-01 + CS3609-02 826,26 0,00 2

157.027

700545

Code d'identification Fournisseur Nom du produit Modèle Dépenses AMI Supplément patient Nombre de cas

Identificatiecode Leverancier Produktnaam Model Uitgaven ZIV Supplement patiënt Aantal gevallen

157.027.000.015 B Braun Medical Apfelbaum - Cort screw (partially and full threaded, titanium) LB4xxT, LB5xxT 1.549,25 0,00 5

157.027.000.024 Globus Medical Belgium Corridor Bone Screw 148.xxx 483,36 0,00 3

157.027.000.033 Medtronic U.C.S.S. 4,0 mm Cannulated Cortical Lag screw L-X 873-1xx 6.197,00 0,00 20

157.027.000.042 Medtronic U.C.S.S. 4,0 mm Cannulated Cortical screw L-X 873-0xx 4.337,90 0,00 14

157.027.000.051 Synthes schroef densfractuur 405.4xx 8.675,80 0,00 28

157.027.000.067 MSH Dens Double-threaded screw, titanium CS 1100-xxT 389,48 0,00 2

157.028

700560

Code d'identification Fournisseur Nom du produit Modèle Dépenses AMI Supplément patient Nombre de cas

Identificatiecode Leverancier Produktnaam Model Uitgaven ZIV Supplement patiënt Aantal gevallen

157.028.000.026 Globus Medical Belgium Dual Staple 131.00x 619,71 0,00 3

157.028.000.062 Johnson & Johnson Medical-Depuy Staple/ Plate Expedium Anterior 1877 01 0xx 6.403,67 0,00 31

157.028.000.096 Medtronic Colorado2 Inox Agraffe for pedicular hook 8611300 10.858,89 0,00 89

157.028.000.175 Medtronic Colorado2 Ti. Staple for pedicular hook 8631300 15.252,50 0,00 125

157.028.000.184 Medtronic Legacy Anterior staple 6541xxx 5.990,53 0,00 29

157.028.000.202 Medtronic Vantage Staple 933000x 6.816,81 0,00 33

157.028.000.211 STRYKER DUAL STAPLE 03820110 -> 03820115 1.239,42 0,00 6

157.028.000.254 Synthes Agraffe USS ped 498.30x 1.239,42 0,00 6

157.028.000.263 Synthes Agraffe USS, med. 498.031 3.098,55 0,00 15

157.028.000.281 Cormed C-Jaw Staple B1011151x/B1011201x 3.511,69 0,00 17

157.028.000.306 Biomet Fixation washer 686x 1.652,56 0,00 8

157.028.000.315 Biomet Double rod Fixation washer 685x 1.032,85 0,00 5

157.028.000.342 Johnson & Johnson Medical-Depuy Washer, Non-Coated 1757101x0 826,28 0,00 4

157.028.000.351 Cormed PASS LP anterior plate B031000xx 413,14 0,00 2

157.029

700582

Code d'identification Fournisseur Nom du produit Modèle Dépenses AMI Supplément patient Nombre de cas

Identificatiecode Leverancier Produktnaam Model Uitgaven ZIV Supplement patiënt Aantal gevallen

157.029.000.037 Cormed Evos TI washer 036.00x / 031.00x 58.470,23 0,00 871

157.029.000.046 Cormed Trinity washer TXW.00x 268,52 0,00 4

157.029.000.055 Cormed VBR washer 036.655 87.134,74 0,00 1.298

157.029.000.073 Johnson & Johnson Medical-Depuy Expedium Anterior Washer 1877 01 009 134,26 0,00 2

157.029.000.091 Johnson & Johnson Medical-Depuy Expedium Offset Spacer Washer Titanium 1754 91 020 11.210,71 0,00 167

157.029.000.116 Johnson & Johnson Medical-Depuy Expedium Polyaxial washer Titanium 1754 91 010 11.076,45 0,00 165

157.029.000.134 Johnson & Johnson Medical-Depuy Poly washer 1770 91 010 3.423,57 0,00 51

157.029.000.143 Johnson & Johnson Medical-Depuy Spacer 1770 91 020 3.289,37 0,00 49

157.029.000.161 Johnson & Johnson Medical-Depuy VSP Plate Spacer Washer Ti 222x xx(xx) 268,52 0,00 4

157.029.000.186 Medtronic MULTI-AXIAL WASHER, TI 99453110 1.611,12 0,00 24

157.029.000.222 Synthes Rondelle USS 498.01x 1.879,64 0,00 28

Page 20: colonne vertebrale - wervelkolom (pdf - 854 kb)

157.030

700593

Code d'identification Fournisseur Nom du produit Modèle Dépenses AMI Supplément patient Nombre de cas

Identificatiecode Leverancier Produktnaam Model Uitgaven ZIV Supplement patiënt Aantal gevallen

157.030.000.032 Biomet NeoCif cage 1263-xx 444,12 0,00 1

157.030.000.075 Cormed Altus CAx/x*13 444,12 0,00 1

157.030.000.084 Cormed Anatomix - C S9.xxx 1.776,48 0,00 4

157.030.000.251 InSpine Belgium Shell Closed S-x/xx 444,12 0,00 1

157.030.000.407 Orthogèse BJR Cervical cage CYP4005.xxXxx 444,12 0,00 1

157.030.000.565 Synthes ZeroP 04.617.1xxS / 04.617.2xxS 444,12 0,00 1

157.030.000.671 Zimmer Trabecular Metal TM100 06-141-0xxx1 888,24 0,00 2

157.030.000.687 Zimmer Trabecular Metal TM-S angled 06-101-0xxx1 1.332,36 0,00 3

700604

Code d'identification Fournisseur Nom du produit Modèle Dépenses AMI Supplément patient Nombre de cas

Identificatiecode Leverancier Produktnaam Model Uitgaven ZIV Supplement patiënt Aantal gevallen

157.030.000.014 B Braun Medical Cespace Peek FJ4xxP 27.216,00 0,00 70

157.030.000.032 Biomet NeoCif cage 1263-xx 28.423,68 0,00 64

157.030.000.075 Cormed Altus CAx/x*13 47.076,72 777,21 106

157.030.000.084 Cormed Anatomix - C S9.xxx 384.163,80 532,94 865

157.030.000.093 Cormed Clia PxCC 120.800,64 0,00 272

157.030.000.102 Cormed Osta Pek Acif 238x / 43xx / 053.xxx 441.011,16 111,03 993

157.030.000.111 EUROSPINE CAGE CERVICALE NON STERILE HRCC HRCC xSd 444,12 0,00 1

157.030.000.127 EUROSPINE CAGE CERVICALE STERILE HRC HRC xSd 16.432,44 0,00 37

157.030.000.136 Globus Medical Belgium Coalition Spacer 384.xxx 4.885,32 0,00 11

157.030.000.145 Globus Medical Belgium Colonial ACDF Spacer, Large 365.3xx/365.4xx 25.314,84 0,00 57

157.030.000.154 Globus Medical Belgium Colonial ACDF Spacer, Small 365.0xx/365.1x(x) 1.332,36 0,00 3

157.030.000.163 Globus Medical Belgium Colonial ACDF Spacer, X-Large 365.7xx/365.8xx 60.400,32 0,00 136

157.030.000.172 Globus Medical Belgium Colonial ACDF Spacer, XX-Large 365.0x(x) 13.767,72 0,00 31

157.030.000.181 Globus Medical Belgium SUSTAIN™ Radiolucent Medium, 5mm-12mm 304.2xx 1.332,36 0,00 3

157.030.000.197 Hospithera TRYPTIK CERVICAL CAGE INCL BONE SUBST TRYCA12xx-S / TRYCA14xx-S 193.636,32 0,00 436

157.030.000.224 Hospithera TRYPTIK STAND ALONE CERVICAL CAGE PEEK MOSCA12xx-S / MOSCA14xx-S 879,80 0,00 2

157.030.000.251 InSpine Belgium Shell Closed S-x/xx 59.512,08 0,00 134

157.030.000.285 Johnson & Johnson Medical-Depuy Cervical Cage 1733 01 xxx 52.990,75 0,00 127

157.030.000.294 Johnson & Johnson Medical-Depuy Crystal Cage B2013x1xx 123.506,00 168,32 296

157.030.000.321 Medtronic Cornerstone Peek 62714xx 67.062,12 0,00 151

157.030.000.337 Medtronic Cornerstone Peek Anatomical XXmm Steriel 6272xxx 4.441,20 0,00 10

157.030.000.346 Medtronic Cornerstone Peek Anatomical XXmm Steriel X3832xxx 473.876,04 85,21 1.067

157.030.000.355 Medtronic Prevail cage 4210xxx 92.376,96 0,00 208

157.030.000.364 Medtronic RESTRICTOR SR PEEK CAGE xx X x X105081xx 37.750,20 0,00 85

157.030.000.373 NEW2DM Cage Cervicale CLIA Peek PxCC 34.197,24 0,00 77

157.030.000.391 Ortho Team IBS - Cervical Spacer Peek 2277x-xx 47.964,96 0,00 108

157.030.000.407 Orthogèse BJR Cervical cage CYP4005.xxXxx 18.653,04 0,00 42

157.030.000.425 OSTEON TPA xxxxD12 / xxxxD14 / xxxxD16 182.533,32 0,00 411

157.030.000.443 SDI Belgium Cage ACIF SpaceVision (Lg-larg-haut en mm) 15-0x-xx AC1-C15-0x-xx 6.217,68 0,00 14

157.030.000.452 SDI Belgium Cage ACIF SpaceVision (Lg-larg-haut en mm) 17-0x-xx AC1-C17-0x-xx 6.217,68 0,00 14

157.030.000.495 STRYKER KIT CAGE SOLIS RS 1X/Y KITRS1x0x 6.661,80 0,00 15

157.030.000.504 STRYKER SOLIS CERVICAL CAGE 1X x Ymm 6741x0x(S) 72.835,68 88,82 164

157.030.000.513 Synthes Cervios curved 889.93x(S) 4.885,32 0,00 11

157.030.000.522 Synthes Cervios curved chronos 870.93xS 93.709,32 0,00 211

157.030.000.531 Synthes Cervios wedge 889.92x(S) 7.994,16 0,00 18

157.030.000.547 Synthes Cervios wedge chronos 870.92xS 19.097,16 0,00 43

157.030.000.556 Synthes Syncage C curved 495.33x 888,24 0,00 2

157.030.000.565 Synthes ZeroP 04.617.1xxS / 04.617.2xxS 348.190,08 0,00 784

157.030.000.644 Zimmer BAK/C medium 6000-1012-00 3.997,08 0,00 9

157.030.000.653 Zimmer BAK/C small 6000-0812-00 17.320,68 0,00 39

157.030.000.662 Zimmer Fidji Cervical Cage SN3005-0-00xxx 108.365,28 0,00 244

157.030.000.671 Zimmer Trabecular Metal TM100 06-141-0xxx1 27.979,56 0,00 63

157.030.000.687 Zimmer Trabecular Metal TM-S angled 06-101-0xxx1 355.740,12 0,00 801

157.030.000.723 Ixemel Cage cervicale peek CFI 5432.2.CxP 11.991,24 0,00 27

157.030.000.732 Medtronic CORNERSTONE 1 CAGE X121081714x 5.773,56 0,00 13

157.030.000.766 SHARK MEDICAL Implant ROI-C MC 13xx P 17.320,68 0,00 39

157.030.000.793 LDR MEDICAL Implant ROI-C MC 13xx P 54.626,76 0,00 123

157.030.000.802 Globus Medical Belgium MicroFuse LT Slotted Block, w/BaSO4/CaSO4 838.01xS, 838.02xS, 838.03xS, 838.13xS 37.750,20 777,21 85

157.030.000.827 Synthes ZeroP Variable Angle 04.647.1xxS 8.438,28 0,00 19

157.030.000.854 Medacta Mecta-C Domed L5° 03.28.5xx 888,24 0,00 2

157.030.000.863 Medacta Mecta-C TiPeek Flat L7° 03.28.6xx 3.108,84 0,00 7

Page 21: colonne vertebrale - wervelkolom (pdf - 854 kb)

157.030.000.872 Medacta Mecta-C TiPeek Domed L5° 03.28.7xx 6.661,80 0,00 15

157.030.000.881 Medtronic Cornerstone PEEK Anatomical Cage 6211x0x 41.747,28 0,00 94

157.030.000.897 Globus Medical Belgium MicroFuse LT Slotted Block w/BaSO4/CaSO4, Convex 838.21xS / 838.22xS 444,12 0,00 1

157.030.000.915 Globus Medical Belgium Colonial ACDF Spacer, Large, Convex 365.5xx 444,12 0,00 1

157.030.000.933 Inspine C-Plus Cervical Implant 30-C(W)-1xxx-x(x) 888,24 0,00 2

157.031

700626

Code d'identification Fournisseur Nom du produit Modèle Dépenses AMI Supplément patient Nombre de cas

Identificatiecode Leverancier Produktnaam Model Uitgaven ZIV Supplement patiënt Aantal gevallen

157.031.000.052 Biomet Neolif TLIF Cage 1262-1x 18.040,68 0,00 21

157.031.000.086 Cormed Dream Alif cage ALIF.xxS 21.131,66 0,00 22

157.031.000.095 Cormed Osta Pek Alif 233x / 433x 89.329,29 240,13 93

157.031.000.104 EUROSPINE HRCA CAGE LOMBAIRE ANTERIEURE + HRC Alif security screw HRCA ixx(X)(X) + HRCAvis 17.289,54 0,00 18

157.031.000.113 Globus Medical Belgium Continental ALIF Spacer 364.xxx 17.289,54 240,13 18

157.031.000.122 Globus Medical Belgium Independence Spacer 376.xxx 15.368,48 0,00 16

157.031.000.201 Hospithera TLIF JULIET PEEK 4 DYNTL04xx-S 61.321,00 0,00 65

157.031.000.235 InSpine Belgium LOOP TLIF Cage L-xx-06 3.842,12 0,00 4

157.031.000.262 Johnson & Johnson Medical-Depuy Alif Cage 17321xxxx / 6000 3xxx / 173205xxx 6.723,71 0,00 7

157.031.000.271 Johnson & Johnson Medical-Depuy Concorde Cage 1878 27 xxx / 1878 31 xxx 233.408,79 0,00 243

157.031.000.287 Johnson & Johnson Medical-Depuy Cougar Cages 1891 xx xxx 29.776,43 0,00 31

157.031.000.305 Johnson & Johnson Medical-Depuy Leopard Cage 1864 48 xxx 42.294,00 0,00 57

157.031.000.314 Johnson & Johnson Medical-Depuy Stalif Cage STTxxxxxx(x)LX 22.092,19 0,00 23

157.031.000.366 Medtronic CAPSTONE VERTE-STACK PEEK VBS 299xxxxINT 224.764,02 0,00 234

157.031.000.375 Medtronic CAPSTONE® PEEK XXxXX – X° 296xxxxINT 32.658,02 0,00 34

157.031.000.384 Medtronic Crescent XXmm 939xxxxINT 100.855,65 0,00 105

157.031.000.393 Medtronic PERIMETER X 339xxxx 177.698,05 1.921,06 185

157.031.000.402 Medtronic Spacer 7967xxxINT, 7968xxxINT, 7969xxxINT 262.224,69 240,13 273

157.031.000.411 Medtronic Vertestack X 891xxxx / 89150xx 43.223,85 0,00 45

157.031.000.454 Ortho Team IBS - Spacer Ventral ALIF titan 22 70x-xx 3.842,12 0,00 4

157.031.000.533 STRYKER AVS AL SPACER 6746xxx(S) / 6748xxx(S) 960,53 0,00 1

157.031.000.567 STRYKER Vertebral Spacer 6731xxx(x) / 6733xxx 22.092,19 0,00 23

157.031.000.576 Synthes Opal 08.803.1xxS / 08.803.2xxS 13.447,42 0,00 14

157.031.000.585 Synthes Oracle 08.809.2xxS / 08.809.6xxS 66.276,57 0,00 69

157.031.000.594 Synthes Syncage LR 889.8xxS/889.9xxS 9.605,30 0,00 10

157.031.000.603 Synthes Syncage LSR 870.9xxS/870.8xxS 2.881,59 0,00 3

157.031.000.612 Synthes Syncage Ti 495.3xx / 495.508 5.763,18 0,00 6

157.031.000.621 Synthes Synfix-LR 08.802.xxxS 413.988,43 192,10 431

157.031.000.637 Synthes Travios 889.83x(S) / 08.804.0xxS / 08.804.1xxS 25.934,31 0,00 27

157.031.000.707 Zimmer Ardis Peek Implant 3201-xxxx3x 313.132,78 0,00 326

157.031.000.716 Zimmer Fidji Cage SN3001-0-xxxxx 12.486,89 0,00 13

157.031.000.725 Zimmer Trabecular Metal TM300 06-173-01xx1 28.815,90 0,00 30

157.031.000.734 Zimmer Trabecular Metal TM400 06-131-x0xx2 59.552,86 0,00 62

157.031.000.777 Synthes T-Pal 08.812.0xxS / 08.812.2xxS 76.842,40 0,00 80

157.031.000.786 Biomet Solitaire peek 14-5300xx 1.921,06 0,00 2

157.031.000.795 Biomet ESL-Peek long spacer 60478, 60480, 60482, 60484 2.577,24 0,00 3

157.031.000.813 Biomet Ibex peek 55011xx-00, 55011xx-06 2.577,24 0,00 3

157.031.000.865 LDR MEDICAL Implant ROI-A médian IR 24xx P / IR 25xx P / IR 26xx P / IR 27xx P 5.763,18 0,00 6

157.031.000.883 LDR MEDICAL Implant ROI-T IR 36xx P 7.684,24 0,00 8

157.031.000.901 Globus Medical Belgium TransContinental LLIF Spacer 375.x0x / 375.x1x 15.368,48 0,00 16

157.031.000.917 Medtronic Cage Clydesdale peek 2968xxx / 2969xxx 104.697,77 0,00 109

157.031.000.944 EUROSPINE A2L Cage Lombaire A2L (x)x-x(x)(X) / A (x)x-x(x)(X) 5.763,18 0,00 6

157.031.000.987 Medacta MectaLIF Oblique Interbody Fusion Device PEEK/Ti 03.26.001 -> 03.26.033 960,53 0,00 1

157.031.001.005 SDI Belgium SpaceVision TLIF MIS CAGE PL1OCxx26 / PL1OCxx32 9.605,30 0,00 10

157.031.001.014 Inspine VBR, T-PLUS, Implant Assembly 30-T-1027-7 -> 30-T-1027-15 1.921,06 0,00 2

157.031.001.023 Hospithera Interfuse P4 (4 éléments) 9076-x(X)-20-x 4.802,65 0,00 5

157.031.001.032 Hospithera Interfuse P5 (Interfuse P4 + Interfuse Single P) 9076-x(X)-20-x + 9076-x(x)-20-x-B 1.921,06 0,00 2

157.031.001.084 Globus Medical Belgium Transcontinental M Spacer + Intercontinental plate 375.0xx --> 375.4xx + 187.0xx 960,53 0,00 1

157.031.001.102 AceeMed A2L – Anterior Lumbar Locking cage A2L x(x) – x(x)(X) / Ax(x)-x(x)(X) 1.921,06 0,00 2

157.031.001.111 Biomet Zyston Curve Spacer 27L / 32L 14-5331xx 2.881,59 0,00 3

157.031.001.136 Cormed Aleutian Lordotic Interbody cage 3203-20xxxMX / 3203-21xxxMX / 3203-20xxxSX / 3203-21xxxSX 2.881,59 0,00 3

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157.032

700630

Code d'identification Fournisseur Nom du produit Modèle Dépenses AMI Supplément patient Nombre de cas

Identificatiecode Leverancier Produktnaam Model Uitgaven ZIV Supplement patiënt Aantal gevallen

157.032.000.151 InSpine Belgium TETRIS 0° PLIF Cage TKxx11 970,86 0,00 2

157.032.000.483 Synthes Plivios 889.84x(S) 970,86 0,00 2

700641

Code d'identification Fournisseur Nom du produit Modèle Dépenses AMI Supplément patient Nombre de cas

Identificatiecode Leverancier Produktnaam Model Uitgaven ZIV Supplement patiënt Aantal gevallen

157.032.000.011 B Braun Medical Prospace peek SJ2xxP 13.592,04 0,00 28

157.032.000.027 B Braun Medical Prospace titanium met plasmapore FJ2xxT 970,86 0,00 2

157.032.000.054 Cormed Anatomix S8.xxx 640.282,17 44,60 1.319

157.032.000.063 Cormed Osta Pek Elif 69.xxx 2.427,15 0,00 5

157.032.000.072 Cormed Osta Pek Plif 23xx 401.450,61 728,10 827

157.032.000.081 Cormed Osta Pek Tlif P29.xxx / 29.xxx 238.831,56 970,86 492

157.032.000.097 Cormed Ulif cage ULIF.xxxx 417.955,23 0,00 861

157.032.000.106 Globus Medical Belgium SUSTAIN® Radiolucent Spacer, Oblique 304.0xx / 304.8xx / 304.9xx 230.093,82 1.334,85 474

157.032.000.115 Globus Medical Belgium SUSTAIN™ Radiolucent Small 304.1xx / 304.7xx 15.533,76 0,00 32

157.032.000.124 Hospithera Alphatec Cage Novel-SD spacer S-M_L 648xx-xxx 206.497,20 3,66 427

157.032.000.133 Hospithera PLIF JULIET PEEK DYNPO22xx-S / DYNP522xx-S 26.712,00 8,43 56

157.032.000.151 InSpine Belgium TETRIS 0° PLIF Cage TKxx11 65.533,05 0,00 135

157.032.000.167 InSpine Belgium TETRIS 4° PLIF Cage TK4xx11 119.900,27 0,00 247

157.032.000.176 ISKRA Cage Lombaire CLIA Peek Pxxxx(x)L 33.494,67 0,00 69

157.032.000.185 Johnson & Johnson Medical-Depuy Concorde 1878 23 xxx 3.398,01 0,00 7

157.032.000.194 Johnson & Johnson Medical-Depuy Iriom Cage 1876 0x xxx 49.028,43 0,00 101

157.032.000.203 Johnson & Johnson Medical-Depuy Saber Cage lordosed 187x xx xxx 492.226,02 0,00 1.014

157.032.000.212 Johnson & Johnson Medical-Depuy Saber Cage parallel 187x xx xxx 174.586,42 0,00 360

157.032.000.246 Medtronic CAPSTONE VERTE-STACK PEEK VBS 299xxxxINT 767.950,26 436,86 1.582

157.032.000.255 Medtronic CAPSTONE® PEEK XXxXX – X° 296xxxxINT 10.679,46 0,00 22

157.032.000.264 Medtronic I-fly cage xxmm 8928xxx 5.339,73 0,00 11

157.032.000.273 Medtronic Inter Fix Ti. DX L-X 892-1xx 181.065,39 0,00 373

157.032.000.307 Medtronic Spacer TLMN P3 22mm x 7mm X0205182 94.173,42 0,00 194

157.032.000.325 Medtronic TELAMONP X° - D-X 420xxxxINT 68.445,63 0,00 141

157.032.000.334 NEW2DM Cage Lombaire CLIA Peek Pxxxx(x)L 90.775,41 0,00 187

157.032.000.343 Ortho Team IBS - Spacer Dorsal PLIF Peek 22 757-xx 42.717,84 0,00 88

157.032.000.361 Orthogèse BJR PLIF cage CER4005.xxxxx 28.154,94 0,00 58

157.032.000.395 OSTEON IDE xxxxW8D22 / xxxxxxW8D22 / xxxxxxW8D25 195.142,86 0,00 402

157.032.000.413 SDI Belgium Cage SpaceVision PLIF (Haut-Lg-Angle) xx-21-0x PL1-Cxx-21-0x 4.368,87 0,00 9

157.032.000.422 SDI Belgium Cage SpaceVision PLIF (Haut-Lg-Angle) xx-25-0x PL1-Cxx-25-0x 10.194,03 0,00 21

157.032.000.431 SHARK MEDICAL Cage Lombaire CLIA Peek Pxxxx(x)L 5.339,73 0,00 11

157.032.000.447 STRYKER PEEK OIC 673xxx(x)(x) / 6760xxx / 6765xxx 107.280,03 0,00 221

157.032.000.483 Synthes Plivios 889.84x(S) 38.348,97 0,00 79

157.032.000.492 Synthes Plivios LF 08.803.0xxS 21.358,92 0,00 44

157.032.000.501 Synthes Plivios rev 889.5xxS 113.105,19 0,00 233

157.032.000.535 MSH Pezo-P - Plif Cage CS 330x-xx 1.941,72 0,00 4

157.032.000.553 Zimmer Ardis Peek Implant 3201-xxxx2x 169.900,50 0,00 350

157.032.000.562 Zimmer Fidji posterieur(e) Cage Long. 20 mm or 25 mm SN3001-0-3xx0x / SN3001-0-4xx0x 9.708,60 0,00 20

157.032.000.571 Zimmer Trabecular Metal TM500 (angled) 06-165-02xx1 970,86 0,00 2

157.032.000.587 Zimmer Trabecular Metal TM500 (straight) 06-165-01xx1 970,86 0,00 2

157.032.000.596 Cormed Aleutian Plif Cage 603.20722C -> 603.21322C / 603.20728C -> 603.21328C 136.405,83 0,00 281

157.032.000.641 Cormed Swingo plif cage SAW0x22100S 485,43 0,00 1

157.032.000.675 Biomet ESL-Peek medium spacer 604xx 4.849,60 0,00 10

157.032.000.702 Medacta MectaLIF Posterior Interbody Fusion Device PEEK/Ti 03.27.001 -> 03.27.028 970,86 0,00 2

157.032.000.754 Globus Medical Belgium Sustain Small cage Titanium 101.1xx / 101.7xx 1.941,72 0,00 4

157.032.000.772 Biomet Zyston Straight Spacer 20L/25L 14-5341xx / 14-5342xx 2.912,58 0,00 6

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157.033

700663

Code d'identification Fournisseur Nom du produit Modèle Dépenses AMI Supplément patient Nombre de cas

Identificatiecode Leverancier Produktnaam Model Uitgaven ZIV Supplement patiënt Aantal gevallen

157.033.000.074 Johnson & Johnson Medical-Depuy Harms cages 16mm 1760 12 016 433,79 0,00 1

157.033.000.092 Johnson & Johnson Medical-Depuy Harms cages 30mm 1760 10 030 / 1760 12 030 4.337,90 0,00 10

157.033.000.101 Johnson & Johnson Medical-Depuy Harms cages 30mm 1760 14 030 1.301,37 0,00 3

157.033.000.135 Medtronic Pyramesh TI X CERVICAL 905-xxx/905xxxx 3.036,53 0,00 7

157.033.000.153 Synthes synmesh diam 12 mm H 12/18/32/88 mm 495.3xx / 495.4xx 867,58 0,00 2

157.034

700685

Code d'identification Fournisseur Nom du produit Modèle Dépenses AMI Supplément patient Nombre de cas

Identificatiecode Leverancier Produktnaam Model Uitgaven ZIV Supplement patiënt Aantal gevallen

157.034.000.024 Cormed Trabis 015.030.xxx 27.679,60 0,00 40

157.034.000.033 Globus Medical Belgium NIKO Corpectomy Spacer 342.7xx / 342.8xx / 342.9xx 6.227,91 0,00 9

157.034.000.042 OSTEON CORP REPL xxxxD12 / xxxxD13 / xxxxD14 4.151,94 0,00 6

157.034.000.067 Zimmer Trabecular Metal VBRS 06-111-00xxx / 06-115-10xxx 15.915,77 0,00 23

157.034.000.076 Hospithera SupStance Small Vertebral Body Replacement Cage 100112xxx / 100114xxx 8.995,87 0,00 13

157.035

700700

Code d'identification Fournisseur Nom du produit Modèle Dépenses AMI Supplément patient Nombre de cas

Identificatiecode Leverancier Produktnaam Model Uitgaven ZIV Supplement patiënt Aantal gevallen

157.035.000.026 Johnson & Johnson Medical-Depuy Harms cages 100mm 1760 12 100 3.356,70 0,00 5

157.035.000.035 Johnson & Johnson Medical-Depuy Harms cages 50mm 1741 48 000 / 1741 51 000 / 1741 54 000 671,34 0,00 1

157.035.000.044 Johnson & Johnson Medical-Depuy Harms cages 50mm 1760 14 050 / 1760 16 050 / 1760 12 050 5.370,72 0,00 8

157.035.000.087 Medtronic Pyramesh TI X THORACO-LOMBAIRE 905xxxx / 905-xxx 2.685,36 0,00 4

157.035.000.114 Synthes synmesh diam 22 x 28 mm H 34/36/52/64/88 mm 495.3xx / 495.4xx 671,34 0,00 1

157.036

700722

Code d'identification Fournisseur Nom du produit Modèle Dépenses AMI Supplément patient Nombre de cas

Identificatiecode Leverancier Produktnaam Model Uitgaven ZIV Supplement patiënt Aantal gevallen

157.036.000.037 Hospithera SupStance Small Vertebral Body Replacement Cage 100112xxx / 100114xxx 1.383,98 0,00 2

157.037

700744

Code d'identification Fournisseur Nom du produit Modèle Dépenses AMI Supplément patient Nombre de cas

Identificatiecode Leverancier Produktnaam Model Uitgaven ZIV Supplement patiënt Aantal gevallen

157.037.000.066 Medtronic Pyramesh Round End Cap X 905-xxx 1.549,26 0,00 6

157.037.000.102 Synthes afsluitring + klemschroef synmesh diam 495.3xx / 495.4xx + 495.410 / 495.491 1.807,47 0,00 7

Page 24: colonne vertebrale - wervelkolom (pdf - 854 kb)

157.038

700766

Code d'identification Fournisseur Nom du produit Modèle Dépenses AMI Supplément patient Nombre de cas

Identificatiecode Leverancier Produktnaam Model Uitgaven ZIV Supplement patiënt Aantal gevallen

157.038.000.034 Globus Medical Belgium XPand-R Corpectomy Spacer Small Peek 316.1xx 5.112,48 0,00 3

157.038.000.043 Medtronic T2 XVBR CENTERPIECE + 2x SKEPTOR ENDCAP 93513xx / 93516xx + 93513xx / 93516xx / 93713xx / 93716xx 10.224,96 0,00 6

157.038.000.061 STRYKER CERVILIFT COMPLEET (cage + 2 endcaps + setscrew) 101xxx + 151xxx + 131000 5.112,48 0,00 3

157.038.000.077 STRYKER CERVILIFT COMPLEET (cage + 2 endcaps + setscrew) + EXTENDER 101xxx + 151xxx + 131000 + 121xxx 15.337,44 0,00 9

157.038.000.086 Synthes ECD + Locking Clip 891.30xS + 890.005S 18.745,76 0,00 11

157.038.000.104 MSH ADD, 0° + ADD / ADDplus / VBR Set screw CS 2250-1x-xx + CS 2259 3.872,79 0,00 3

157.038.000.113 MSH ADD, 6° + ADD / ADDplus / VBR Set screw CS 2250-1x-xx-6 + CS 2259 2.847,28 0,00 2

157.038.000.156 MSH ADDplus, Ø 12 mm, height 17-26 mm, 6° + ADD / ADDplus / VBR Set screw CS 2253-12-17 + CS 2259 1.564,83 0,00 1

157.038.000.165 MSH ADDplus, Ø 12 mm, height 25-41 mm, 12° + ADD / ADDplus / VBR Set screw CS 2253-12-25 + CS 2259 1.626,42 0,00 1

157.038.000.201 Hospithera Tecorp implant cervical 11ICC13-xx / 11ICC16-xx 5.112,48 0,00 3

157.039

700781

Code d'identification Fournisseur Nom du produit Modèle Dépenses AMI Supplément patient Nombre de cas

Identificatiecode Leverancier Produktnaam Model Uitgaven ZIV Supplement patiënt Aantal gevallen

157.039.000.011 B Braun Medical Hydrolift SV001T -> SV018T 4.028,02 0,00 2

157.039.000.027 B Braun Medical Hydrolift + Hydrolift endplate (optional) SV001T -> SV018T + SV019T -> SV021T 4.028,02 0,00 2

157.039.000.045 Globus Medical Belgium XPand-R Corpectomy Spacer Large Peek 316.0xx 2.014,01 0,00 1

157.039.000.054 Globus Medical Belgium XPand-R Corpectomy Spacer Medium Peek 316.2xx 6.042,03 0,00 3

157.039.000.063 Medtronic T2 XVBR CENTERPIECE + 2x SKEPTOR ENDCAP 93519xx / 93522xx / 93525xx + 93519xx / 93522xx / 93525xx/ 93719xx / 93722xx / 93725xx22.154,11 0,00 11

157.039.000.097 STRYKER VLIFT COMPLEET (2endcaps +cage) + EXTENDER 48291xxx + 4829xxxx(S) + 48291800(S) / 48292200(S) 12.084,06 0,00 6

157.039.000.106 Synthes Synex 495.3xx 27.590,66 0,00 15

157.039.000.124 MSH ADD, Ø 16 mm, height 12-17 mm, 0° + ADD / ADDplus / VBR Set screw CS 2250-16-12 + CS 2259 1.290,93 0,00 1

157.039.000.185 MSH obelisc center piece (1x) CS 2920-17 1.346,20 0,00 1

157.039.000.212 MSH obelisc center piece (1x) + end piece round (1x) + end piece oval (1x) + locking screw (1x)CS 2920-xx + CS 292x-xx + CS 293x-xx + CS 2901 2.014,01 0,00 1

157.039.000.237 MSH obelisc center piece (1x) + end piece round (2x) + locking screw (1x) CS 2920-xx + CS 292x-xx + CS 2901 6.042,03 0,00 3

157.039.000.377 Medtronic T2 Altitude Centerpiece + T2 Altitude end cap (2x) 93916xx / 93913xx / 93925xx / 93922xx / 93919xx + 94016xx / 94013xx / 94025xx / 94022xx / 94019xx28.196,14 0,00 14

157.039.000.386 Hospithera Tecorp implant thoraco-lombaire + Endplates (x2) 12ICT21-xx / 12ICL27-xx + 12PIC2x-x 2.014,01 0,00 1

157.039.000.395 Globus Medical Belgium XPand Corporectomy Spacer Medium / Large 116.2xx / 116.0xx 2.014,01 0,00 1

157.040

700840

Code d'identification Fournisseur Nom du produit Modèle Dépenses AMI Supplément patient Nombre de cas

Identificatiecode Leverancier Produktnaam Model Uitgaven ZIV Supplement patiënt Aantal gevallen

157.040.000.013 Biomet Solitaire Bone Screw 1400-10xx / 14-5301xx 929,52 0,00 6

157.040.000.047 Globus Medical Belgium 3.6mm Bone Screw 184.1xx 2.788,56 0,00 18

157.040.000.056 Globus Medical Belgium 4.2mm Bone Screw 184.0xx 1.084,44 0,00 7

157.040.000.065 Globus Medical Belgium INDEPENDENCE Screw, Fixed Angle 5.5mm, 20mm - 40mm 176.1xx / 176.2xx 6.971,40 0,00 45

157.040.000.074 Johnson & Johnson Medical-Depuy Stalif Screw (par pièce) STTxxxxS 4.802,52 0,00 31

157.040.000.083 Johnson & Johnson Medical-Depuy Stalif Screw (par pièce) STTxxxxx 3.408,24 0,00 22

157.040.000.092 Medtronic Screw Sovereign 79655xxINT, 79660xxINT 121.457,28 116,19 784

157.040.000.101 Medtronic Zephir screw (for Prevail cage) 8792xxx 75.136,20 0,00 485

157.040.000.117 Synthes Synfix schroef 04.802.20x / 04.802.21x 251.435,16 123,92 1.623

157.040.000.126 Synthes ZeroP schroef 04.617.8xx / 04.617.81x.02S / 04.647.8xx 492.025,92 0,00 3.176

157.040.000.135 MSH osmium / ADD plus screw incl. bolt, golden, Ø 5 mm, titanium CS 1300-1xT 619,68 0,00 4

157.040.000.162 SHARK MEDICAL Plaque agrafe ROI-C (réf pour 2 agrafes) MC 1005T / MC 1006T 10.224,72 154,92 66

157.040.000.196 LDR MEDICAL Plaque agrafe ROI-C (réf pour 2 agrafes) MC 1005T / MC 1006T 32.223,36 0,00 208

157.040.000.205 LDR MEDICAL Plaque agrafe ROI (réf pour 2 agrafes) IR 200xT / IR 600xT 1.859,04 0,00 12

157.040.000.223 Globus Medical Belgium HA Coated screw 187.1xxS / 187.2xxS 464,76 0,00 3

Page 25: colonne vertebrale - wervelkolom (pdf - 854 kb)

157.041

700803

Code d'identification Fournisseur Nom du produit Modèle Dépenses AMI Supplément patient Nombre de cas

Identificatiecode Leverancier Produktnaam Model Uitgaven ZIV Supplement patiënt Aantal gevallen

157.041.000.015 InSpine Belgium Athlet end body + basic body AT0x0x + AT0xxx 12.084,15 0,00 13

157.041.000.033 Johnson & Johnson Medical-Depuy Bengal Locking Screw 42 mm + Bengal Stack Lock screw nut 1773 50 100 + 1773 00 000 16.731,90 0,00 18

157.041.000.042 Johnson & Johnson Medical-Depuy Bengal Locking Screw 66 mm + Bengal Stack Lock screw nut 1773 50 200 + 1773 00 000 3.718,20 0,00 4

157.041.000.051 Johnson & Johnson Medical-Depuy Bengal Stackable Cages 1773 xx xxx 64.138,95 0,00 69

157.041.000.067 Medtronic NV Vertestack X Cornerstone PSR 627xxxx, 628xxxx 47.407,05 0,00 51

157.042

700825

Code d'identification Fournisseur Nom du produit Modèle Dépenses AMI Supplément patient Nombre de cas

Identificatiecode Leverancier Produktnaam Model Uitgaven ZIV Supplement patiënt Aantal gevallen

157.042.000.017 Cormed Osta Pek VBR 068.xxx 17.893,68 0,00 14

157.042.000.035 Johnson & Johnson Medical-Depuy Locking Screw 1734 50 xxx 11.503,08 0,00 9

157.042.000.053 Johnson & Johnson Medical-Depuy Stackable Artifical pedicle + nut(optional) 1734 50 14x 3.834,36 0,00 3

157.042.000.062 Johnson & Johnson Medical-Depuy Stackable Cages 1734 0x xxx 40.899,84 0,00 32

Page 26: colonne vertebrale - wervelkolom (pdf - 854 kb)

176.001

693943

Code d'identification Fournisseur Nom du produit Modèle Dépenses AMI Supplément patient Nombre de cas

Identificatiecode Leverancier Produktnaam Model Uitgaven ZIV Supplement patiënt Aantal gevallen

176.001.000.113 MSH cosmicMIA rod, blue, Ø 6.0 mm, length 90 mm CS 2608-090 475,10 0,00 2

176.001.000.122 SpineVision-Belgium Tige dynamique 1 niveau F1R1609T 3.088,15 0,00 13

176.001.000.156 Zimmer DYNESYS koord 100 mm (2 pieces) + DYNESYS spacer (2 pieces) 01.03731.100 + 01.03706.045 (ref. per 2 stukken) 57.012,00 0,00 240

176.001.000.165 Zimmer DYNESYS koord 200 mm (2 pieces) + DYNESYS spacer (2 pieces) 01.03731.200 + 01.03706.045 (ref. per 2 stukken) 1.425,30 0,00 6

176.001.000.174 Inspine DSS Dynamic Coupler DAI350xx 5.701,20 0,00 24

176.002

693943

Code d'identification Fournisseur Nom du produit Modèle Dépenses AMI Supplément patient Nombre de cas

Identificatiecode Leverancier Produktnaam Model Uitgaven ZIV Supplement patiënt Aantal gevallen

176.002.000.027 SpineVision-Belgium Tige hybride longue F1RHL1609T 2.613,05 0,00 11

176.002.000.045 SpineVision-Belgium tige hybride deux niveaux F1RH2609T 3.325,70 0,00 14

176.002.000.063 SpineVision-Belgium tige hybride un niveau F1RH1609T 8.314,25 0,00 35

176.002.000.081 Synthes Nflex, monosegment 04.600.765S->04.600.785S / 04.600.702S 3.800,80 0,00 16

176.002.000.097 Zimmer Dynesys Transition Option Implant (2 pieces) + DYNESYS spacer (2 pieces) 01.03790-xx0 + 01.03706.045 (ref. per 2 stukken) 38.483,10 47,51 162

176.002.000.106 Medtronic BalanC Rod posterior transition 79810xx0 / 79820xx0 / 79830xx0 / 79840xx0 25.655,40 0,00 108

176.002.000.115 Inspine DSS Dynamic Coupler + DSS Fusion Coupler DAI350xx + DAI700xx 950,20 0,00 4

176.003

693965

Code d'identification Fournisseur Nom du produit Modèle Dépenses AMI Supplément patient Nombre de cas

Identificatiecode Leverancier Produktnaam Model Uitgaven ZIV Supplement patiënt Aantal gevallen

176.003.000.056 MSH cosmicMIA screw, Ø 6.5 mm + cosmicMIA locking screw, blue CS 2600-6-xx + CS 2605 1.611,18 0,00 6

176.003.000.074 SpineVision-Belgium Vis PLUS™ + (clip + vis de blocage M6) U1-SxxxT + U1-L100T 2.148,24 0,00 8

176.003.000.083 Zimmer Dynesys cannulated DTL screw (ref. per 2 schroeven) 01.0390x.xxx (ref. per 2 schroeven) 2.148,24 0,00 8

176.003.000.092 Zimmer Dynesys cannulated DTL screw HA coated (ref. per 2 schroeven) 01.0394x.xxx (ref. per 2 schroeven) 4.833,54 0,00 18

176.003.000.117 Zimmer DYNESYSschroef HA coated screw (ref. per 2 schroeven) 01.0374x.xxx (ref. per 2 schroeven) 175.887,15 0,00 655

176.003.000.135 Zimmer Optima MS screw SMxxxx + SP30x0 537,06 0,00 2

176.004

693980

Code d'identification Fournisseur Nom du produit Modèle Dépenses AMI Supplément patient Nombre de cas

Identificatiecode Leverancier Produktnaam Model Uitgaven ZIV Supplement patiënt Aantal gevallen

176.004.000.015 SpineVision-Belgium Vis LUMIS multi-axiale + écrou de blocage MS1-MxxxT + MS1-L100T 2.995,20 0,00 10

176.004.000.024 SpineVision-Belgium Vis Multi-axiale PLUS™ Tit. + CLIP PLUS™ titane + vis de blocage M6 U1-MxxxT + U1L100T 29.652,48 0,00 99

176.004.000.103 Zimmer DTO Transition screw + set screw SDAxxxx + SP3020 34.145,28 0,00 114

176.004.000.112 Zimmer Optima ZS Poly-axial screw + nut SPAxxxx + SP30x0 65.594,88 0,00 219

176.004.000.137 Medtronic CDH Legacy peek MAS + screw CDH peek external hex/ set screw perc peek 722x5xx + 7220850 / 7220950 37.440,00 0,00 125

176.004.000.146 Inspine DSS pedicle schroef (ref. per 2 schroeven) DAI5x0xx (ref. per 2 schroeven) 1.797,12 0,00 6

176.004.000.155 Inspine DSS pedicle schroef + DSS spacer no thread (ref. per 2 schroeven) DAI5x0xx+ DAI06021 (ref. per 2 schroeven) 16.174,08 0,00 54

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REPARTITION �����

NomN° Dépenses Suppléments patient Cas Parts (cas)693943 150.844,25 47,51 635 �����

693965 187.165,41 0,00 697 �����

693980 187.799,04 0,00 627 �����

700011 1.662,85 237,55 7 �����

700022 3.959.344,14 2.839,87 16.689 ����

700044 4.709,70 0,00 6 �����

700066 61.213,13 0,00 39 �����

700070 537,06 0,00 2 �����

700081 590.146,35 0,00 2.199 ����

700092 5.091,84 0,00 17 �����

700103 9.903.696,48 14.228,92 33.066 ����

700114 2.003,68 0,00 4 �����

700125 6.338.573,10 5.209,40 12.655 �����

700162 118.981,44 413,12 144 �����

700184 387.303,25 0,00 1.251 �����

700206 244.687,45 2.137,95 345 ����

700221 339.179,73 0,00 821 ����

700243 82.109,72 0,00 106 �����

700265 18.570,24 0,00 31 ����

700276 948,28 0,00 3 �����

700280 1.012.770,53 1.817,68 3.089 ����

700302 28.255,92 0,00 130 �����

700324 35.116,22 0,00 34 �����

700346 305.351,70 0,00 1.095 �����

700361 623.774,01 27,43 2.327 ���

700372 1.022,49 0,00 3 �����

700383 1.074.887,34 1.755,15 3.161 ����

700394 722,98 0,00 2 �����

700405 161.020,96 72,29 448 �����

700416 2.313,60 0,00 16 �����

700420 2.167.977,60 1.689,93 15.020 ������700420 2.167.977,60 1.689,93 15.020 ������

700431 1.859,12 0,00 8 �����

700442 604.829,01 1.928,58 2.603 �����

700453 1.032,82 0,00 2 �����

700464 223.883,61 1.420,12 435 �����

700501 177.424,20 1.265,25 1.227 �����

700523 826,26 0,00 2 �����

700545 21.632,79 0,00 72 �����

700560 58.956,02 0,00 373 ����

700582 178.767,13 0,00 2.663 ����

700593 6.217,68 0,00 14 �����

700604 3.833.497,07 2.540,74 8.666 �����

700626 2.649.161,94 2.833,55 2.775 ����

700630 1.941,72 0,00 4 �����

700641 5.248.012,51 3.527,36 10.814 ����

700663 9.977,17 0,00 23 ����

700685 62.971,09 0,00 91 ����

700700 12.755,46 0,00 19 �����

700722 1.383,98 0,00 2 �����

700744 3.356,73 0,00 13 �����

700766 69.556,92 0,00 42 �����

700781 122.872,25 0,00 63 �����

700792 1.239,39 0,00 1 �����

700803 243.210,84 0,00 240 �����

700825 106.510,00 0,00 78 �����

700840 1.005.430,80 395,03 6.490 �����

Total 42.645.087,00 44.387,43 131.389

Page 28: colonne vertebrale - wervelkolom (pdf - 854 kb)

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Page 29: colonne vertebrale - wervelkolom (pdf - 854 kb)

�����

Dépenses Suppléments patient Cas Parts (cas) Parts (cas) **Non-classé/Niet geklasseerd 139.173,21 0,00 120 �����

157001 3.960.531,89 3.077,42 16.692 ���� ���

157002 4.709,70 0,00 6 ����� �����

157003 61.213,13 0,00 39 ����� �����

157004 590.683,41 0,00 2.201 ����� �����

157005 9.908.189,28 14.228,92 33.081 ����� ����

157006 6.338.573,10 5.209,40 12.655 ����� �����

157008 118.981,44 413,12 144 ����� �����

157009 387.303,25 0,00 1.251 ����� �����

157010 244.687,45 2.137,95 345 ���� ����

157011 339.179,73 0,00 821 ���� �����

157012 82.109,72 0,00 106 ����� �����

157013 18.570,24 0,00 31 ���� ����

157014 1.013.718,81 1.817,68 3.092 ���� ����

157015 28.255,92 0,00 130 ����� �����

157016 35.116,22 0,00 34 ����� �����

157017 305.351,70 0,00 1.095 ����� �����

157018 623.774,01 27,43 2.327 ��� ���

157019 1.075.909,83 1.755,15 3.164 ���� ����

157020 161.743,94 72,29 450 ����� �����

157021 2.170.291,20 1.689,93 15.036 ������ ������

157022 606.688,13 1.928,58 2.611 ����� �����

157023 224.916,43 1.420,12 437 ����� �����

157025 177.424,20 1.265,25 1.227 ����� �����

157026 826,26 0,00 2 ����� �����

157027 21.632,79 0,00 72 ����� �����

157028 58.956,02 0,00 373 ���� ����

157029 178.767,13 0,00 2.663 ���� ����

157030 3.838.382,39 2.540,74 8.677 ����� �����

157031 2.649.161,94 2.833,55 2.775 ���� ����

157032 5.249.954,23 3.527,36 10.818 ���� ����157032 5.249.954,23 3.527,36 10.818 ���� ����

157033 9.977,17 0,00 23 ���� ����

157034 62.971,09 0,00 91 ���� ����

157035 12.755,46 0,00 19 ����� �����

157036 1.383,98 0,00 2 ����� �����

157037 3.356,73 0,00 13 ����� �����

157038 69.556,92 0,00 42 ����� �����

157039 120.858,24 0,00 62 ����� �����

157040 1.005.430,80 395,03 6.490 ����� �����

157041 144.080,25 0,00 155 ���� ����

157042 74.130,96 0,00 58 ����� �����

176001 67.701,75 0,00 285 ��� ���

176002 83.142,50 47,51 350 ��� ���

176003 187.165,41 0,00 697 ����� �����

176004 187.799,04 0,00 627 ����� �����

Total 42.645.087,00 44.387,43 131.389** NB: compte non tenu des "non classés" Total = 131.269

Page 30: colonne vertebrale - wervelkolom (pdf - 854 kb)

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Page 31: colonne vertebrale - wervelkolom (pdf - 854 kb)

157.001 �����

Fournisseur Dépenses Suppléments patient CasMedtronic 1.089.879,40 302,56 4.588Cormed 893.900,65 1.407,16 3.763Johnson & Johnson Medical-Depuy 529.498,95 85,02 2.229Synthes 257.339,48 0,00 1.094Hospithera 245.389,15 0,00 1.033Zimmer 239.260,36 0,00 1.007Globus Medical Belgium 207.143,60 712,56 872InSpine Belgium 107.610,15 0,00 453STRYKER 97.870,60 0,00 412Orthogèse 62.475,65 190,04 263Ortho Team 50.598,15 237,55 213LDR MEDICAL 38.483,10 0,00 162NEW2DM 34.444,75 0,00 145SDI Belgium 23.992,51 0,00 101MEDIANN 19.954,20 142,53 84ISKRA 19.004,00 0,00 80Biomet 14.728,10 0,00 62SHARK MEDICAL 13.065,25 0,00 55B Braun Medical 12.352,60 0,00 52MSH 3.541,24 0,00 24

Total 3.960.531,89 3.077,42 16.692

157.002

Fournisseur Dépenses Suppléments patient CasMedtronic 4.709,70 0,00 6

Total 4.709,70 0,00 6

157.003

Fournisseur Dépenses Suppléments patient CasFournisseur Dépenses Suppléments patient CasMedtronic 34.992,10 0,00 22Johnson & Johnson Medical-Depuy 15.087,18 0,00 10Synthes 6.362,20 0,00 4Zimmer 3.181,10 0,00 2Globus Medical Belgium 1.590,55 0,00 1

Total 61.213,13 0,00 39

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157.004 �����

Fournisseur Dépenses Suppléments patient CasSTRYKER 257.788,80 0,00 960Medtronic 88.077,84 0,00 328Ortho Team 45.650,10 0,00 170SDI Belgium 27.658,59 0,00 103Synthes 25.510,35 0,00 95Hospithera 25.241,82 0,00 94Johnson & Johnson Medical-Depuy 24.436,23 0,00 91LDR MEDICAL 22.680,48 0,00 84NEW2DM 19.871,22 0,00 74MEDIANN 18.528,57 0,00 69Biomet 13.695,03 0,00 51B Braun Medical 10.472,67 0,00 39Zimmer 3.759,42 0,00 14MSH 2.148,24 0,00 8Inspine 1.879,71 0,00 7Globus Medical Belgium 1.611,18 0,00 6Orthogèse 1.074,12 0,00 4Cormed 599,04 0,00 4

Total 590.683,41 0,00 2.201

157.005

Fournisseur Dépenses Suppléments patient CasMedtronic 2.341.946,88 1.018,08 7.819Johnson & Johnson Medical-Depuy 1.753.090,56 0,00 5.853Cormed 1.444.884,48 4.133,36 4.824Hospithera 851.902,56 1.797,12 2.845Synthes 789.235,20 0,00 2.635Zimmer 749.399,04 2.755,62 2.502Globus Medical Belgium 650.257,92 2.845,44 2.171InSpine Belgium 337.559,04 0,00 1.127InSpine Belgium 337.559,04 0,00 1.127STRYKER 287.239,68 0,00 959NEW2DM 164.136,96 0,00 548Ortho Team 133.585,92 0,00 446Orthogèse 80.271,36 0,00 268SDI Belgium 76.677,12 0,00 256LDR MEDICAL 70.686,72 0,00 236MEDIANN 55.710,72 419,30 186SHARK MEDICAL 40.734,72 1.260,00 136B Braun Medical 38.039,04 0,00 127Biomet 28.753,92 0,00 96MSH 14.077,44 0,00 47

Total 9.908.189,28 14.228,92 33.081

157.006

Fournisseur Dépenses Suppléments patient CasCormed 2.857.748,60 1.502,72 5.705Medtronic 2.314.751,32 0,00 4.621Johnson & Johnson Medical-Depuy 506.931,04 701,16 1.012Orthogèse 363.167,00 3.005,52 725Synthes 269.494,96 0,00 538SDI Belgium 13.023,92 0,00 26Biomet 5.009,20 0,00 10MSH 4.439,70 0,00 10Hospithera 2.504,60 0,00 5B Braun Medical 1.001,84 0,00 2LDR MEDICAL 500,92 0,00 1

Total 6.338.573,10 5.209,40 12.655

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����157.008

Fournisseur Dépenses Suppléments patient CasMedtronic 98.324,94 0,00 119Cormed 15.698,94 413,12 19Orthogèse 4.957,56 0,00 6

Total 118.981,44 413,12 144

157.009

Fournisseur Dépenses Suppléments patient CasMedtronic 142.221,15 0,00 459Synthes 56.776,27 0,00 184Hospithera 50.815,40 0,00 164Johnson & Johnson Medical-Depuy 29.044,25 0,00 94Globus Medical Belgium 27.266,80 0,00 88SDI Belgium 25.097,85 0,00 81Cormed 18.900,85 0,00 61Biomet 14.872,80 0,00 48Zimmer 12.084,15 0,00 39STRYKER 5.885,83 0,00 19Ortho Team 1.859,10 0,00 6MSH 1.239,40 0,00 4B Braun Medical 1.239,40 0,00 4

Total 387.303,25 0,00 1.251

157.010

Fournisseur Dépenses Suppléments patient CasMedtronic 124.713,75 0,00 175Orthogèse 115.449,30 2.137,95 162Johnson & Johnson Medical-Depuy 4.524,40 0,00 8

Total 244.687,45 2.137,95 345Total 244.687,45 2.137,95 345

157.011

Fournisseur Dépenses Suppléments patient CasZimmer 339.179,73 0,00 821

Total 339.179,73 0,00 821

157.012

Fournisseur Dépenses Suppléments patient CasMedtronic 61.969,60 0,00 80Cormed 19.365,50 0,00 25Orthogèse 774,62 0,00 1

Total 82.109,72 0,00 106

157.013

Fournisseur Dépenses Suppléments patient CasZimmer 18.570,24 0,00 31

Total 18.570,24 0,00 31

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157.014 ����

Fournisseur Dépenses Suppléments patient CasMedtronic 356.633,20 82,62 1.097Cormed 261.756,00 908,86 792Globus Medical Belgium 72.049,00 826,20 218Synthes 67.422,00 0,00 204Johnson & Johnson Medical-Depuy 49.209,50 0,00 153InSpine Belgium 43.295,50 0,00 131Zimmer 37.268,50 0,00 113NEW2DM 37.016,00 0,00 112Hospithera 29.084,00 0,00 88STRYKER 15.366,04 0,00 47Ortho Team 15.203,00 0,00 46SDI Belgium 14.542,00 0,00 44B Braun Medical 4.627,00 0,00 14MEDIANN 2.756,00 0,00 10Biomet 2.533,57 0,00 8LDR MEDICAL 2.313,50 0,00 7MSH 1.983,00 0,00 6Orthogèse 330,50 0,00 1SHARK MEDICAL 330,50 0,00 1

Total 1.013.718,81 1.817,68 3.092

157.015

Fournisseur Dépenses Suppléments patient CasMedtronic 8.179,92 0,00 36Johnson & Johnson Medical-Depuy 7.498,26 0,00 33SDI Belgium 2.499,42 0,00 11Globus Medical Belgium 2.272,20 0,00 10STRYKER 1.817,76 0,00 8Synthes 1.817,76 0,00 8Cormed 1.817,76 0,00 8Cormed 1.817,76 0,00 8Zimmer 989,52 0,00 10Hospithera 908,88 0,00 4Orthogèse 454,44 0,00 2

Total 28.255,92 0,00 130

157.016

Fournisseur Dépenses Suppléments patient CasOrthogèse 30.984,90 0,00 30Johnson & Johnson Medical 4.131,32 0,00 4

Total 35.116,22 0,00 34

157.017

Fournisseur Dépenses Suppléments patient CasJohnson & Johnson Medical-Depuy 118.794,36 0,00 426Cormed 118.515,50 0,00 425Medtronic 68.041,84 0,00 244

Total 305.351,70 0,00 1.095

157.018

Fournisseur Dépenses Suppléments patient CasJohnson & Johnson Medical-Depuy 233.084,04 27,43 868Cormed 220.463,13 0,00 821Medtronic 168.636,84 0,00 628STRYKER 1.590,00 0,00 10

Total 623.774,01 27,43 2.327

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�����157.019

Fournisseur Dépenses Suppléments patient CasCormed 293.795,46 749,76 862Medtronic 251.191,71 68,16 737Johnson & Johnson Medical-Depuy 97.231,75 170,40 291Zimmer 90.319,95 0,00 265Hospithera 71.574,30 0,00 210Globus Medical Belgium 70.210,98 766,83 206Synthes 50.102,01 0,00 147OSTEON 42.603,74 0,00 125Ortho Team 25.221,42 0,00 74InSpine Belgium 23.858,10 0,00 70NEW2DM 17.382,33 0,00 51STRYKER 12.951,54 0,00 38SDI Belgium 9.202,40 0,00 27Biomet 6.971,77 0,00 22LDR MEDICAL 6.134,94 0,00 18Ixemel 3.749,13 0,00 11B Braun Medical 2.385,81 0,00 7Orthogèse 681,66 0,00 2SHARK MEDICAL 340,83 0,00 1

Total 1.075.909,83 1.755,15 3.164

157.020

Fournisseur Dépenses Suppléments patient CasCormed 53.500,52 0,00 148Medtronic 40.848,37 0,00 113OSTEON 16.142,97 0,00 47Johnson & Johnson Medical-Depuy 15.544,07 72,29 43Zimmer 13.375,13 0,00 37Globus Medical Belgium 5.060,86 0,00 14Globus Medical Belgium 5.060,86 0,00 14B Braun Medical 4.981,36 0,00 14Hospithera 3.976,39 0,00 11STRYKER 2.891,92 0,00 8InSpine Belgium 2.530,43 0,00 7SDI Belgium 1.807,45 0,00 5Orthogèse 722,98 0,00 2LDR MEDICAL 361,49 0,00 1

Total 161.743,94 72,29 450

Page 36: colonne vertebrale - wervelkolom (pdf - 854 kb)

157.021 ������

Fournisseur Dépenses Suppléments patient CasMedtronic 590.401,80 115,68 4.083Cormed 439.294,80 0,00 3.038Zimmer 249.290,40 0,00 1.724OSTEON 175.110,60 0,00 1.211Johnson & Johnson Medical-Depuy 160.748,40 272,85 1.138Hospithera 152.553,00 0,00 1.055Globus Medical Belgium 119.005,80 1.301,40 823Synthes 59.575,20 0,00 412Ortho Team 49.597,80 0,00 343InSpine Belgium 45.838,20 0,00 317NEW2DM 36.005,40 0,00 249STRYKER 33.258,00 0,00 230SDI Belgium 18.219,60 0,00 126Biomet 13.737,00 0,00 95LDR MEDICAL 12.580,20 0,00 87Ixemel 10.303,20 0,00 72B Braun Medical 4.627,20 0,00 32SHARK MEDICAL 144,60 0,00 1

Total 2.170.291,20 1.689,93 15.036

157.022

Fournisseur Dépenses Suppléments patient CasCormed 530.081,59 1.928,58 2.281Synthes 54.379,26 0,00 234B Braun Medical 17.429,25 0,00 75Orthogèse 2.788,68 0,00 12Globus Medical Belgium 1.161,95 0,00 5MSH 847,40 0,00 4

Total 606.688,13 1.928,58 2.611

157.023

Fournisseur Dépenses Suppléments patient CasMedtronic 117.741,48 1.032,82 228Zimmer 35.393,96 0,00 70Cormed 35.115,88 258,20 68Synthes 23.754,86 0,00 46Globus Medical Belgium 12.393,84 129,10 24MSH 516,41 0,00 1

Total 224.916,43 1.420,12 437

157.025

Fournisseur Dépenses Suppléments patient CasMedtronic 78.228,60 1.012,20 541Zimmer 41.211,00 0,00 285Synthes 25.738,80 0,00 178Cormed 19.087,20 108,45 132Globus Medical Belgium 12.869,40 144,60 89MSH 289,20 0,00 2

Total 177.424,20 1.265,25 1.227

157.026

Fournisseur Dépenses Suppléments patient CasMSH 826,26 0,00 2

Total 826,26 0,00 2

Page 37: colonne vertebrale - wervelkolom (pdf - 854 kb)

157.027 ������

Fournisseur Dépenses Suppléments patient CasMedtronic 10.534,90 0,00 34Synthes 8.675,80 0,00 28B Braun Medical 1.549,25 0,00 5Globus Medical Belgium 483,36 0,00 3MSH 389,48 0,00 2

Total 21.632,79 0,00 72

157.028

Fournisseur Dépenses Suppléments patient CasMedtronic 38.918,73 0,00 276Johnson & Johnson Medical-Depuy 7.229,95 0,00 35Synthes 4.337,97 0,00 21Cormed 3.924,83 0,00 19Biomet 2.685,41 0,00 13STRYKER 1.239,42 0,00 6Globus Medical Belgium 619,71 0,00 3

Total 58.956,02 0,00 373

157.029

Fournisseur Dépenses Suppléments patient CasCormed 145.873,49 0,00 2.173Johnson & Johnson Medical-Depuy 29.402,88 0,00 438Synthes 1.879,64 0,00 28Medtronic 1.611,12 0,00 24

Total 178.767,13 0,00 2.663

157.030

Fournisseur Dépenses Suppléments patient CasFournisseur Dépenses Suppléments patient CasCormed 995.272,92 1.421,18 2.241Medtronic 723.027,36 85,21 1.628Zimmer 515.623,32 0,00 1.161Synthes 483.646,68 0,00 1.089Hospithera 194.516,12 0,00 438OSTEON 182.533,32 0,00 411Johnson & Johnson Medical-Depuy 176.496,75 168,32 423Globus Medical Belgium 145.671,36 777,21 328STRYKER 79.497,48 88,82 179InSpine Belgium 59.956,20 0,00 135LDR MEDICAL 54.626,76 0,00 123Ortho Team 47.964,96 0,00 108NEW2DM 34.197,24 0,00 77Biomet 28.867,80 0,00 65B Braun Medical 27.216,00 0,00 70Orthogèse 19.097,16 0,00 43SHARK MEDICAL 17.320,68 0,00 39EUROSPINE 16.876,56 0,00 38SDI Belgium 12.435,36 0,00 28Ixemel 11.991,24 0,00 27Medacta 10.658,88 0,00 24Inspine 888,24 0,00 2

Total 3.838.382,39 2.540,74 8.677

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157.031 ������

Fournisseur Dépenses Suppléments patient CasMedtronic 946.122,05 2.161,19 985Synthes 614.739,20 192,10 640Zimmer 413.988,43 0,00 431Johnson & Johnson Medical-Depuy 334.295,12 0,00 361Cormed 113.342,54 240,13 118Hospithera 68.044,71 0,00 72Globus Medical Belgium 48.987,03 240,13 51Biomet 27.997,81 0,00 32EUROSPINE 23.052,72 0,00 24STRYKER 23.052,72 0,00 24LDR MEDICAL 13.447,42 0,00 14SDI Belgium 9.605,30 0,00 10InSpine Belgium 3.842,12 0,00 4Ortho Team 3.842,12 0,00 4Inspine 1.921,06 0,00 2AceeMed 1.921,06 0,00 2Medacta 960,53 0,00 1

Total 2.649.161,94 2.833,55 2.775

157.032

Fournisseur Dépenses Suppléments patient CasCormed 1.837.837,98 1.743,56 3.786Medtronic 1.127.653,89 436,86 2.323Johnson & Johnson Medical-Depuy 719.238,88 0,00 1.482Globus Medical Belgium 247.569,30 1.334,85 510Hospithera 233.209,20 12,09 483OSTEON 195.142,86 0,00 402InSpine Belgium 186.404,18 0,00 384Zimmer 181.550,82 0,00 374Synthes 173.783,94 0,00 358Synthes 173.783,94 0,00 358STRYKER 107.280,03 0,00 221NEW2DM 90.775,41 0,00 187Ortho Team 42.717,84 0,00 88ISKRA 33.494,67 0,00 69Orthogèse 28.154,94 0,00 58SDI Belgium 14.562,90 0,00 30B Braun Medical 14.562,90 0,00 30Biomet 7.762,18 0,00 16SHARK MEDICAL 5.339,73 0,00 11MSH 1.941,72 0,00 4Medacta 970,86 0,00 2

Total 5.249.954,23 3.527,36 10.818

157.033

Fournisseur Dépenses Suppléments patient CasJohnson & Johnson Medical-Depuy 6.073,06 0,00 14Medtronic 3.036,53 0,00 7Synthes 867,58 0,00 2

Total 9.977,17 0,00 23

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157.034 ������

Fournisseur Dépenses Suppléments patient CasCormed 27.679,60 0,00 40Zimmer 15.915,77 0,00 23Hospithera 8.995,87 0,00 13Globus Medical Belgium 6.227,91 0,00 9OSTEON 4.151,94 0,00 6

Total 62.971,09 0,00 91

157.035

Fournisseur Dépenses Suppléments patient CasJohnson & Johnson Medical-Depuy 9.398,76 0,00 14Medtronic 2.685,36 0,00 4Synthes 671,34 0,00 1

Total 12.755,46 0,00 19

157.036

Fournisseur Dépenses Suppléments patient CasHospithera 1.383,98 0,00 2

Total 1.383,98 0,00 2

157.037

Fournisseur Dépenses Suppléments patient CasSynthes 1.807,47 0,00 7Medtronic 1.549,26 0,00 6

Total 3.356,73 0,00 13

157.038

Fournisseur Dépenses Suppléments patient CasFournisseur Dépenses Suppléments patient CasSTRYKER 20.449,92 0,00 12Synthes 18.745,76 0,00 11Medtronic 10.224,96 0,00 6MSH 9.911,32 0,00 7Globus Medical Belgium 5.112,48 0,00 3Hospithera 5.112,48 0,00 3

Total 69.556,92 0,00 42

157.039

Fournisseur Dépenses Suppléments patient CasMedtronic 50.350,25 0,00 25Synthes 27.590,66 0,00 15STRYKER 12.084,06 0,00 6MSH 10.693,17 0,00 6Globus Medical Belgium 10.070,05 0,00 5B Braun Medical 8.056,04 0,00 4Hospithera 2.014,01 0,00 1

Total 120.858,24 0,00 62

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157.040 ������

Fournisseur Dépenses Suppléments patient CasSynthes 743.461,08 123,92 4.799Medtronic 196.593,48 116,19 1.269LDR MEDICAL 34.082,40 0,00 220Globus Medical Belgium 11.309,16 0,00 73SHARK MEDICAL 10.224,72 154,92 66Johnson & Johnson Medical-Depuy 8.210,76 0,00 53Biomet 929,52 0,00 6MSH 619,68 0,00 4

Total 1.005.430,80 395,03 6.490

157.041

Fournisseur Dépenses Suppléments patient CasJohnson & Johnson Medical-Depuy 84.589,05 0,00 91Medtronic NV 47.407,05 0,00 51InSpine Belgium 12.084,15 0,00 13

Total 144.080,25 0,00 155

157.042

Fournisseur Dépenses Suppléments patient CasJohnson & Johnson Medical-Depuy 56.237,28 0,00 44Cormed 17.893,68 0,00 14

Total 74.130,96 0,00 58

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176.001 ������

Fournisseur Dépenses Suppléments patient CasZimmer 58.437,30 0,00 246Inspine 5.701,20 0,00 24SpineVision-Belgium 3.088,15 0,00 13MSH 475,10 0,00 2

Total 67.701,75 0,00 285

176.002

Fournisseur Dépenses Suppléments patient CasZimmer 38.483,10 47,51 162Medtronic 25.655,40 0,00 108SpineVision-Belgium 14.253,00 0,00 60Synthes 3.800,80 0,00 16Inspine 950,20 0,00 4

Total 83.142,50 47,51 350

176.003

Fournisseur Dépenses Suppléments patient CasZimmer 183.405,99 0,00 683SpineVision-Belgium 2.148,24 0,00 8MSH 1.611,18 0,00 6

Total 187.165,41 0,00 697

176.004

Fournisseur Dépenses Suppléments patient CasZimmer 99.740,16 0,00 333Medtronic 37.440,00 0,00 125SpineVision-Belgium 32.647,68 0,00 109Inspine 17.971,20 0,00 60Inspine 17.971,20 0,00 60

Total 187.799,04 0,00 627

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Fournisseur Dépenses Suppléments patient Cas Parts (cas) Parts (cas) ** ������Medtronic 11.156.893,73 6.431,57 32.744 ���� �����

Cormed 10.366.350,94 14.815,08 31.367 ���� �����

Johnson & Johnson Medical-Depuy 4.975.895,48 1.497,47 15.204 ����� ������

Synthes 3.771.516,27 316,02 12.794 ���� ����

Zimmer 3.340.427,39 2.803,13 10.333 ���� ���

Hospithera 1.947.226,47 1.809,21 6.521 ����� ����

Globus Medical Belgium 1.658.944,44 9.078,32 5.512 ���� ����

STRYKER 960.263,80 88,82 3.139 ���� ����

InSpine Belgium 822.978,07 0,00 2.641 ���� ����

Orthogèse 711.384,87 5.333,51 1.579 ���� ����

OSTEON 615.685,43 0,00 2.202 ����� �����

NEW2DM 433.829,31 0,00 1.443 ����� �����

Ortho Team 416.240,41 237,55 1.498 ����� �����

LDR MEDICAL 255.897,93 0,00 953 ���� ����

SDI Belgium 249.324,42 0,00 848 ����� �����

Biomet 168.544,11 0,00 524 ����� �����

B Braun Medical 148.540,36 0,00 475 ����� �����

Non-classé/Niet geklasseerd 139.173,21 0,00 120 ����� �����

MEDIANN 96.949,49 561,83 349 ��� ���

SHARK MEDICAL 87.501,03 1.414,92 310 ���� ����

MSH 55.549,94 0,00 139 ����� �����

ISKRA 52.498,67 0,00 149 ����� �����

SpineVision-Belgium 52.137,07 0,00 190 ����� �����

Medtronic NV 47.407,05 0,00 51 ����� �����

EUROSPINE 39.929,28 0,00 62 ����� �����

Inspine 29.311,61 0,00 99 ����� �����

Ixemel 26.043,57 0,00 110 ����� �����

Medacta 12.590,27 0,00 27 ���� ����

Johnson & Johnson Medical 4.131,32 0,00 4 ����� �����

AceeMed 1.921,06 0,00 2 ����� �����

Total 42.645.087,00 44.387,43 131.389** NB: compte non tenu des "non classés"

Total = 131.269 Total = 131.269

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