| Code | Description | Type | Clé | Tarif | Max. |
|---|---|---|---|---|---|
| 749674 | 177-LU-DOTATATE (AZ GROENINGEN KORTRIJK) | Ambulant | - | - | |
| 749685 | 177-LU-DOTATATE (AZ GROENINGEN KORTRIJK) | Hospitalisé | - | - | |
| 749696 | 177-LU-DOTATATE (UZ LEUVEN) | Ambulant | - | - | |
| 749700 | 177-LU-DOTATATE (UZ LEUVEN) | Hospitalisé | - | - | |
| 749711 | 177-LU-DOTATATE (BORDET) | Ambulant | - | - | |
| 749722 | 177-LU-DOTATATE (BORDET) | Hospitalisé | - | - | |
| 758796 | 177-LU-DOTATATE (UZ GENT) | Ambulant | - | - | |
| 758800 | 177-LU-DOTATATE (UZ GENT) | Hospitalisé | - | - |