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Fiche
Code LPP:3114454
Désignation:RECONSTRUCTION FÉMORALE, MODULAIRE, ADLER, PANTHEON, CONE FÉMORAL

Reconstruction fémorale, modulaire, ADLER, PANTHEON, cone fémoral Cône fémoral du système modulaire de reconstruction massive PANTHEON de la société ADLER ORTHO. REFERENCES PRISES EN CHARGE 1210701: FEMORAL META-DIAPHYSEAL CONE SMALL L 67 MM (ID 15MM) 1210702: FEMORAL META-DIAPHYSEAL CONE MEDIUM L 67 MM (ID 16MM) 1210703: FEMORAL META-DIAPHYSEAL CONE LARGE L 67 MM (ID 17MM) 1210704: FEMORAL META-DIAPHYSEAL CONE EXTRALARGE L 67 MM (ID 17MM) 1210711: FEMORAL META-DIAPHYSEAL CONE SMALL L 77 MM (ID 13 MM) 1210712: FEMORAL META-DIAPHYSEAL CONE MEDIUM L 77 MM (ID 14 MM) 1210713: FEMORAL META-DIAPHYSEAL CONE LARGE L 77 MM (ID 15 MM) 1210714: FEMORAL META-DIAPHYSEAL CONE EXTRALARGE L 77 MM (ID 13 MM) 1210721: FEMORAL META-DIAPHYSEAL CONE SMALL L 90 MM (ID 11 MM) 1210722: FEMORAL META-DIAPHYSEAL CONE MEDIUM L 90 MM (ID 11 MM) 1210723: FEMORAL META-DIAPHYSEAL CONE LARGE L 90 MM (ID 12 MM) 1210724: FEMORAL META-DIAPHYSEAL CONE EXTRALARGE L 90 MM (ID 12 MM) 1210801: FEMORAL META-DIAPHYSEAL CONE SMALL L 41 MM (ID 15 MM) 1210802: FEMORAL META-DIAPHYSEAL CONE MEDIUM L 41 MM (ID 16 MM) 1210803: FEMORAL META-DIAPHYSEAL CONE LARGE L 41 MM (ID 17 MM) 1210804: FEMORAL META-DIAPHYSEAL CONE EXTRALARGE L 41 MM (ID 17 MM) 1210811: FEMORAL META-DIAPHYSEAL CONE SMALL L 53 MM (ID 13 MM) 1210812: FEMORAL META-DIAPHYSEAL CONE MEDIUM L 53 MM (ID 14 MM) 1210813: FEMORAL META-DIAPHYSEAL CONE LARGE L 53 MM (ID 15 MM) 1210814: FEMORAL META-DIAPHYSEAL CONE EXTRALARGE L 53 MM (ID 15 MM) 1210821: FEMORAL META-DIAPHYSEAL CONE SMALL L 66 MM (ID 11 MM) 1210822: FEMORAL META-DIAPHYSEAL CONE MEDIUM L 66 MM (ID 11 MM) 1210823: FEMORAL META-DIAPHYSEAL CONE LARGE L 66 MM (ID 12 MM) 1210824: FEMORAL META-DIAPHYSEAL CONE EXTRALARGE L 66 MM (ID 12 MM) 1210901: FEMORAL META-DIAPHYSEAL CONE SMALL L 42 MM (ID 15 MM) 1210902: FEMORAL META-DIAPHYSEAL CONE MEDIUM L 42 MM (ID 16 MM) 1210903: FEMORAL META-DIAPHYSEAL CONE LARGE L 42 MM (ID 17 MM) 1210904: FEMORAL META-DIAPHYSEAL CONE EXTRALARGE L 42 MM (ID 17 MM) 1212801: FEMORAL META-DIAPHYSEAL ELASTICONE SMALL L 67 MM (ID 13/15 MM) 1212802: FEMORAL META-DIAPHYSEAL ELASTICONE MEDIUM L 67 MM (ID 14/16 MM) 1212803: FEMORAL META-DIAPHYSEAL ELASTICONE LARGE L 67 MM (ID 15/17 MM) 1212804: FEMORAL META-DIAPHYSEAL ELASTICONE EXTRALARGE L 67 MM (ID 15/17 MM) 1212811: FEMORAL META-DIAPHYSEAL ELASTICONE SMALL L 77 MM (ID 11/13 MM) 1212812: FEMORAL META-DIAPHYSEAL ELASTICONE MEDIUM L 77 MM (ID 12/14 MM) 1212813: FEMORAL META-DIAPHYSEAL ELASTICONE LARGE L 77 MM (ID 13/15 MM) 1212814: FEMORAL META-DIAPHYSEAL ELASTICONE EXTRALARGE L 77 MM (ID 13/15 MM) 1212821: FEMORAL META-DIAPHYSEAL ELASTICONE SMALL L 90 MM (ID 10/11 MM) 1212822: FEMORAL META-DIAPHYSEAL ELASTICONE MEDIUM L 90 MM (ID 10/11 MM) 1212823: FEMORAL META-DIAPHYSEAL ELASTICONE SMALL L 90 MM (ID 10/11 MM) 1212824: FEMORAL META-DIAPHYSEAL ELASTICONE SMALL L 90 MM (ID 10/12 MM) 1212901: FEMORAL META-DIAPHYSEAL ELASTICONE SMALL L 41 MM (ID 13/15 MM) 1212902: FEMORAL META-DIAPHYSEAL ELASTICONE MEDIUM L 41 MM (ID 14/16 MM) 1212903: FEMORAL META-DIAPHYSEAL ELASTICONE LARGE L 41 MM (ID 15/17 MM) 1212904: FEMORAL META-DIAPHYSEAL ELASTICONE EXTRALARGE L 41 MM (ID 15/17 MM) 1212911: FEMORAL DIAPHYSEAL ELASTICONE SMALL L 53 MM (ID 11/13MM) 1212912: FEMORAL DIAPHYSEAL ELASTICONE MEDIUM L 53 MM (ID 12/14MM) 1212913: FEMORAL DIAPHYSEAL ELASTICONE LARGE L 53 MM (ID 13/15MM) 1212914: FEMORAL DIAPHYSEAL ELASTICONE EXTRA LARGE L 53 MM (ID 13/15MM) 1212921: FEMORAL DIAPHYSEAL ELASTICONE SMALL L 66 MM (ID 10/11MM) 1212922: FEMORAL DIAPHYSEAL ELASTICONE MEDIUM L 66 MM (ID 10/11MM) 1212923: FEMORAL DIAPHYSEAL ELASTICONE LARGE L 66 MM (ID 10/12MM) 1212924: FEMORAL DIAPHYSEAL ELASTICONE EXTRALARGE L 66 MM (ID 10/12MM) 1220101: Ti-UBER FEMORAL CONE SHORT SIZE A 1220102: Ti-UBER FEMORAL CONE SHORT SIZE B 1220103: Ti-UBER FEMORAL CONE SHORT SIZE C 1220131: Ti-UBER FEMORAL CONE LONG SIZE A 1220132: Ti-UBER FEMORAL CONE LONG SIZE B 1220133: Ti-UBER FEMORAL CONE LONG SIZE C 1220701: FEMORAL METAPHYSEAL Ti-POR CONE SIZE A 1220702: FEMORAL METAPHYSEAL Ti-POR CONE SIZE B 1220703: FEMORAL METAPHYSEAL Ti-POR CONE SIZE C 1220704: FEMORAL METAPHYSEAL Ti-POR CONE SIZE D 1220705: FEMORAL METAPHYSEAL Ti-POR CONE SIZE E 1220706: FEMORAL METAPHYSEAL Ti-POR CONE SIZE F 1220707: FEMORAL METAPHYSEAL Ti-POR CONE SIZE G 1220708: FEMORAL METAPHYSEAL Ti-POR CONE SIZE H 1220709: FEMORAL METAPHYSEAL Ti-POR CONE SIZE I 1220710: FEMORAL METAPHYSEAL Ti-POR CONE SIZE J 1220711: FEMORAL METAPHYSEAL Ti-POR CONE SIZE K 1220712: FEMORAL METAPHYSEAL Ti-POR CONE SIZE L 1220801: FEMORAL META-DIAPHYSEAL Ti-POR CONE SIZE A 1220802: FEMORAL META-DIAPHYSEAL Ti-POR CONE SIZE B 1220803: FEMORAL META-DIAPHYSEAL Ti-POR CONE SIZE C 1220804: FEMORAL META-DIAPHYSEAL Ti-POR CONE SIZE D 1220805: FEMORAL META-DIAPHYSEAL Ti-POR CONE SIZE E 1220806: FEMORAL META-DIAPHYSEAL Ti-POR CONE SIZE F 1220807: FEMORAL META-DIAPHYSEAL Ti-POR CONE SIZE G 1220808: FEMORAL META-DIAPHYSEAL Ti-POR CONE SIZE H 1220809: FEMORAL META-DIAPHYSEAL Ti-POR CONE SIZE I 1220810: FEMORAL META-DIAPHYSEAL Ti-POR CONE SIZE J 1220811: FEMORAL META-DIAPHYSEAL Ti-POR CONE SIZE K 1220812: FEMORAL META-DIAPHYSEAL Ti-POR CONE SIZE L 1220901: FEMORAL DIAPHYSEAL Ti-POR CONE SHORT SIZE A 1220902: FEMORAL DIAPHYSEAL Ti-POR CONE SHORT SIZE B 1220903: FEMORAL DIAPHYSEAL Ti-POR CONE SHORT SIZE C 1220904: FEMORAL DIAPHYSEAL Ti-POR CONE SHORT SIZE D 1220905: FEMORAL DIAPHYSEAL Ti-POR CONE SHORT SIZE E 1220906: FEMORAL DIAPHYSEAL Ti-POR CONE SHORT SIZE F 1220907: FEMORAL DIAPHYSEAL Ti-POR CONE SHORT SIZE G 1220908: FEMORAL DIAPHYSEAL Ti-POR CONE SHORT SIZE H 1220909: FEMORAL DIAPHYSEAL Ti-POR CONE SHORT SIZE I 1220910: FEMORAL DIAPHYSEAL Ti-POR CONE SHORT SIZE J 1220911: FEMORAL DIAPHYSEAL Ti-POR CONE SHORT SIZE K 1220912: FEMORAL DIAPHYSEAL Ti-POR

Dates J.O. et Arrêté

Date début validité:15/05/2024

Tarif:538,37 Euros
Prix unitaire réglementé:538,37 Euros
Montant max remboursement:Néant
Quantité max remboursement:Néant

Entente préalable:Non
Indications:Oui
Identifiant:Néant
Age maxi:Néant
Nature de prestation:PII Implant Inerte
Type de prestation:Achat

 Chapitres :
Arborescence LPP
TITRE 3 : DMI, IMPLANTS ET GREFFONS TISSULAIRES D'ORIGINE HUMAINE
DMI D'ORIGINE SYNTHETIQUE
IMPLANTS ORTHOPEDIQUES
SYSTEMES MODULAIRES DE RECONSTRUCTION

 Majorations D.O.M. :
GUADELOUPE1,160
MARTINIQUE1,160
GUYANE1,160
REUNION1,160
SAINT-PIERRE-ET-MIQUELON1,400
MAYOTTE1,360