Airportho Utrecht
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payment arrangement 100 euro (€ 100,00)
payment arrangement 50 euro (€ 50,00)
retention check-up fixed appliance in 2 jaws (F533A) (€ 52,15)
retention check-up fixed appliance in 1 jaw (F532A) (€ 41,71)
(overview) x-ray assessment (F156A) (€ 37,54)
(overview) x-ray manufacture (F155A) (€ 22,00)
(lateral) x-ray assessment (F157A) (€ 23,51)
(lateral) x-ray manufacture (F158A) (€ 65,64)
braces consultation from the 25th month of treatment (F521A) (€ 36,50)
braces consultation fixes appliance in 2 jaws (category 6: F516A) (€ 52,14)
braces consultation fixed appliance in 1 jaw (category 5: F515A) (€ 41,71)
removable braces consultation (category 1 t/m 4: F511A t/m F514A) (€ 36,50)
removing braces category 5/6/7, per jaw - F492A (€ 120,08)
place braces category 1 (all plates) (€ 234,05)
place braces category 1 (active hawley or acco) (€ 214,71)
place braces category 2 (HG) (€ 190,56)
place braces category 2 (TPA) (€ 178,23)
place braces category 2 (HG+TPA) (€ 192,20)
place braces category 3 (Twin-block) (€ 325,06)
place braces category 3 (Twin-block+HG) (€ 374,75)
place braces category 3 (New T-appliance) (€ 400,94)
place braces category 2 (Hyrax) (€ 332,02)
place braces category 4 (Herbst) (€ 515,10)
place braces category 4 (Herbst-hyrax) (€ 597,06)
place braces category 4 (Herbst with under plate) (€ 515,17)
place braces category 4 (Herbst-hyrax with under plate) (€ 546,77)
place braces category 5 (lock-braces in 1 jaw) (€ 469,07)
place braces category 6 (lock-braces in 2 jaws) (€ 774,53)
place extra retention brace IOR (€ 105,29)
place extra retention brace Hawley (€ 121,17)
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iDEAL
I hereby give authorization to collect the recurring amount from my account periodically.
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