XR shoulder 1 view
| 2020 CPT/HCPCS | 73020 |
| Negotiated Private Fee | $40.00 |
| Prossam | $12.00 |
| Champva | $22.10 |
| First Medical | $14.00 |
| First Medical Vital | $15.47 |
| Plan de Salud Menonita | $20.00 |
| Menonita Vital | $16.46 |
| Humana Gold plus/ Gold choice | Ambulatory Payment classification (APC) |
| Humana | $18.00 |
| Mapfre | $19.00 |
| Mcs Classicare | $18.00 |
| MCS Life | $18.00 |
| Medicare | Ambulatory Payment classification (APC) |
| MMM | $17.95 |
| MMM Vital | $16.46 |
| Panamerican Life | $20.00 |
| PMC | $17.95 |
| Tricare | $22.27 |
| Triple S Salud | $25.00 |
| Triple S Vital | $13.66 |
| Triple S Advantage | Ambulatory Payment classification (APC) |
| Negotiated Minimum Charge | $12.00 |
| Negotiated Maximus Charge | $25.00 |
| Discounted Cash Price | $32.00 |
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