XR mandible minimum 4 views
| 2020 CPT/HCPCS | 70100 |
| Negotiated Private Fee | $45.00 |
| Prossam | $29.00 |
| Champva | $44.58 |
| First Medical | $33.00 |
| First Medical Vital | $31.21 |
| Plan de Salud Menonita | $29.33 |
| Menonita Vital | $30.24 |
| Humana Gold plus/ Gold choice | Ambulatory Payment classification (APC) |
| Humana | $31.52 |
| Mapfre | $40.00 |
| Mcs Classicare | $30.12 |
| MCS Life | $30.24 |
| Medicare | Ambulatory Payment classification (APC) |
| MMM | $30.12 |
| MMM Vital | $30.24 |
| Panamerican Life | $35.00 |
| PMC | $30.12 |
| Tricare | $45.61 |
| Triple S Salud | $28.00 |
| Triple S Vital | $16.89 |
| Triple S Advantage | Ambulatory Payment classification (APC) |
| Negotiated Minimum Charge | $29.00 |
| Negotiated Maximus Charge | $44.58 |
| Discounted Cash Price | $36.00 |
© 2024 Liga Puertorriqueña Contra el Cáncer. Diseñado por Wigo Technologies.
Política de Privacidad | Acreditaciones | Price Transparency
