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CT chest before and after contrast

2020 CPT/HCPCS 71270
Negotiated Private Fee $450.00
Prossam $260.00
Champva $220.14
First Medical $275.00
First Medical Vital $165.97
Plan de Salud Menonita $300.00
Menonita Vital $192.82
Humana Gold plus/ Gold choice Ambulatory Payment classification (APC)
Humana $275.00
Mapfre $325.00
Mcs Classicare $300.00
MCS Life $292.00
Medicare Ambulatory Payment classification (APC)
MMM $232.76
MMM Vital $168.72
Panamerican Life $400.00
PMC $232.76
Tricare $214.12
Triple S Salud $300.00
Triple S Vital $126.00
Triple S Advantage Ambulatory Payment classification (APC)
Negotiated Minimum Charge $126.00
Negotiated Maximus Charge $400.00
Discounted Cash Price $360.00

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