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CT chest with contrast

2020 CPT/HCPCS 71260
Negotiated Private Fee $400.00
Prossam $260.00
Champva $185.69
First Medical $275.00
First Medical Vital $140.28
Plan de Salud Menonita $300.00
Menonita Vital $160.96
Humana Gold plus/ Gold choice Ambulatory Payment classification (APC)
Humana $285.00
Mapfre $325.00
Mcs Classicare $245.00
MCS Life $280.00
Medicare Ambulatory Payment classification (APC)
MMM $192.96
MMM Vital $140.84
Panamerican Life $350.00
PMC $192.96
Tricare $179.97
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 $350.00
Discounted Cash Price $320.00

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