CT lumbar spine before and after contrast
| 2020 CPT/HCPCS | 72133 |
| Negotiated Private Fee | $450.00 |
| Prossam | $260.00 |
| Champva | $220.13 |
| First Medical | $275.00 |
| First Medical Vital | $163.95 |
| Plan de Salud Menonita | $300.00 |
| Menonita Vital | $220.69 |
| Humana Gold plus/ Gold choice | Ambulatory Payment classification (APC) |
| Humana | $285.00 |
| Mapfre | $325.00 |
| Mcs Classicare | $300.00 |
| MCS Life | $294.00 |
| Medicare | Ambulatory Payment classification (APC) |
| MMM | $228.57 |
| MMM Vital | $193.10 |
| Panamerican Life | $400.00 |
| PMC | $228.57 |
| Tricare | $214.80 |
| 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 |
© 2024 Liga Puertorriqueña Contra el Cáncer. Diseñado por Wigo Technologies.
Política de Privacidad | Acreditaciones | Price Transparency
