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CT scan, head or brain, before and after contrast

2020 CPT/HCPCS 70470
Negotiated Private Fee $450.00
Prossam $260.00
Champva $193.04
First Medical $275.00
First Medical Vital $136.71
Plan de Salud Menonita $300.00
Menonita Vital $156.89
Humana Gold plus/ Gold choice Ambulatory Payment classification (APC)
Humana $300.00
Mapfre $325.00
Mcs Classicare $245.00
MCS Life $280.00
Medicare Ambulatory Payment classification (APC)
MMM $163.09
MMM Vital $137.28
Panamerican Life $400.00
PMC $163.09
Tricare $188.31
Triple S Salud $275.00
Triple S Vital $115.50
Triple S Advantage Ambulatory Payment classification (APC)
Negotiated Minimum Charge $115.50
Negotiated Maximus Charge $400.00
Discounted Cash Price $360.00

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