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CT scan, head or brain, with contrast

2020 CPT/HCPCS 70460
Negotiated Private Fee $400.00
Prossam $260.00
Champva $164.24
First Medical $275.00
First Medical Vital $116.63
Plan de Salud Menonita $300.00
Menonita Vital $117.01
Humana Gold plus/ Gold choice Ambulatory Payment classification (APC)
Humana $280.00
Mapfre $325.00
Mcs Classicare $245.00
MCS Life $280.00
Medicare Ambulatory Payment classification (APC)
MMM $160.22
MMM Vital $117.01
Panamerican Life $350.00
PMC $160.22
Tricare $160.10
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 $350.00
Discounted Cash Price $320.00

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