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CT soft tissue neck before and after contrast

2020 CPT/HCPCS 70492
Negotiated Private Fee $450.00
Prossam $260.00
Champva $248.84
First Medical $275.00
First Medical Vital $175.08
Plan de Salud Menonita $300.00
Menonita Vital $200.60
Humana Gold plus/ Gold choice Ambulatory Payment classification (APC)
Humana $275.00
Mapfre $325.00
Mcs Classicare $300.00
MCS Life $290.00
Medicare Ambulatory Payment classification (APC)
MMM $234.55
MMM Vital $173.36
Panamerican Life $400.00
PMC $234.55
Tricare $240.85
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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