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CT soft tissue neck with contrast

2020 CPT/HCPCS 70491
Negotiated Private Fee $400.00
Prossam $260.00
Champva $205.32
First Medical $275.00
First Medical Vital $144.84
Plan de Salud Menonita $300.00
Menonita Vital $166.93
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 $198.18
MMM Vital $145.63
Panamerican Life $350.00
PMC $198.18
Tricare $200.14
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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