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MR abdomen with contrast

2020 CPT/HCPCS 74182
Negotiated Private Fee $720.00
Prossam $500.00
Champva $352.21
First Medical $625.00
First Medical Vital $251.70
Plan de Salud Menonita $575.00
Menonita Vital $314.26
Humana Gold plus/ Gold choice Ambulatory Payment classification (APC)
Humana $650.00
Mapfre $650.00
Mcs Classicare $542.50
MCS Life $620.00
Medicare Ambulatory Payment classification (APC)
MMM $375.21
MMM Vital $274.97
Panamerican Life $725.00
PMC $375.21
Tricare $333.27
Triple S Salud $650.00
Triple S Vital $262.50
Triple S Advantage Ambulatory Payment classification (APC)
Negotiated Minimum Charge $251.70
Negotiated Maximus Charge $725.00
Discounted Cash Price $576.00

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