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MRI Chest with contrast

2020 CPT/HCPCS 71551
Negotiated Private Fee $720.00
Prossam $500.00
Champva $439.07
First Medical $625.00
First Medical Vital $313.07
Plan de Salud Menonita $575.00
Menonita Vital $375.16
Humana Gold plus/ Gold choice Ambulatory Payment classification (APC)
Humana $675.00
Mapfre $650.00
Mcs Classicare $406.25
MCS Life $438.70
Medicare Ambulatory Payment classification (APC)
MMM $377.05
MMM Vital $328.87
Panamerican Life $725.00
PMC $377.05
Tricare $415.23
Triple S Salud $650.00
Triple S Vital $262.50
Triple S Advantage Ambulatory Payment classification (APC)
Negotiated Minimum Charge $313.07
Negotiated Maximus Charge $725.00
Discounted Cash Price $576.00

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