Placeholder

MRI Lower Extremity without contrast

2020 CPT/HCPCS 73718
Negotiated Private Fee $650.00
Prossam $500.00
Champva $258.08
First Medical $625.00
First Medical Vital $184.31
Plan de Salud Menonita $575.00
Menonita Vital $242.71
Humana Gold plus/ Gold choice Ambulatory Payment classification (APC)
Humana $650.00
Mapfre $650.00
Mcs Classicare $455.00
MCS Life $520.00
Medicare Ambulatory Payment classification (APC)
MMM $287.17
MMM Vital $212.37
Panamerican Life $650.00
PMC $287.17
Tricare $303.39
Triple S Salud $650.00
Triple S Vital $500.00
Triple S Advantage Ambulatory Payment classification (APC)
Negotiated Minimum Charge $184.31
Negotiated Maximus Charge $650.00
Discounted Cash Price $520.00

    © 2022 Liga Puertorriqueña Contra el Cáncer. Diseñado por Wigo Technologies.
    Política de PrivacidadAcreditaciones