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XR abdomen 1 view

2020 CPT/HCPCS 74018
Negotiated Private Fee $50.00
Prossam $12.00
Champva $30.54
First Medical Not covered
First Medical Vital $21.37
Plan de Salud Menonita $20.00
Menonita Vital $20.83
Humana Gold plus/ Gold choice Ambulatory Payment classification (APC)
Humana $17.00
Mapfre $25.00
Mcs Classicare $16.00
MCS Life $16.00
Medicare Ambulatory Payment classification (APC)
MMM $26.78
MMM Vital $20.83
Panamerican Life Not Covered
PMC $26.78
Tricare $31.33
Triple S Salud $28.00
Triple S Vital $10.94
Triple S Advantage Ambulatory Payment classification (APC)
Negotiated Minimum Charge $10.94
Negotiated Maximus Charge $31.33
Discounted Cash Price $40.00

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