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XR abdomen 2 or more view including chest single view

2020 CPT/HCPCS 74022
Negotiated Private Fee $60.00
Prossam $29.00
Champva $50.89
First Medical $35.00
First Medical Vital $35.63
Plan de Salud Menonita $34.00
Menonita Vital $34.56
Humana Gold plus/ Gold choice Ambulatory Payment classification (APC)
Humana $36.00
Mapfre $41.50
Mcs Classicare $38.00
MCS Life $38.00
Medicare Ambulatory Payment classification (APC)
MMM $37.11
MMM Vital $34.56
Panamerican Life $40.00
PMC $37.11
Tricare $51.87
Triple S Salud $41.00
Triple S Vital $18.14
Triple S Advantage Ambulatory Payment classification (APC)
Negotiated Minimum Charge $18.14
Negotiated Maximus Charge $51.87
Discounted Cash Price $48.00

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