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XR abdomen 2 views

2020 CPT/HCPCS 74019
Negotiated Private Fee $60.00
Prossam $23.00
Champva $37.90
First Medical Not covered
First Medical Vital $26.54
Plan de Salud Menonita $32.00
Menonita Vital $25.66
Humana Gold plus/ Gold choice Ambulatory Payment classification (APC)
Humana $26.00
Mapfre $34.00
Mcs Classicare $22.31
MCS Life $22.31
Medicare Ambulatory Payment classification (APC)
MMM $31.20
MMM Vital $25.66
Panamerican Life Not Covered
PMC $31.20
Tricare $38.30
Triple S Salud $32.00
Triple S Vital $13.47
Triple S Advantage Ambulatory Payment classification (APC)
Negotiated Minimum Charge $13.47
Negotiated Maximus Charge $38.30
Discounted Cash Price $48.00

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