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XR cervical spine 2 or 3 Views

2020 CPT/HCPCS 72040
Negotiated Private Fee $45.00
Prossam $17.00
Champva $40.37
First Medical $19.00
First Medical Vital $28.26
Plan de Salud Menonita $24.00
Menonita Vital $27.20
Humana Gold plus/ Gold choice Ambulatory Payment classification (APC)
Humana $18.00
Mapfre $27.00
Mcs Classicare $24.00
MCS Life $24.00
Medicare Ambulatory Payment classification (APC)
MMM $34.97
MMM Vital $27.20
Panamerican Life $33.00
PMC $34.97
Tricare $41.09
Triple S Salud $32.00
Triple S Vital $14.28
Triple S Advantage Ambulatory Payment classification (APC)
Negotiated Minimum Charge $14.28
Negotiated Maximus Charge $41.09
Discounted Cash Price $36.00

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